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All Journal IKRA-ITH ABDIMAS Contagion: Scientific Periodical Journal of Public Health and Coastal Health Indonesian Journal of Global Health research AJARCDE (Asian Journal of Applied Research for Community Development and Empowerment) International Journal of Health and Pharmaceutical (IJHP) International Journal of Community Service (IJCS)
Abitmer Gultom
Universitas Kristen Indonesia
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Adolescent Reproductive Health Counseling in The Framework of Stunting Prevention Wiradi Suryanegara; Abitmer Gultom; Vidi Posdo A. Simarmata; Andriyani Risma Sanggu; Nia Reviani
AJARCDE (Asian Journal of Applied Research for Community Development and Empowerment) Vol. 8 No. 1 (2024)
Publisher : Asia Pacific Network for Sustainable Agriculture, Food and Energy (SAFE-Network)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29165/ajarcde.v8i1.379

Abstract

Adolescents/teenagers are the age group from 10 years to before the age of 18 years. Efforts to maintain adolescent health aim to prepare adolescents to become healthy, intelligent, qualified, and productive adults and to participate in maintaining, maintaining, and improving their health. Adolescent health is very important to pay attention to because, during this period, teenagers experience significant physical, psychological, and social changes. Adolescent health efforts include positive development, accident prevention, violence prevention, reproductive health, prevention and control of infectious diseases and prevention of non-communicable diseases, nutrition and physical activity, mental health, and adolescent health in crises. This community service takes the topic of reproductive health to increase participants' knowledge about reproductive health. This community service method uses an educational approach through counselling with a total of 136 participants who are students of SMPN 2 Jatigede, Ciranggem Village, Sumedang Regency, West Java. Counselling is carried out by involving resource persons who are experts in their fields. The results of the counselling showed that there was a significant increase in participants' knowledge, as indicated by the results of the post-test. Participants in the "good" category increased in number from 3 people (2.2%) at the pre-test to 98 people (72.1%) at the time. Post-test, as well as participants who had sufficient knowledge, experienced a reduction in numbers from 73 (53.7%) to the remaining 37 people (27.2%).
Patterns and Appropriateness of Antihypertensive Use in Preeclampsia: A Retrospective Study at a Jakarta Tertiary Hospital (2022-2024) Abitmer Gultom; Hertina Silaban; Yohanes Baptistuta Paser
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25682

Abstract

Preeclampsia (PE) complicates approximately 2-8% of pregnancies worldwide and remains a leading cause of maternal and perinatal morbidity and mortality, contributing to more than 50,000 maternal deaths and nearly 500,000 neonatal deaths annually. Appropriate antihypertensive therapy is essential to prevent disease progression and adverse outcomes. This non-experimental, cross-sectional, retrospective study was conducted at the Indonesian Christian University Hospital from August to December 2024. All medical records of patients with preeclampsia during the study period were included using total sampling (N = 52). Variables included patient characteristics, type of antihypertensive therapy, and appropriateness of drug use. Appropriateness was evaluated using the 4Ts criteria (appropriate indication, appropriate drug, appropriate dose, and appropriate patient) based on the POGI 2016 guideline. Data were analyzed as proportions with 95% confidence intervals (CI), and associations between preeclampsia severity and antihypertensive patterns were explored descriptively. Most patients were aged >35 years (50%), in the third trimester of pregnancy (94.2%), and diagnosed with mild preeclampsia (80.8%). In mild preeclampsia, nifedipine monotherapy was the most frequently prescribed antihypertensive (92.9%; 95% CI: approximately 80-99%). In severe preeclampsia, nifedipine monotherapy was used in 50% of cases (95% CI: approximately 19-81%), whereas nifedipine-methyldopa combination therapy accounted for 40% (95% CI: approximately 13-74%). Evaluation of antihypertensive use showed 100% appropriateness for indication, drug selection, dose, and patient suitability, indicating entirely rational use in accordance with guidelines. Antihypertensive prescribing patterns for preeclampsia in this hospital largely adhered to clinical guidelines, with nifedipine as the mainstay therapy for both mild and severe cases. These findings support the effectiveness of guideline-based pharmacotherapy for the management of preeclampsia and highlight the need for further multicenter studies to evaluate clinical outcomes and long-term maternal-fetal safety.. Keywords: Preeclampsia, Antihypertensive Agents, Nifedipine, Drug Utilization, Pregnancy, Guideline Adherence.
Financial Health and Sexual Reproductive Health For Premarital Couples at Javanese Christian Church Yusuf Rombe M. Allo; Abitmer Gultom; Melinda Malau; Delvia Sari Lim
IKRA-ITH ABDIMAS Vol. 9 No. 3 (2025): Jurnal IKRAITH-ABDIMAS Vol 9 No 3 November 2025
Publisher : Universitas Persada Indonesia YAI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37817/ikra-ithabdimas.v9i3.5640

Abstract

This Community Service activity aims to increase community understanding, especiallyamong premarital teenage and adult couples, about the importance of sexual reproductiveeducation and financial management for premarital couples at the Javanese ChristianChurch Jatiluhur Congregation, Jakasampurna, Bekasi, West Java. The program focuseson delivering accurate and comprehensive information regarding reproductive health,biological and psychological changes, the prevention of sexually transmitted diseases, aswell as the importance of maintaining healthy and responsible sexual behavior, along withgood family financial management, which is a crucial foundation for young couplesplanning to get married. It is essential to discuss financial planning before marriage,including aspects such as budgeting, debt management, shared financial goals, andemergency fund preparation. With a deep understanding of financial management, couplescan build a financially stable home life. Themethods used in this activity include interactivecounseling, discussion, and question-and-answer sessions, to ensure that participants gainapplicable and relevant insights for their daily lives, both in terms of sexual reproductivehealth and good and sustainable financial management. The program showed an increasein participants' understanding of the importance of sexual reproductive education and theability to make informed decisions related to reproductive health and responsible financialmanagement sustainably. It is recommended to expand this kind of program to otherchurches as an effort to support the success of marriage holistically. Community Servicehas been carried out at the Central Javanese Christian Church Building, JatiluhurCongregation, Bekasi, West Java.Keywords: financial, pre-marriage, health, reproduction, sexual.
Severe Preeclampsia and Anemia in Pregnancy: Risk Factors, Prevention, and Management – Case Report Abitmer Gultom; Nur Nunu Prihantini; Beatrix Melanie Beding
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6407

Abstract

Severe preeclampsia (PE) and anemia are two common medical conditions during pregnancy that have serious impacts on maternal and fetal health. Preeclampsia is a new-onset hypertensive disorder (≥140/90 mmHg) after 20 weeks of gestation, which may be accompanied by proteinuria and organ dysfunction in the mother or uteroplacental dysfunction. If left untreated, preeclampsia can progress to eclampsia, characterized by seizures, neurological disturbances, and anincreased risk of vital organ complications, including kidney failure, pulmonary edema, and liver dysfunction. To report a case of Severe Preeclampsia and Anemia in a 29-year-old female patient. The subject was a 29-year-old G2P1A0 woman in her final trimester of pregnancy who came with the chief complaint of tightness in the abdomen, cramp-like pain, headache, and blurred vision. The patient previously had a history of uncomplicated pregnancy. A 29-year-old G2P1A0 woman presented with complaints of abdominal tightening, cramping, headache, and blurred vision, who was subsequently diagnosed with severe preeclampsia and anemia. Findings included Anemia, Leukocytosis, and Proteinuria are Present. the patient was hospitalized, underwent a caesarean section, and received appropriate medical management.
Pap Smear Examination as a Strategy for Prevention and Early Detection of Cervical Cancer at the HKBP Jatisampurna Church, Bekasi Marliana Nurprilinda; Frisca Ronauli Batubara; Fajar Lamhot Gultom; Abitmer Gultom
International Journal of Community Service (IJCS) Vol. 5 No. 1 (2026): January-June
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i1.1775

Abstract

Cervical cancer remains one of the leading causes of morbidity and mortality among women, particularly in developing countries, largely due to late diagnosis and low participation in early screening programs. Limited knowledge and awareness regarding cervical cancer and Pap smear examinations contribute significantly to delayed detection. This community service activity aimed to increase the knowledge and awareness of the congregation of HKBP Jatisampurna Church, Bekasi, regarding the importance of early detection of cervical cancer through Pap smear examinations. The activity was conducted using interactive educational counseling followed by free Pap smear examination services. Educational sessions covered cervical cancer risk factors, prevention strategies, and the procedures and benefits of Pap smear screening. A total of 50 female congregation members participated in the activity and voluntarily underwent Pap smear examinations. The results demonstrated an improvement in participants’ knowledge and understanding of cervical cancer and the importance of early detection through Pap smear screening. In addition, there was an increased willingness and participation of congregation members in undergoing Pap smear examinations, indicating positive behavioral changes toward preventive health practices. In conclusion, educational counseling combined with direct Pap smear services effectively increased awareness and participation in cervical cancer screening among the HKBP Jatisampurna Church congregation. This community service activity represents a strategic approach to cervical cancer prevention and early detection and highlights the importance of community-based interventions in promoting women’s reproductive health
Dyspepsia in Early Pregnancy as a Result of Hormonal and Functional Changes: A Case Report Abitmer Gultom
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.541

Abstract

Introduction: Dyspepsia is a common gastrointestinal complaint in early pregnancy, generally associated with hormonal and functional changes. This condition may reduce quality of life, affect maternal nutritional status, and present a diagnostic challenge in differentiating it from other conditions such as hyperemesis gravidarum or gastrointestinal infection. Case Report: A 27-year-old woman, G1P0A0, at 10 weeks of gestation, presented with nausea and vomiting more than two times per day, accompanied by epigastric discomfort and bloating after meals. Physical examination revealed epigastric tenderness without signs of severe dehydration. Laboratory tests showed normal hemoglobin, mildly elevated leukocytes, slightly decreased potassium, and the presence of bacteria and leukocytes in urine. Result: A working diagnosis of dyspepsia in early pregnancy was established after ruling out hyperemesis gravidarum and gastroenteritis. The patient was treated with Ringer’s lactate infusion, intravenous ondansetron, antacids, and vitamin B complex supplementation, which led to improvement of symptoms. Conclusion: Dyspepsia during pregnancy is a common complaint with both hormonal and functional etiologies. Diagnosis requires thorough history-taking and exclusion of important differential diagnoses. Management should prioritize lifestyle modification and supportive therapy, with safe pharmacotherapy during pregnancy when necessary
Co-Authors Andriyani Risma Sanggu Beatrix Melanie Beding Delvia Sari Lim Fajar Lamhot Gultom Frisca Ronauli Batubara Hertina Silaban Marliana Nurprilinda Melinda Malau Nia Reviani Nur Nunu Prihantini Simarmata, Vidi Posdo Wiradi Suryanegara Yohanes Baptistuta Paser Yusuf Rombe M. Allo