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LEARNING TO PREVENT AND BREAK THE CHAIN OF TRANSMISSION OF COVID-19 BY VACCINATE WOMEN, PREGNANT AND BREASTFEEDING MOTHERS THROUGH THE WEBINAR Bachnas, Muhammad Adrianes; Anggraini, Nutria Widya purna; Sulistyowati, Sri; Yuliantara, Eric Edwin; Prabowo, Wisnu; Nugraha, Gagah B Adi; Firmansyah, Aldi; Prameilita, Dympna
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 10, No 1 (2022): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v10i1.52880

Abstract

Background: The incidence of Covid-19 in women, pregnant, and breastfeeding mothers is still high. Currently, the government is trying to prevent and break the chain of Covid-19 transmission by vaccination. However, knowledge about Covid-19 vaccination is still limited. Therefore, Indonesian Obstetrics and Gynecology Association/Perkumpulan Obstetri dan Ginekologi Indonesia  (POGI) members, as the spearhead of women's health, play an essential role in breaking the chain of transmission by providing knowledge about Covid-19 vaccination.Methods: All member of POGI and Youth POGI in Surakarta was educated by online method via the webinar zoom application. The level of knowledge was evaluated pre and post-webinar by using a questionnaire to see the significance.Result: Analysis of 110 participants with paired t-test obtained an average pretest value of 44.82 while the average post-test value was 57.45, with a significance value of p=0.001 (p<0.05). The results of the analysis with the Chi-square test obtained p = 0.002 (p <0.05) and OR = 23.40.Conclusion: There is an increased understanding of preventing and breaking the chain of transmission of Covid-19 in women, pregnant, and breastfeeding mothers by vaccinating youth POGI and POGI members after webinar and discussion, with a significance value of p=0.001 (p<0.05). Webinars and discussions on preventing and breaking the chain of transmission of Covid-19 to women, pregnant, and breastfeeding mothers with vaccination by researchers provided 23.40 times better understanding than before the webinar and discussions were given.   
Early Detection and Good Team Collaboration for Preventing Maternal Death Caused by Placenta Accreta Spectrum Disorder Yuliantara, Eric Edwin; Bachnas, Muhammad Adrianes; Anggraini, Nutria Widya Purna; Prabowo, Wisnu; Nugraha, Gagah Baskara Adi; Chasanah, Meriska Dewi; Alim, Fadel Muhammad S.; Merina, Hikmah F.
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 2 (2023): August
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i2.71047

Abstract

Background: Placenta accreta spectrum (PAS) is considered one of the most harmful pregnancy conditions, as it is strongly linked with maternal morbidity and mortality. An accurate and early prenatal diagnosis of PAS allows time for a multidisciplinary team to plan the best course of action for delivery management. The aim of this study is to describe placenta accreta spectrum management and outcomes with early detection and a multidisciplinary team approach.Method: A retrospective cohort study was conducted on 167 cases of placenta accreta from 2016 to 2021. Medical records were then reviewed, and data were collected for delivery management and maternal outcome, including estimated amounts of bleeding, urinary tract injury, delivery time, ICU referral, and maternal death.Result: Delivery management (hysterectomy and conservative management) and maternal bleeding were significantly associated with MAP score (p < 0.05), while urinary tract injury, delivery time, ICU admission, and maternal death were not significantly associated (p > 0.05). 55.1% of patients underwent hysterectomy, and the rest 44.9% underwent conservative surgery. Massive bleeding of more than 2500 mL happened in 54.5% of patients, and the rest 45.5% managed to bleed less than 45.5%. Preterm deliveries accounted for 29.9% of all deliveries, with the remaining 70.1% being term. 5.4% of patients experienced urinary tract injuries. 6.6% of patients were referred to the intensive care unit. The maternal mortality rate is 4.8%.Conclusion: Early detection of the placenta accreta spectrum, as well as good collaboration among members of a multidisciplinary team from various medical fields, are required to ensure the mother and baby's safety and survival.
The Correlation Between Anemia and Abortion in Pregnant Women Tejowati, Ardika Desi Regita; Prabowo, Wisnu; Yuliantara, Eric Edwin; Respati, Supriyadi Hari
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 14, No 1 (2026): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v14i1.98519

Abstract

Background: Anemia in pregnancy can occur when the hemoglobin concentration is less than normal so that oxygen binding cannot occur optimally. Insufficient oxygen supply for the mother's metabolism can indirectly affect both the mother and the fetus. Anemia in pregnancy can increase the risk of abortion. In 2021, there were 7,389 maternal deaths, one of which was caused by abortion. This study aims to determine whether there is an increased risk of abortion in pregnant women with anemia.Method: Analytical observational study using a case-control design with a ratio of case group and control group of 1:2. This study collected data from 52 subjects of pregnant women with abortion as the case group and 104 subjects of pregnant women with vaginal delivery as the control group during the period from January 2021 to December 2023. Subjects were determined based on inclusion and exclusion criteria using purposive sampling. The analysis of univariate and bivariate employed chi-square test; and as multivariate analysis the study employed logistic regression test.Result: Pregnant women with anemia have 2.67 times higher risk of experiencing abortion compared to pregnant women without anemia and this was a statistically significant (OR= 2.67; 95% CI= 1.31 to 5.49; p=0.007). In addition, there was a confounding variable of maternal age (OR= 3.03; 95% CI= 1.36 to 5.74; p=0.007) and gravidity (OR= 2.48; 95% CI= 1.19 to 5.19; p=0.015)Conclusion: There is a significant correlation between anemia and abortion in pregnant women.