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Pharmacological and Non-Pharmacological Intervention to Prevent Preeclampsia: A Systematic Literature Review Fatimatasari - Fatimatasari; Fatimah Fatimah; Angela C.B Trude; Herlin Herlin Fitriana Kurniawati; Rosmita Nuzuliana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 3 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(3).168-184

Preeclampsia is a disorder of pregnancy that increases risk for long-term health consequences for both mother and child, and if left untreated is one of the main causes of maternal and fetal mortality. However, delivery of the placenta is the only cure, making prevention options for this condition needed but little consensus exist on their effectiveness. Thus, we conducted a systematic literature review on the effectiveness of pharmacological interventions and dietary supplementations to prevent preeclampsia. We used MEDLINE and ProQuest to conduct a systematic search for peer-review publications on prevention of preeclampsia. We selected studies conducted in human and published in English from 2010 through 2020 on: i) types of interventions; ii) quality of studies and limitations. We selected 22 articles to be reviewed. Three types of pharmacological interventions and eight types of dietary supplementations were identified. Nitric Oxide-donors with Isosorbide Mononitrate (IMN), and aspirin have been shown to be effective, while selenium, calcium, vitamin D, DHA-rich fish oil-concentrate, copper, phytonutrient, Nitric Oxide-donors with Penthaerythrityl Tetranitrate (PETN), folic acid, vitamins C and E and magnesium have not been proved effective to prevent preeclampsia. Although all studies presented good quality of evidence, they had several limitations, the most common limitations are lack of initial therapy, lack of dosage, and inadequate sample size to detect small effect. Despite the growing evidence of treatments to prevent preeclampsia, their effect is not large. More research is needed in the field before prevention treatments are prescribed in clinical settings.

The effect of oxytocin massage during postpartum on baby weight Prasetya Lestari; Fatimah Fatimah; Lia Dian Ayuningrum
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 2 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(2).147-154

Background:The low coverage of exclusive breastfeeding in Indonesia and the world can have a negative impact on mothers, babies, families, and even the country. Research by Rawat, et al (2018) states that one of the causes of failure of the breastfeeding process in primiparous and in the first week of delivery is that the mother finds it difficult to attach when breastfeeding and feels that breast milk is not enough. Another study conducted by Jacobs, et al (2013) also proved that the majority of respondents felt that breast milk production was scant, so they decided to provide formula milk. Meanwhile, research conducted by Madhavi and Manikyamba (2016) found that the reason for not giving exclusive breastfeeding was difficulty in the breastfeeding process. Therefore it is necessary to have a method to stimulate milk production at the beginning of postpartum, one of which is oxytocin massage. Objectives:The purpose of this study was to determine the relationship between the oxytocin massage and baby weight. Materials and methods:this study was a pre-experimental research using posttest only design and true-experiment using posttest only control group design. The research locations were in the Mother and Child Health (KIA) Clinic and Midwives Independent Practice (PMB) in Bantul, Sleman, and Gunung Kidul Yogyakarta areas. Implementation from April until September 2020. The population of this study was all the families of postpartum mothers from the first to the third day and after 1 week an evaluation of breastfeeding. The sampling technique uses total sampling was 80 postpartum mothers on the first-third day of childbirth followed until the baby was 2 months old. The research instruments were the oxytocin massage checklist and baby weight observation note sheet. Test analysis using paired t-test. Results: The results of this study were that the majority of respondents performed oxytocin massage with a frequency of 2-3 times (85%) and the majority of baby's weight at the age of 2 months was according to age (98.8%). In the results of the bivariate analysis, there was an effect of oxytocin massage education on the family of postpartum mothers with baby body weight (p = 0.009).Conclusions: Oxytocin massage education on the family of postpartum mothers there was significant with baby weight.

Education and Hospital Chart Related with Anemia among 3 rd Trimester of Pregnant Women Fatimah Fatimah; Siti Arieska Shomadiyyah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 5, No 3 (2017): NOVEMBER 2017
Publisher : Alma Ata University Press

Anemia in pregnancy is a problem serious, especially in Indonesia. This research used quantitative with explanatory research. In the work area of Puskesmas Pajangan from 10 pregnant women, 7 of them experienced anemia. The purpose of this study to determine the relationship between education, history of disease, age and the work of anemic mothers in the third trimester of pregnancy. This research is a quantitative research with explanatory research design. The population was 85 pregnant women in third trimester at Puskesmas Pajangan. The independent variable was characteristics pregnant mothers and dependent variable is anemia in third trimester of pregnancy at Puskesmas Pajangan Yogyakarta. The research uses a questionnaire that has been tested and reliability validity test. Bivariate analysis use was Pearson and Spearman. The results of the analysis bivariate p-value of age mother (0.071), education (0.003), disease history (0.007), work (0.097). In conclusion, there was related between education and disease history with the genesis anemia, While age and job did not relate to anemia in third trimester of pregnancy

Relationship of temporary blood glucose levels during pregnantcy and baby’s birth weight Trimardiyah Trimardiyah; Fatimah Fatimah; Lia Dian Ayuningrum; Ika Sulistiowati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 3 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(3).233-240

Background : Blood sugar level is one of the factors that influence to baby’s birth weight which determines neonatal morbidity and mortality. Temporary blood glucose (GDS) includes the results of a momentary examination one day regardless of the time of the last meal. Data of baby’s birth weight in 2018 are 208 babies having BBLR, 32 babies having BBLB and 11 expectant mother diagnosed with gestational diabetes. Blood sugar check are often performed to diagnose a disease. From the results of the preliminary study at Panembahan Senopati Bantul Hospital, there was data about newborn start from January - December 2018. There were 208 (9%) babies having BBLR, 42 (1%) babies having BBLB, and 2026 (90%) babies born normally and 11 expectant mother diagnosed with gestational diabetes.Research Purpose : Knowing the relationship between temporary blood glucose level during pregnancy and baby’s birth weight at Panembahan Senopati Bantul Hospital.Research Method : This type of research is quantitative analysis with a retrospective study approach. The population are mothers in labor at Panembahan Senopati Bantul Hospital. The sampling method used nonprobability with purposive sampling technique. Statistical test used Spearman.Result : The majority of respondents had high school education (49%), aged between 20 - 35 (72%), Atem gestational age (80%), Paritas multipara (63%), normal LILA (90%), GDS not DM as much (57%) , there is no history of giving birth to large babies (82%), normal birth weight (37%), male gender (50%), and female (50%). There is a relationship between temporary blood glucose level during pregnancy and baby’s birth weight at Panembahan Senopati Bantul Hospital using the Spearman test with a p-value of 0.0001 which means significant (<0.05) and the result of the correlation coefficient (r) = 0.569 which means there is moderate or sufficient correlation.Conclusion : There is a significant relationship between temporary blood glucose level during pregnancy and baby’s birth weight at Panembahan Senopati Hospital, Bantul.

The effect of genre and tarosi snake and ladders education media on reproductive health knowledge of adolescent in Karangsari Pengasih Village, Kulon Progo, Yogyakarta Nesti Nur Cahyani; Fatimah Fatimah; Brune Indah Yulitasari
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 2 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(2).76-81

Background: Reproductive health is a state of physical, mental, and social well-being in all aspects related to the system and its functions and processes. The impact of reproductive health disorders is the occurrence of unwanted pregnancies, transmission of sexually transmitted diseases, and the use of drugs.Objective: This study was to determine the effect of the tarosi genre and educational media on the knowledge of adolescent reproductive health in Karangsari Pengasih Village, Kulon Progo, Yogyakarta.Methods: This type of research is pre-experimental with a one-group pre-posttest design. This research was conducted in Karangsari Pengasih Village, Kulon Progo, with a population of 400 teenagers. The sample of this research is 20 respondents. Bivariate analysis was conducted on the influence of educational media for snakes and ladders Genre and Tarosi on adolescent reproductive health knowledge using Paired t-test for paired samples.Results: This study shows that the level of knowledge of adolescents about reproductive health using Tarosi education media is greater than those using Media Genre, namely the average pre-test score is 11.80 and post-test is 16.40. Moreover, the two media have the same influence on the level of knowledge of reproductive health in adolescents. This can be shown by the results of the significance value of the two media of 0.000˂p 0.05.Conclusion: This study concludes that there is an influence of the tarosi genre and educational media on the knowledge of reproductive health in adolescents in Karangsari Pengasih Village, Kulon Progo Yogyakarta.

Family Participation in Postnatal Oxytocin Massage During Covid-19 Pandemic Prasetya Lestari; Fatimah Fatimah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8 (2020): Supplement 2
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(4).10-11

In 2019, the coverage of breastfeeding in Indonesia has yet to reach the target set by the government. The low coverage of exclusive breastfeeding will harm the baby, mother, family as well as the country. Rawat, et al (2018) stated that one of the causes which lead to the breastfeeding failure in the primiparous first week of childbirth is that the mother finds it difficult to get a proper breastfeeding latch and feels that her breast milk is not sufficient. Another study conducted by Jacobs, et al. proved that the majority of respondents felt that their milk production was low, so they decided to provide complementary milk. Oxytocin massage has shown to increase relaxation, induce more comfortable and high-quality sleep, reduce pain and stress and help to increase the oxytocin and prolactin hormone. This study aims to determine the family's participation in postnatal oxytocin massage during the COVID-19 pandemic and is categorized as a descriptive observational research. For this purpose, 70 postnatal mothers from Maternal and Child Health Centers and Independent Midwife located in Bantul, Sleman, and Gunung Kidul were taken as respondents. The data were collected from May until September 2020. The samples taken were family and postnatal women from the first day postnatal until third day who then were evaluated for up to 1 week. The results showed that family’s participation in conducting the oxytocin massage was mostly carried out by the husbands (91.4%). However, other family members were also recorded to participate including biological mothers (2.9%), mother-in-law (1.4%), and the participants’ sisters (4.3%). Thus, we can conclude that husband's participation is very important in giving postpanatal oxytocin massage during COVID-19 pandemic.

The Analysis Of Factors Related To The Use Of Post-Placenta Iud For Mothers Who Have Just Delivered A Baby In Yogyakarta Susiana Sariyati; Fatimah Fatimah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 7, No 1 (2019): MARET
Publisher : Alma Ata University Press

Yogyakarta has the smallest increase of the number of new family planning participants across the Special Region of Yogyakarta, i.e. 11.18%. In Gunung kidul, it’s 11.93%, Sleman 11.98%, Bantul 12.72%, Kulon progo 13.28%. The purpose of this study was determining factors related with post placenta IUD usage by women in labor in Yogyakarta. This was an analytical observational research with cross sectional design. Total sample in this study was 84 respondents collected using Accidental Sampling. The independent variables in this study were age, parity, education, occupation, family planning history, husband’s support. The dependent variable was the usage of post placenta IUD contraception. The analysis used bivariate test, i.e. Chi Square, while multivariate test used regresi logistic analysis. Age as p value of 0.1, parity 0.055, mother’s education 0.381, mother’s occupation 0,400, family planning history 0.062 and husband’s support 0.0001 on the usage of post placenta IUD. Multivariate analysis showed that the strongest relation was with husband’s support. There was no relation between age, parity, educaiton, mother’s occupaiton, family planning history and the usage of post placenta IUD, but there was relation between husband’s support and the usage of post placenta IUD.

Characteristic Of A Mother Pregnant In The COVID-19 Pandemic Fatimah Fatimah; Prasetya Lestari; Lia Dian Ayuningrum
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8 (2020): Supplement 1
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(0).19-20

Coronavirus disease is a viral disease of a new spesies have never identified earlier in humas. A disease that can be causing misery of difficulties in acces to helth services. An increase in Indonesia so quickly that pregnant women get the very limited in degree standards of service for reduse for pandemics. Seering this condition for interested researchers know characteristic of pregnant women in the pandemic. Research objectives know characteristic of a mother pregnant in the pandemic. Research methodology for 3 rd trimester of pregnant women in Yogyakarta. Many sample was 32 the 3 rd trimester women. The research results in terns of education and higer education is senior high school as many as 21 (65,6%), while in collage as many as 9 (28,1%) and primary school 2 (6,3%). Capital work pregnant most mother with as a housewife one as many as 22 people (68,8%), employees as many as 7 people (21,8%). The other with traders, work teachers and public servants. And in term of pregnancy more primigravida or pregnancy first and the 18 people (56,3%), the second one as many as 11 people (34,5%), the third child one as many as 2 people (6,3%), and fourth son ane as many as1 people (3,1%). Conclusion based on work as a housewife, education is senior high school and more on the pregnant priigravida or anew first.

The Correlation between Pregnant Women with COVID-19 and Mode of Delivery Taufik Rahman; Fatimah Fatimah; Sundari Mulyaningsih; Dyah Pradnya Paramita; Prasetya Lestari; Amanah Rahma Delia
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).262-271

Background: COVID-19 is a virus caused by the Severe Acute Respiratory Coronavirus 2 (SARS-CoV-2). Pregnant women with COVID-19 will likely pose a greater risk compared to nonpregnant women. The Indonesian Society of Obstetrics and Gynecology Association (ISOG) stated that 13.7% of pregnant women are more susceptible to COVID-19. In the maternity management of mothers with COVID-19, the management for the mother and her child should be comprehended.Objectives: This research aims to determine the relationship between the characteristics of pregnant women with COVID-19 with the current mode of delivery at Bagas Waras Hospital, Klaten.Methods: This is quantitative analytical research conducted using a retrospective study approach. The population was maternity mothers with COVID-19 at Bagas Waras Hospital. The sampling method used was non-probability with purposive sampling technique. The statistical test was performed using Spearman’s rho.Results: Most respondents (82%) were in healthy reproductive age, 54.6% were housewives, 80% were in A term gestational age, 63.4% had multigravida, 95.1% had no more than 2 children, and 83.1% underwent sectio caesarea. The analysis showed correlation between maternal age and history of pregnancy (adequate p-value; r = 0.323), between pregnancy history and the number of children (r = 0.259), and between the number of children and the age of the mother (r = 353). Meanwhile, there was no relationship between mothers’ characteristics and the mode of delivery.Conclusion: There was significant relationship between the characteristics of pregnant women with COVID-19 and the current mode of delivery at the Bagas Waras Hospital.

The relationship between providing health videos and knowledge of pregnant women in the Covid-19 era at the Sedayu II Health Center in Yogyakarta Noviyani Noviyani; Fatimah Fatimah; Taufik Rahman; Lia Dian Ayuningrum; Amanah Rahma Delia
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 4 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(4).356-364

Background : Pregnant women and their fetuses are a priority for high-risk populations during an outbreak of an infectious disease. Pregnancy will naturally cause a decrease in the immune system, especially during the Covid-19 pandemic which can cause excessive anxiety, stress, and exposure to corona virus infection. Several studies state that the use of smartphones has high effectiveness as a medium for health education because they can convey information through audiovisuals, have high portability, and have applications that support improving the quality of health services. Previous research has shown that pregnant women still have a low understanding of Covid-19 prevention regarding efforts to prevent COVID-19 infectionObjectives : The purpose of providing health education through videos to pregnant women is to increase knowledge about covid in pregnancyMethods : in this study, the population was all trimester I, II, and III pregnant women who performed ANC at the Sedayu II Health Center in June 2020, totaling 30 pregnant women. Provided educational videos which were sent via WhatsApp to each respondent. The pretest and posttest were sent via Google form and data analysis used the Wilcoxon test.Results : Research shows that there is a significant relationship between providing educational videos about pregnancy and the knowledge of pregnant women about Covid-19 in Bantul. Health education using videos and online utilization is the main choice during the COVID-19 pandemic to prevent increased morbidity and mortality of mothers and newborns.Providing educational videos is considered effective because health workers can still provide KIE to patients by avoiding direct contact to prevent transmission of the corona virus. Pregnant women can be guided to learn about pregnancy and childbirth through MCH books. All of these approaches can contribute to a comfortable pregnancy, reduced risk of infection, better preparedness for labor, maternal experience, postpartum adjustment and outcomes, and greater economic benefits for the health system and the pregnant woman herself. Conclusions : The results of this study indicate that the use of online video-based educational media is recommended as an alternative method and is considered very appropriate for use during a pandemic

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