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All Journal Jurnal Kesehatan Amanah Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Pinda Hutajulu
Department of Obstetric and Gyneacology, Sudarso Hospital, Pontianak, West Kalimantan
Health Professions Nursing Public Health

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Determinasi Risiko Prenatal terhadap Stunting Neonatal: (Studi di RSUD Dr. Soedarso Pontianak) Pinda Hutajulu; Deli Theo; Ramadhani Syafitri Nasution
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.834

Abstract

Neonatal stunting is a form of growth failure that begins in the womb, marked by birth length below the 10th percentile, reflecting maternal nutritional and health status during pregnancy. This study aimed to analyze the influence of prenatal risk factors on neonatal stunting at Dr. Soedarso General Hospital, Pontianak. Using an institution-based cross-sectional design with a quantitative approach, the study utilized secondary data from maternal and newborn medical records collected from June to September 2024. A total of 485 mother–infant pairs were selected using purposive sampling based on inclusion and exclusion criteria. Independent variables included maternal age, height, anemia, hypertension during pregnancy, and parental education levels, while the dependent variable was neonatal stunting. Data were analyzed using Chi-square tests and logistic regression. The results showed a neonatal stunting prevalence of 23.9%, with maternal age under 20 years as the only significant risk factor (AOR = 2.54; p = 0.035). Other variables such as anemia, hypertension, maternal height, and parental education were not significantly associated with stunting. These findings indicate that teenage pregnancy is a critical factor in neonatal stunting prevention. Strengthening reproductive health education and antenatal care services for adolescent girls is essential to reduce the prevalence of stunting from the prenatal stage.
Dampak Pemilihan Waktu dan Cara Melahirkan pada Wanita dengan Riwayat Seksio Sesarea terhadap Luaran Ibu dan Neonatal: Suatu Systematic Review Pinda Hutajulu; Nur Maharani Balqis
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i1.8540

Abstract

The increasing number of cesarean sections (SC) globally has an impact on the increasing number of pregnant women with a history of previous surgeries. The choice between trial of labor after cesarean (TOLAC) and elective repeat cesarean section (ERCS) is a clinical challenge in balancing maternal and infant safety. This systematic review follows the guidelines of PRISMA 2020, with literature searches in PubMed, Scopus, Cochrane Library, and Google Scholar (2015–2025). The studies analyzed included cohort design, prospective, retrospective, meta-analysis, and cross-section evaluating women with a single history of SC, single pregnancy, and head presentation. A total of 20 studies with a total of 1,096,999 participants were identified. The success of TOLAC is reported to reach 60–85% in developed countries and 30–40% in developing countries. The risk of uterine rupture was higher in TOLAC (1.3%; OR 2.01–3.35) compared to ERCS (~0%), but in absolute terms remains low. TOLAC that failed to improve maternal and neonatal morbidity, while ERCS before 39 weeks was associated with respiratory distress and early neonatal death. The implementation of ERCS ≥39 weeks reduced complications without increasing maternal risk. Both methods are relatively safe if performed in adequate facilities, and clinical decisions should be tailored to gestational age, mother-fetal condition, and readiness of obstetric emergency services.
Co-Authors Deli Theo Nur Maharani Balqis Ramadhani Syafitri Nasution