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Journal : Jurnal Info Kesehatan

Nausea and Vomiting of Pregnancy: Multiple Contributing Factors Wahyuni, Sri; Pramono, Noor; Hadisaputro, Suharyo; Ediati, Annastasia
JURNAL INFO KESEHATAN Vol 21 No 4 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss4.1388

Abstract

Nausea and vomiting are common conditions in earlier pregnancy. Some studies have suggested that nausea and vomiting during pregnancy (NVP) is caused by multiple factors, however, few studies assessed family support and psychological factors. The present study aimed to assess the prevalence of NVP and its contributing factors. A cross-sectional study was conducted in five Primary Health Centers in Semarang during August 2023. A total of 99 eligible pregnant women were included. A logistic regression was used to determine the significant contributing factors of NVP. The prevalence of moderate to severe and mild NVP was 71.7% and 28.3% respectively. Bivariate analysis indicated that gestational age and anxiety level significantly influence NVP (p-value <0.05). Women with greater gestational age (OR= 2.462; 0.954-6.356) and mild anxiety (OR=3.337; 1.240-8.982) were more likely to experience NVP during their pregnancy. Gestational of 12 weeks and mild anxiety are strongly associated with NVP. These findings highlight the crucial of psychological factors despite other health-related conditions.
Analysis of Consistency The REEDA Scale in Healing Second-Degree Perineal Lacerations Yuniarti, Yuniarti; Pramono, Noor; Cahyono, Bambang; Sera, Agnescia Clarissa
JURNAL INFO KESEHATAN Vol 23 No 1 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss1.1645

Abstract

Many studies of perineal wounds use the redness, edema, ecchymosis, discharge, and approximation (REEDA) scale as a healing assessment tool. Still, this tool has not become part of the standard of care in postpartum women with perineal lacerations due to the lack of evidence of its validity. This study aimed to analyze the consistency of the REEDA scale in healing perineal wounds of postpartum women. The method uses an observational study using the interrater reliability test for the REEDA tool on perineal wound healing in postpartum women with second-degree perineal lacerations, 11 women were recruited using consecutive sampling. Lacerations were observed by researchers, and midwives were trained on days 1, 3, and 7 postpartum. Cohen's kappa coefficient test was used to test the consistency of the REEDA scale. The results shows that the fair and excellent agreement on the redness item with kappa (0.57-1.00), agreement on the edema item showed good and excellent results (0.61-0.84), fair and good agreement on the ecchymosis item (0.51- 0.73), good and excellent agreement on discharge items (0.79 -1.00). On the approximation item (0.62–1.00), agreement improved to excellent at the final assessment. In the third evaluation, the scoring of all items showed good or excellent agreement between the raters.  The conclusion is  the overall assessment shows that the application of the REEDA scale is reliable because it shows consistency; namely, there are no more values with low agreement on the seventh day of the postpartum period.