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Neonatal Death in Women with Severe Preeclampsia Receiving Conservative Management: Literature Review Intan Dewi Angia Sari; Muhammad Ilham Aldika Akbar; Atika Atika
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 10 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i10.93

Abstract

Introduction: In developing countries that still have places with inadequate supporting facilities, equipment and limited trained personnel, infants less than 37 weeks may still be at high risk for severe complications and even death if active management or termination is carried out, so conservative care is recommended. Object: The aim of this study was to analyze the perinatal outcome of neonatal mortality in women with severe preeclampsia who received conservative management. Method: This study uses a literature review method which includes searching for articles in electroncic research journal databases. Search articles using Scopus and Google Scholar with no year limit. The keywords used in the search were Preeclampsia, Conservative Management, Expectative Management, and Perinatal Outcomes. A total of 637 articles were obtained, and six articles were analyzed based on the research setting, design study, samples characteristics, and research results for each article. Results and Discussion: of this study are conservative management of women with severe preeclampsia can reduce neonatal mortality rates in care in developed countries, but still shows high rates of care in developing countries. Conclusion: of the results, this study indicate that conservative management can improve maternal outcomes in the form of neonatal mortality in developed countries
Faktor-Faktor yang Berhubungan dengan Kunjungan Antenatal Care (ANC) K1 pada Ibu Hamil di Puskesmas Baruharjo Kabupaten Trenggalek Alberta Surya; Ernawati Ernawati; Andriyanti Andriyanti; Atika Atika
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 2 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss2.2299

Abstract

Background: Maternal mortality rates in Indonesia remain high, with the main causes of maternal death being hemorrhage, infection, and hypertension. One effort to reduce maternal mortality rates is to increase the coverage of Antenatal Care (ANC) visits. The first ANC visit (K1) in the first trimester is very important for detecting pregnancy risks and providing early treatment. The purpose of this study was to analyze the factors that influence the first ANC visit (K1) at the Baruharjo Community Health Center in Trenggalek Regency. Methods: This study used a cross-sectional design with a sample of 81 pregnant women selected using purposive sampling. Data were collected using a questionnaire and analyzed using the chi-square test. Results: The chi-square test showed that the variables associated with the first ANC visit were age (p=0.018), knowledge (p=0.025), occupation (p=0.021), parity (p=0.049), husband's support (p=0.020), and family support (p=0.08). Meanwhile, education (p=0.740) and income (p=0.251) were not related to the first ANC visit. Conclusion: Factors that influence the first ANC visit (K1) are maternal age, maternal knowledge, parity, occupation, family support, and husband support. The 20–35 age group had the best K1 coverage. Education and family income were not associated with K1 attendance.
Perbandingan Leukosit Berdasarkan Lokasi dan Lama Pemasangan Central Venous Catheter (CVC) Pada Pasien Hemodialisis di Rumah Sakit Universitas Airlangga Arrafi Dani Kuspratama; Danang Himawan Limanto; Satriyo Dwi Suryantoro; Atika Atika
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60993

Abstract

Penyakit Ginjal Kronis stadium akhir memerlukan hemodialisis dengan akses vaskular Central Venous Catheter (CVC) yang berisiko menyebabkan infeksi. Penelitian ini bertujuan menganalisis perbedaan profil leukosit berdasarkan lokasi dan lama pemasangan CVC pada pasien hemodialisis. Studi observasional dengan pendekatan cross-sectional dilakukan di Unit Hemodialisis Rumah Sakit Universitas Airlangga pada Januari–Desember 2025. Sampel penelitian sebanyak 57 pasien yang dipilih dengan teknik total sampling dari 166 rekam medis yang diskrining. Data dikumpulkan secara retrospektif dan dianalisis menggunakan uji Mann-Whitney U dan Kruskal-Wallis dilengkapi perhitungan effect size. Hasil penelitian menunjukkan tidak ada perbedaan bermakna pada kadar leukosit berdasarkan lama pemasangan CVC (≤30 hari vs >30 hari; p=0,797, r=0,01), lokasi pemasangan (supra-diafragmatika vs infra-diafragmatika; p=0,655, r=0,11), maupun kombinasi kedua variabel (p=0,737, ε²=0,02). Kestabilan kadar leukosit pada seluruh kelompok mencerminkan efektivitas penerapan protokol bundle care dan standar aseptik yang ketat, serta kondisi penumpulan respons imun (blunted immune response) akibat uremia kronis pada pasien End-Stage Renal Disease. Hitung leukosit total memiliki keterbatasan sebagai parameter tunggal deteksi infeksi CVC karena tidak sensitif terhadap inflamasi lokal. Pemeriksaan fisik berkala pada exit site kateter tetap menjadi instrumen skrining yang paling krusial.