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John J. E. Wantania
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Profile of Pregnant Women with Previous Cesarean Section during Covid-19 Pandemic Deviestha A. Grace; John J. E. Wantania; Frank M. M. Wagey
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.38124

Abstract

Abstract: Pregnancy with previous cesarean section (CS) is risky due to the presence of stiff uterine scar tissue which may rupture during pregnancy or delivery. However, the restrictions on health services during the Covid-19 pandemic coupled with the unequal distribution of vaccinations for pregnant women become a great concern and challenge. This study aimed to obtain the profile of pregnant women with previous SC during Covid-19 pandemic. This was a descriptive and observa-tional survey study with a cross sectional design. Samples were all pregnant women with previous SC who came for antenatal care at Puskesmas Makale and RSUD Lakipadada Tana Toraja from October to December 2021. The results showed that of 48 pregnant women with previous SC the highest percentages were, as follows: ages of 25-35 years (81.3%); had one previous SC (81.3%); had planned the pregnancy (72.9%); admitted that had known the risk of pregnancy (79.2%); had more frequent antenatal care (43.8%); had known the estimated delivery (89.6%); and preferred VBAC (52.1%) at a health facility (93.8%). In conclusion, most of the pregnant women admitted that they had planned their pregnancies and known the risks of pregnancy with previous SC during the Covid-19 pandemic, therefore, they had more frequent antenatal care. They also knew their esti-mated delivery and tended to choose a VBAC at a health facility.Keywords: risky pregnancy; previous cesarean section; Covid-19 pandemic  Abstrak: Kehamilan dengan bekas seksio sesarea (SC) merupakan salah satu kehamilan berisiko, dikaitkan dengan adanya jaringan kaku parut uterus yang mungkin dapat ruptur selama kehamilan atau persalinan. Dalam masa pandemi pembatasan yang dilakukan di layanan kesehatan ditambah belum meratanya vaksinasi bagi ibu hamil menjadi kekhawatiran dan tantangan tersendiri. Penelitian ini bertujuan untuk mengetahui profil ibu hamil dengan bekas SC, pada masa pandemi Covid-19. Jenis penelitian ialah observasional deskriptif survei dengan desain potong lintang. Sampel penelitian ialah ibu hamil dengan bekas SC yang datang untuk pemeriksaan antenatal di Puskesmas Kecamatan Makale dan RSUD Lakipadada Tana Toraja pada bulan Oktober-Desember 2021. Hasil penelitian mendapatkan 48 ibu hamil bekas SC dengan distribusi terbanyak yaitu usia 25-35 tahun (81,3%); riwayat SC satu kali (81,3%); telah merencanakan kehamilannya (72,9%); mengaku sudah mengetahui risiko kehamilan dengan bekas SC (79,2%); lebih sering melakukan pemeriksaan antenatal (43,8%); dan telah mengetahui taksiran persalinannya (89,6%) dengan preferensi metode persalinan VBAC (52,1%) di fasilitas kesehatan (93,8%). Simpulan penelitian ini sebagian besar ibu memang telah merencanakan kehamilannya dan mengaku sudah mengetahui risiko kehamilan dengan bekas SC pada masa pandemi Covid-19, sehingga mayoritas melakukan pemeriksaan antenatal lebih sering. Mayoritas ibu hamil telah mengetahui taksiran persalinannya dan jika dapat memilih mereka cenderung memilih metode persalinan VBAC di fasilitas kesehatan.Kata kunci: kehamilan berisiko; bekas seksio sesarea; pandemi Covid-19
Perception of Pregnant Women in Dealing with Pregnancy and Childbirth during COVID-9 Pandemic in Manado Thesa Soe; John J. E. Wantania; Hermie M. M. Tendean
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.38138

Abstract

Abstract: Currently, COVID-19 pandemics has caused many deaths worldwide, therefore, the attitude of pregnant women in dealing with pregnancy and childbirth during this pandemic might be influenced. This study aimed to obtain the perception of pregnant woman in dealing with pregnancy and childbrith during the pandemic in Manado. This was a descriptive and observational survey study with a cross sectional design. Respondents were pregnant women of 1st to 3rd semester that visited two primary health cares: Puskesmas Bahu and Puskesmas Sario Kotabaru Manado.The results showed that most pregnant women were 21-30 years old (65.71%), high school education (68.57), housewife (75.71%), multigravida parity (68.57%), on the third semester (48,57%), and had no history of confirmed Covid-19 (94.29%). Moreover, most of the respondents felt happy when they knew about their pregnancy (68.57%), did routine antenatal care/ANC (71.43%), chose that vaccination was absolutely necessary (45.71%), and had to give birth at a health facility (71.43%). In conclusion, most pregnant women did plan and felt happy of their pregnancies. The majority of respondents chose that vaccination during pregnancy was absolutely necessary, and they would carry out routine antenatal care as usual, and had to give birth at a health facility.Keywords: pregnancy; childbirth; pandemic of COVID-19; perception Abstrak: Saat ini pandemi COVID-19 telah banyak menyebabkan kematian di seluruh belahan dunia sehingga dianggap dapat berpengaruh terhadap sikap ibu hamil dalam menghadapi kehamilan dan persalinan di masa pandemi. Penelitian ini bertujuan untuk mengkaji persepsi ibu hamil dalam menghadapi kehamilan dan persalinan pada masa pandemi di Manado. Jenis penelitian ialah observasional deskriptif survei dengan desain potong lintang. Responden ialah wanita hamil mulai dari trimester 1 sampai dengan trimester 3 yang berkunjung ke Puskesmas Bahu dan Puskesmas Sario Kotabaru Manado. Hasil penelitian mendapatkan bahwa karakteristik ibu hamil terbanyak berusia 21-30 tahun (65,71%) dengan pendidikan terakhir SMA (68,57%), pekerjaan IRT (75,71%), paritas multigravida (68,57%), usia kehamilan pada trimseter 3 (48,57%), dan tidak pernah terkonfirmasi Covid-19 (94,29%). Selain itu ibu hamil yang merencanakan kehamilan (71,43%), perasaan senang saat mengetahui sedang hamil (68,57%), melakukan antenatal care/ANC seperti biasa (71,43%), dan merasa harus melakukan persalinan di fasilitas kesehatan (71,43%). Simpulan penelitian ini ialah sebagian besar ibu hamil memang merencanakan dan merasa senang karena kehamilannya. Mayoritas ibu hamil merasa bahwa vaksinasi saat kehamilan mutlak dibutuhkan, melakukan antenatal care seperti biasa, dan harus melakukan persalinan di fasilitas kesehatan.Kata kunci: kehamilan; persalinan; pandemi COVID-19; persepsi
Pengetahuan, Sikap dan Perilaku Dokter Spesialis Obstetri Ginekologi dan Dokter Layanan Primer Perempuan terhadap Pencegahan Kanker Serviks di Sulawesi Utara Intan Safitri; Suzanna P. Mongan; John J. E. Wantania
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45266

Abstract

Abstract: Cervical cancer is a health problem in women worldwide with a high prevalence, however, the coverage rate for prevention and screening or early detection of cervical cancer in Sulawesi is still low. This study aimed to obtained the description of knowledge, attitude, and behavior of obstetrics and gynecology specialists and female primary care doctors towards cervical cancer prevention in North Sulawesi. This was a descriptive stufy with a cross-sectional design through a survey with a Google form questionnaire as the research instrument. The results showed that questionnaires from 33 obstetrics and gynecology specialists and 71 primary care doctors were obtained. The measurement of variables towards prevention of cervical cancer in obstetrics and gynecology specialists resulted in good knowledge (100%), supportive attitude (100%), and following behavior (78.8%). In the primary care doctors, the results were good knowledge (91.5%), supportive attitude (98.6%), and following behavior (63.4%) towards cervical cancer prevention. However, there were seven obstetrics and gynecology specialists who did not have following behavior because they were very busy or did not have time to do vaccination or screening; one (1.4%) primary care doctor whose attitude was not supportive due to environmental and perception differences; and 26 (36.6%) whose did not have following behavior because they were very busy or did not have time to do screening or vaccinations. In conclusion, the majority of respondents in this study have good knowledge, supportive attitudes, and following behaviors to cervical cancer prevention in North Sulawesi. Keywords: obstetrics gynecology specialists; primary care doctors; cervical cancer; prevention.   Abstrak: Kanker serviks merupakan salah satu masalah kesehatan pada perempuan di seluruh dunia dengan prevalensi yang masih tinggi, namun angka cakupan pencegahan dan skrining atau deteksi dini kanker serviks di Sulawesi tergolong rendah. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan, sikap dan perilaku dokter spesialis obstetri ginekologi (SpOG) dan dokter layanan primer (DLP) perempuan terhadap pencegahan kanker serviks di Sulawesi Utara. Jenis penelitian ialah deskriptif dengan desain potong lintang melalui survei dengan kuesioner google form sebagai instrumen penelitian. Hasil penelitian mendapatkan kuesioner dari 33 responden dokter SpOG dan 71 responden DLP. Hasil pengukuran variabel terhadap pencegahan kanker serviks pada dokter SpOG, ialah pengetahuan baik (100%), sikap mendukung (100%), dan perilaku mengikuti (78,8%). Pada DLP didapatkan pengetahuan baik (91,5%), sikap mendukung (98,6%), dan perilaku mengikuti (63,4%) terhadap pencegahan kanker serviks. Terdapat tujuh dokter SpOG berperilaku tidak mengikuti karena didominasi faktor kesibukan atau belum sempat melakukan vaksin atau skrining, satu (1,4%) DLP yang sikapnya tidak mendukung karena faktor perbedaan lingkungan dan persepsi serta 26 (36,6%) yang perilakunya tidak mengikuti karena didominasi faktor kesibukan atau belum sempat melakukan skrining atau vaksin. Simpulan penelitian ini ialah mayoritas responden penelitian ini memiliki pengetahuan baik, sikap mendukung. dan perilaku mengikuti pencegahan kanker serviks di Sulawesi Utara, Kata kunci: dokter spesialis obstetri ginekologi; dokter layanan primer; kanker serviks; pencegahan
Co-Authors Cresensia R. N. Widjaja Deviestha A. Grace Erna Suparman Frank M. M. Wagey Hermie M. M. Tendean Intan Safitri Suzanna P. Mongan Thesa Soe