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All Journal Green Health: Journal of Health Sciences, Nursing and Nutrition
Ni Gusti Made Ayu Agung Budhi
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Nursing

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Determinants of High-Risk Pregnancy: A Systematic Literature Review Ni Gusti Made Ayu Agung Budhi; Mardeyanti Mardeyanti; Jumiati Jumiati; Sri Sukamti; Karningsih Karningsih; Yulia Fauziah Amizuar
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 2 No. 3 (2025): July : Green Health: International Journal of Health Sciences, Nursing and Nutr
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v2i3.159

Abstract

Pregnancy, labor, and the postpartum period can all be more hazardous for the health of the mother and fetus in high-risk pregnancies. By doing a thorough literature analysis, this study seeks to determine the contributing factors to high-risk pregnancies. Methods: A systematic review of the literature utilizing ten national journals from PubMed and ten foreign journals from Google Scholar. The inclusion criteria were observational and cohort research articles published between 2020 and 2024, as well as systematic reviews of research articles with their determinants found in databases like PubMed and Google Scholar. Maternal factors (age <20 or >35 years, history of chronic diseases, and maternal health condition), obstetric factors (pregnancy spacing too close, multiparity, or history of previous pregnancy complications), and socioeconomic factors (low education, limited access to health services, and poor economic status) are the factors that contribute to high-risk pregnancies, according to the analysis. Furthermore, bad lifestyle choices like drinking alcohol, smoking, and not eating enough food all play a big part. The study's findings emphasize the value of multifaceted initiatives that include education, better access to healthcare, and a comprehensive approach to policy in order to lower high pregnancy risk.
Causes or Risk Factors of Cervical Cancer: Systematic Literature Review Winancy Winancy; Herlia Sumardha Nasution; Ani Media Harumi; Novita Eka Kusuma; Siti Mar’atus Sholikah; Ni Gusti Made Ayu Agung Budhi
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 2 No. 3 (2025): July : Green Health: International Journal of Health Sciences, Nursing and Nutr
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v2i3.160

Abstract

Cervical cancer remains one of the leading causes of mortality among women, particularly in developing countries such as Indonesia, where prevalence is high and early detection is often delayed. This study aims to identify and synthesize the major risk factors for cervical cancer through a systematic review of both national and international literature. The core problem addressed is the lack of a comprehensive and context-relevant risk framework for Indonesian women, resulting in suboptimal preventive interventions. The proposed method is a qualitative descriptive literature review, analyzing 15 selected scientific articles based on defined inclusion criteria. Key findings indicate that age ≥35 years, high parity, early sexual activity, smoking habits, prolonged use of hormonal contraceptives, low educational attainment, and physically demanding occupations are significant determinants of increased cervical cancer risk. The synthesis of ideas shows that biological, behavioral, social, and environmental factors interact in complex ways to influence vulnerability to cervical cancer. This study concludes that cervical cancer prevention requires a multidimensional approach that integrates education, routine screening, and increased public awareness of modifiable risk factors. The findings are expected to inform more effective and context-sensitive health policy development in Indonesia.
The Link Between Pregnant Women’s Knowledge of Obstetric Danger Singns and Proactive Emergency Detection Ni Gusti Made Ayu Agung Budhi; Karningsih, Karningsih; Sri Sukamti; Mardeyanti, Mardeyanti
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 2 No. 4 (2025): October : Green Health: International Journal of Health Sciences, Nursing and N
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v2i4.236

Abstract

Despite global efforts, maternal mortality remains a critical public health challenge. A major contributing factor is the delay in recognizing and responding to obstetric emergencies. A pregnant woman's awareness of potential danger signs and her subsequent proactive attitude toward early detection are considered pivotal in facilitating timely and life-saving healthcare access. This study was undertaken to investigate the direct correlation between the level of knowledge pregnant women possess regarding pregnancy danger signs and their attitude toward the early identification of maternal emergencies.This research utilized an analytic survey design, a cross-sectional approach. The study sample was drawn using accidental sampling, comprising 110 pregnant women. Data were collected via structured questionnaires and analyzed statistically using the Spearman Rank correlation test. The descriptive analysis revealed a positive outcome regarding knowledge: the majority of participants (70) demonstrated a sufficient level of knowledge about pregnancy danger signs. However, this did not translate into a desired behavioral disposition, as a majority of participants (40) simultaneously displayed a poor attitude toward the early detection of maternal emergencies. The inferential statistical analysis confirmed this disconnect: the Spearman Rank test yielded a calculated ρ-value (pcount) of 0.068, which was less significant than the critical ρ-table value (ptable) of 0.364. Crucially, the significance level(p=0.72) exceeded the predetermined alpha (α=0.05).The study concludes that there is no significant relationship between a pregnant woman's knowledge of obstetric danger signs and her attitude toward seeking the early detection of maternal emergencies.
Co-Authors Ani Media Harumi Herlia Sumardha Nasution Jumiati Jumiati Karningsih Karningsih Karningsih Karningsih Mardeyanti Mardeyanti Mardeyanti, Mardeyanti Novita Eka Kusuma Siti Mar’atus Sholikah Sri Sukamti Winancy Winancy Yulia Fauziah Amizuar