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The Effect of Antiretroviral Therapy (ART) on Obstetric Complications Risk in Pregnant Women with HIV: A Scoping Review Ermiati, Ermiati; Syalsabilla, Melsya Meira; Lailatussya’diah, Rania Annisa; Anggrayni, Selfi Astriyan; Pinto, Feliciano
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.68351

Abstract

Antiretroviral therapy (ART) is a cornerstone in the management of HIV among pregnant women due to its ability to suppress viral load and prevent vertical transmission. However, its effectiveness on pregnancy outcomes remains a challenge because of the potential risk of obstetric complications. This scoping review aimed to map and summarize existing evidence on the association between ART use and obstetric complications among pregnant women living with HIV. The review was conducted using the Arksey and O’Malley framework and reported in accordance with the PRISMA-ScR guidelines. A comprehensive literature search was performed across Scopus, EBSCOhost, PubMed, and ScienceDirect to identify full-text English-language original studies published between 2020 and 2025. Study selection was guided by the Population–Intervention–Outcome framework, focusing on pregnant women with HIV receiving ART and associated obstetric complications. Out of 11,669 identified articles, ten met the inclusion criteria. The findings revealed that initiating ART before pregnancy reduced the risk of small-for-gestational-age (SGA) infants, while regimens based on non-nucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhibitors (PIs) were associated with a higher risk of preterm birth compared to integrase strand transfer inhibitor (INSTI)–based regimens. Low birth weight (LBW) was more frequently observed when ART initiation occurred during the second trimester. Immunological, placental, metabolic, and psychosocial factors were also found to influence pregnancy outcomes. In conclusion, ART management should consider drug type, timing of initiation, and maternal condition to minimize obstetric risks. Future research is recommended to examine the longitudinal effects of ART regimens using a multidimensional approach to achieve more precise and context-specific therapeutic management.
MAPPAJA’ PRACTICES IN AGRICULTURAL COMMODITY TRADING IN THE DISTRICT OF WEST SINJAI, SINJAI REGENCY Ermiati, Ermiati; Wahab, Abdul; Haddade, Abdul Wahid
Jurnal Diskursus Islam Vol 9 No 2 (2021): August
Publisher : Program Pascasarjana, UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jdi.v9i2.22865

Abstract

This study will elaborate on the form of mappaja' trading, which is considered as an attractive economic issue as in its transactions, people do not use a system of weighing scales in trading their harvests, but with a cost estimation system for the goods. Therefore, in the trading practice, there is often a discrepancy between the harvest and the buyer’s expectation, because it may contain an element of gharar/obscurity of the goods, which can lead to an invalid transaction and harm one of the parties. This study indicated that the practice of mappaja' for agricultural commodities has occurred for a long time. The mechanism is by estimating the number of plants based on mutual trust and responsibility. The agricultural commodities used as the mappaja' objects are cloves and vegetables (carrots, cabbage, and tomatoes). The payment method in mappaja' practice is carried out in two ways, namely full payment and twice payment. Twice payment refers to the transaction where half of the payment was handed over on the agreement as a down payment and a sign of completion, then the rest of the payment were handed after the harvest. The condition of the plant is ready to harvest or not ready for harvest in the transaction of mappaja’. The rights and obligations of both parties are that traders are obliged to make payments to farmers according to the agreement and for the farmers, they have to keep taking good care of the plants if at the time of the transaction the condition of the plants is still not ready for harvest.
Education on Low Sodium Diets for Blood Pressure Control in Post-Partum Mothers With Superimposed Preeclampsia Karyo, Nicoletha Trudy Abya; Hermayanti, Yanti; Ermiati, Ermiati
Journal of Nursing Vol. 1 No. 2 (2026): May
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jn.v1i2.725

Abstract

Pre-eclampsia is closely related to postpartum hypertension, making it a critical period during which mothers are at risk of more serious complications if they do not receive immediate treatment. Its management requires adherence to lifestyle modifications, including a low-salt diet, in addition to medication control. Adherence is related to knowledge, so education is one of the non-pharmacological techniques that can be provided. This study aims to describe behavioural changes in patients with superimposed pre-eclampsia through the provision of low-salt diet education for blood pressure control. This study used a case study method through the nursing care process for a 42-year-old postpartum mother P5A2. Data were obtained through anamnesis, observation and physical examination, as well as documentation of diagnostic tests. Health education was implemented using lectures and question-and-answer sessions. Evaluation was assessed using pre-post tests, records of food consumption, and blood pressure measurements over 3 days. After receiving education, the blood pressure range decreased by -1 mmHg in systolic pressure and -13 mmHg in diastolic pressure on the second day compared to the first day, and -5 mmHg in systolic pressure and -15 mmHg in diastolic pressure on the third day compared to the second day. There was an increase in knowledge related to low-salt diets, which triggered behavioural changes in controlling daily intake, resulting in a decrease and stabilisation of blood pressure to a more controlled range. However, participants' understanding did not reach 100%, so demonstration methods are needed in health education to optimize participants' understanding.
Co-Authors Abdul Muis Hasibuan Abdul Wahab Abdul Wahid Haddade Adawiyah, Nabilah Al Afifah, Anisa Nur Agus Wahyudi Aini, Ayyida Alfiah, Umi Anggrayni, Selfi Astriyan Anita Setyawati Araujo, Glorianita A. R. Ardianti, Aulia Sabriska Aulia, Santi Azizatunnisa, Auliyah Zahra Cahyani, Gita Cahyani, Regina Chairunnisa, Kenny Chatarina Umbul Wahyuni Daiatul, Rifqii Dwi, Yasmina ENDAH NESTITI URIP RAHAYU Ermiati, Lilis Mamuroh Etika Emaliyawati Evawati Evawati F. H., Finny Febrianti, Riska Nur Assyifa Feliciano Pinto, Feliciano Fitria, Dini Handayani, Nathasa Harun, Hasniatisari Hendrawati Hendrawati Henny Suzana Mediani I. N. Rachmawati Ida Maryati Indah Mutia Indriyanti, Deviana Irwan Roza Islamey, Rasyadan Savero Kamila, Shafa Amanda Tasya Karyo, Nicoletha Trudy Abya Khalam, Sadarul Khandra Fahmy Kundaryanti, Rini L. Sabri Lailatussya’diah, Rania Annisa Laili Rahayuwati Lestari, Resti Dharma Lilis Mamuroh Maruf, Irma Rachmawati Mira Trisyani Mira Trisyani Koeryaman Muhammad Rusydi Nabilla, Salsabila Natasha, Windy Nur Oktavia Hidayati Nusaibah, Niken Oktapiani, Risna Ayu Parisa, Grisela Parwati, Hanny Cindi Purwadhi Purwadhi Putri, Maria Ulpa Ananda Rahmat, Fairuz Amelinda Rahmawati, Nur Rini Raini Diah Susanti Ratnawati, Ai Siti Restuning Widiasih Retnowulan, Veha Rika Rahmawati Salmaa, Qoori Saputra, Afdal Satriya, Guntur Sihemran, Kast Kijay Siti Sarah Purnamasari Sopia, Nurul Srimurni, Nita Ayu Suciawati, Anni Suherman, Ara Ardiansah Sukarman Sukarman Sukmawati Sukmawati Suntari, Yosiriyani Syalsabilla, Melsya Meira Tabah, Hikmah Mesti Tetti Solehati Titin Sutini Violalita , Fidela Windy Rakhmawati Y. Rustini Yani Restiani Widjaja, Yani Restiani Yanti Hermayanti Yanti, Henny Fitri Yudiaputri, Amiranendya Shabrina Yuli Rahmawati Yulianti, Sania Yuswilara, Yuswilara