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Silviana Tirtasari
Tarumanagara University, Indonesia
Dentistry Health Professions Nursing Public Health Veterinary

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Visit report of anemia in pregnancy case with blood type ab+ through a family medicine approach Tamara Muliani; Margaretha Pramesthi Utari; Ella Windasari Gultom; Silviana Tirtasari
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1122

Abstract

One of the direct causes of maternal mortality is anemia in pregnant women. In 2020, 36.5% of pregnant women suffered from anemia, and a 50% reduction is targeted for anemia in women of reproductive age in 2025. The incidence of anemia in pregnant women at Tangerang Regency in 2020 was 9,652 people. In the working area of the Cikupa Public Health Center, there was an increase in the rate of anemia in pregnant women. One of the cases is when Mrs. SH's increased Hb level becomes > 11 mg/dL and knowing the risk of anemia. Mrs. SH, 32 years old, came to the Cikupa Health Center G3P2A0 with a gestational age of 23 weeks. Laboratory results of hemoglobin 9.9 g/dL and blood group AB+. The patient had an anemic pregnancy for the first time and was a high-risk pregnancy due to a history of cesarean section, obesity, and the possibility of a transverse fetus. After the intervention, the patient's Hb level increased to 11.3 g/dL, the cause of anemia in Ny. SH is the patient's nutritional intake that did not vary, and she is lazy to control her pregnancy. The risk factors for Mrs. SH experienced anemia due to a lack of nutritious food intake, especially foods containing much iron, and not routine pregnancy control due to lack of attention in the third pregnancy. After the intervention, Mrs. SH increased to 11.3 g/dL.
Malnutrition case in patient with pulmonary tuberculosis through a family medicine approach Priscilla Elnatan Christina; Sherren Tanzia; Muhammad Akbar Nasution; Silviana Tirtasari
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1128

Abstract

Underweight is a body mass index less than 18.5 kg/m2. The prevalence of underweight in Southeast Asia from 1969 to 2017 was around 20%. The percentage of underweight in Indonesia reached 5% whilst in Banten Province in 2017 was 5.4%. Around 18,45% patients and 32,19% of patients with tuberculosis at Cikupa Health Care were underweight from January to September 2022. Mrs SH is an underweight patient with pulmonary tuberculosis. Her weight has not shown any improvement despite almost completing the intensive phase treatment of pulmonary tuberculosis. Improvement in nutritional status and monitor the pulmonary tuberculosis therapy in Mrs SH. Mrs SH, 24 years old, came to Cikupa Health Center to control her pulmonary tuberculosis treatment. The patient known to have nutritional problems since her childhood. Her weight has not shown any improvement despite almost completing the intensive phase of pulmonary tuberculosis treatment. After a family medicine approach for 5 weeks, the patient's weight has increased from 34.7 to 37.1 kg. The patient has also been notified for regular treatment and promised to follow pulmonary tuberculosis treatment until it is complete. The family medicine approach has been able to increase the patient's weight even though the target weight has not been achieved. The patient also promised to follow pulmonary tuberculosis treatment until it is complete. It is hoped that by following all the interventions given, the patient's body weight can reach the ideal weight and be declared complete of pulmonary tuberculosis treatment.
Co-Authors Ella Windasari Gultom Margaretha Pramesthi Utari Muhammad Akbar Nasution Priscilla Elnatan Christina Sherren Tanzia Tamara Muliani