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All Journal Indonesian Journal of Obstetrics & Gynecology Science eCo-Buss KESANS : International Journal of Health and Science
Febriani Febriani
Universitas Riau
Chemistry Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Physics Public Health

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Maternal Knowledge and Behavior as Prevention of Anemia in Pregnancy: A Health Facility-Based Cross-Sectional Study Design Futihandayani, Annisa; Siagian, Iswadi; Febriani, Febriani
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.800

Abstract

Objective: The incidence of Maternal Anemia in Indonesia (48.9%), which exceeds the WHO standard of >40%, signifies a severe public health concern that requires immediate attention and intervention. Consuming iron-rich meals and supplements with regular antenatal care visits in early pregnancy reduces maternal anemia rate. Our study aims to determine the relationship between the level of knowledge and behavior during pregnancy and the incidence of anemia. Method: A descriptive-analytic cross-sectional study was conducted at Sukaindah Primary Health Care Center in September and October 2023. Pregnant women who attended Antenatal Care (ANC) underwent hemoglobin tests. Seventy-eight respondents were selected using consecutive sampling. The knowledge and behaviors of anemic pregnant women were compared to those without anemia. The validated-modified questionnaire consists of twenty questions to measure knowledge and eleven questions to assess behavior. Result: All respondents were dominated by poor knowledge (83%) and fair preventive behavior (61.5%) about anemia in pregnancy. Although the level of knowledge was not significantly associated with the incidence of anemia (p-value: 0.277), women who were found in the level of good (33%) and fair knowledge (55%) showed good behavior (p-value = 0.007) for its prevention. There was a statistically significant association between behavior during pregnancy and the incidence of anemia (p-value = 0.025). Iron supplementation emerged as a critical factor in preventing anemia in pregnancy. (mean: 1.38). Conclusion: Knowledge and behavior are the most important aspects of anemia prevention strategies. Good behavior is based on adequate knowledge, as poor knowledge triggers bad behavior. Behavioral factors play a statistical role in preventing anemia, but knowledge does not show a significant relationship in pregnant women with anemia.Pengetahuan dan Perilaku Pencegahan terhadap Kejadian Anemia Ibu Hamil di Puskesmas SukaindahAbstrak Tujuan: Tingkat kejadian anemia kehamilan di Indonesia sebesar 48.9%. Hal ini merupakan suatu severe public health problem berdasarkan WHO (> 40%). Pengaturan pola makan tinggi zat besi, teratur meminum tablet zat besi, dan rutin melakukan ANC pada kehamilan trimester awal ialah faktor penting mengurangi kejadian anemia pada ibu hamil. Perilaku atau tindakan seseorang dibentuk berdasarkan pengetahuan (knowlegde) atau kognitif. Studi ini bertujuan mengetahui hubungan tingkat pengetahuan dan perilaku selama hamil terhadap kejadian anemia. Metode: Studi deskriptif analitik dengan metode cross sectional ini berpopulasi pada ibu hamil yang melakukan pemeriksaan ANC di Puskesmas Sukaindah selama bulan September dan Oktober 2023 dan melakukan pemeriksaan hemoglobin. Pemilihan sampel secara consecutive sampling didapatkan 78 responden Ibu hamil. Modifikasi kuesioner yang sudah tervalidasi terdiri dari dua puluh pertanyaan untuk pengetahuan dan sebelas pertanyaan untuk perilaku. Hasil: Seluruh responden didominasi dengan pengetahuan buruk (83%) dan perilaku yang cukup (61.5%). Studi menunjukkan terdapat hubungan antara perilaku selama hamil dan kejadian anemia (p value = 0.025), namun tingkat pengetahuan tidak berhubungan secara signifikan (p value = 0.277). Ibu dengan pengetahuan yang baik (33%) dan cukup (55%) berhubungan secara signifikan (p value= 007) menghasilkan perilaku pencegahan yang baik. Konsumsi rutin tablet tambah darah berperan sebagai pencegahan kejadian anemia ibu hamil (mean: 1.38) Kesimpulan: Perilaku yang baik didasari oleh pengetahuan yang cukup, begitu juga dengan perilaku buruk dipicu oleh kurangnya pengetahuan. Faktor perilaku berperan secara statistik mencegah kejadian anemia, namun pengetahuan tidak menunjukkan hubungan bermakna pada ibu hamil dengan anemia.Kata kunci: Anemia, Kehamilan, Pengetahuan, Perilaku.
A Clinical Case of Thoracopagus Conjoined Twins Nofiandi, Riki; Febriani, Febriani
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.852

Abstract

Introduction: Conjoined twins result from the incomplete division of a single fertilized egg, with an incidence of approximately 1 in 200,000 live births. This rare congenital anomaly presents significant anatomical and physiological challenges, necessitating a multidisciplinary approach for diagnosis, management, and ethical considerations. Case Presentation: A pair of thoracopagus conjoined twins was delivered at Arifin Achmad General Hospital following preterm labor complicated by premature rupture of membranes (PROM). Prenatal ultrasound identified shared thoracic and abdominal structures, including cardiac and vascular abnormalities. The twins exhibited severe congenital anomalies, such as cardiomegaly and ventriculomegaly. Despite immediate resuscitation efforts, both infants succumbed due to extensive anatomical complications.Conclusion: The prognosis of thoracopagus twins remains poor, particularly in cases with extensive organ fusion. Advances in prenatal imaging and fetal surgery may improve outcomes in select cases; however, a multidisciplinaryand compassionate approach remains essential for optimal perinatal care. Keywords: Conjoined twins, Thoracopagus, Prenatal diagnosis, Ethical challenges, Perinatal managementKasus Klinis Bayi Kembar Siam Tipe ThoracopagusAbstrakPendahuluan: Kembar siam terjadi akibat pembelahan zigot yang tidak sempurna, dengan insiden 1 dari 200.000 kelahiran hidup. Anomali kongenital langka ini menimbulkan tantangan kompleks dalam aspek anatomi, fisiologi,serta etika sehingga memerlukan pendekatan multidisiplin dalam diagnosis dan penatalaksanaan. Laporan Kasus: Sepasang kembar siam thoracopagus lahir prematur di RSUD Arifin Achmad akibat persalinan preterm yang disertai ketuban pecah dini (KPD). Pemeriksaan ultrasonografi prenatal mendeteksi fusi struktur torako-abdominal, termasuk keterlibatan organ jantung dan pembuluh darah utama. Bayi mengalami kelainan kongenital berat kardiomegali dan ventrikulomegali. Meskipun dilakukan resusitasi segera, keduanya tidak bertahan hidup akibat komplikasi anatomi yang luas. Kesimpulan: Prognosis kembar siam thoracopagus tetap buruk, terutama pada kasus dengan keterlibatan organ yang luas. Kemajuan dalam pencitraan prenatal dan pembedahan janin dapat meningkatkan harapan hidup dalam kondisi tertentu; namun, pendekatan multidisiplin yang komprehensif dan penuh empati tetap menjadi kuncidalam perawatan perinatal.
Improving General Practitioners’ Competence in Basic Obstetric and Gynecologic Ultrasound for Early Fetal Abnormality Detection Donel, Donel; Febriani, Febriani; Hidayatullah, Amiruddin; Ardiani, Vani; Frymonalitza, Ninda; Homaira, Kesuma Anggreini; Nugraha, Iriandanu; Hernita, Nisa Faradisa
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.478

Abstract

In order to reduce maternal and infant mortality rates, interventions must focus on improving the quality of antenatal care, particularly at primary care level. One key competency that general practitioners must possess is the ability to perform basic obstetric ultrasound examinations to detect intrauterine foetal abnormalities early on. This community service activity aims to enhance general practitioners' skills in this area using a six-step approach. Implementation involves theoretical education, hands-on training and pre- and post-test evaluations of participants' knowledge and skills. The activity involved 30 general practitioners from the Kampar Regency area. Training results showed an average increase in post-test scores of 31.67% compared to pre-test scores, indicating significant improvements in participants' competencies. The activity also facilitated the distribution of practice- based teaching modules and strengthened collaboration with local community health centres to support maternal and child health services. Basic obstetric ultrasound training has proven to be an effective way of strengthening primary healthcare services and reducing maternal and perinatal mortality and morbidity rates.
Pengaruh Kompensasi dan Lingkungan Kerja Terhadap Produktivitas Kerja Karyawan Pada PT Bumi Siak Pusako (PT. BSP) Febriani Febriani; Okta Karneli
eCo-Buss Vol. 8 No. 1 (2025): eCo-Buss
Publisher : Komunitas Dosen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32877/eb.v8i1.1649

Abstract

  This study aims to understand the extent to which compensation and work environment affect employee productivity at PT Bumi Siak Pusako (PT BSP). This is relevant because in the era of globalization, fierce business competition requires companies to focus more on increasing employee productivity as one of the key factors to achieve company sustainability and growth. The decline in the productivity of PT BSP employees in recent years has raised concerns, where productivity decreased from 102% in 2019 to 86% in 2023. Most likely, this is due to delays in providing compensation and inadequate working environment conditions. A quantitative approach was used by a survey method of 73 operational employees as respondents. Analysis technique with multiple linear regression. The findings found that compensation and the work environment significantly had a positive impact on work productivity. Of the two variables, compensation has a more dominant influence than the work environment. PT BSP needed to improve the compensation system by ensuring that it was timely and in accordance with the workload. Improving the quality of the work environment is also needed to create safer and more comfortable conditions for employees. Employee productivity can be increased to support the achievement of the company's targets.
Co-Authors Ardiani, Vani Donel, Donel Frymonalitza, Ninda Futihandayani, Annisa Hernita, Nisa Faradisa Hidayatullah, Amiruddin Homaira, Kesuma Anggreini Nofiandi, Riki Nugraha, Iriandanu Okta Karneli, Okta Siagian, Iswadi