Raudhatul Munawarah
Poltekkes Kemenkes Jakarta III

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Determinan Kejadian Perdarahan Postpartum pada Ibu Nifas: Sebuah Systematic Literature Review Sri Mulyati; Aticeh Aticeh; Raudhatul Munawarah; Nur Fitri Ayu Pertiwi; Endah Dian Marlina
Jurnal Penelitian Perawat Profesional Vol. 8 No. 3 (2026): Juni 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i3.2301

Abstract

Perdarahan postpartum merupakan salah satu penyebab utama kematian ibu di Indonesia, namun determinan yang mempengaruhinya masih dilaporkan secara bervariasi pada berbagai penelitian sehingga diperlukan sintesis bukti yang sistematis. Penelitian ini bertujuan untuk mengidentifikasi determinan kejadian perdarahan postpartum pada ibu nifas berdasarkan artikel penelitian yang dipublikasikan di jurnal nasional Indonesia. Metode yang digunakan adalah systematic literature review dengan kerangka Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Pencarian artikel dilakukan pada basis data dan portal jurnal nasional dengan kata kunci determinan dan faktor risiko perdarahan postpartum, kemudian disaring berdasarkan kriteria inklusi berupa tahun terbit 2020 sampai 2026 dan desain penelitian asli. Proses telaah artikel dilakukan melalui penilaian kualitas metodologi menggunakan instrumen critical appraisal yang relevan, dilanjutkan dengan ekstraksi data karakteristik studi dan tabulasi hasil untuk disintesis secara naratif. Proses seleksi menghasilkan dua belas artikel yang memenuhi kriteria dari tiga puluh artikel yang teridentifikasi pada tahap awal. Hasil tinjauan menunjukkan bahwa paritas, anemia dalam kehamilan, dan jarak kehamilan yang terlalu rapat merupakan determinan yang paling konsisten dan memiliki kekuatan hubungan tertinggi, sementara usia ibu yang ekstrem, riwayat preeklampsia, retensio plasenta, dan partus lama berperan sebagai determinan pendukung. Kesimpulannya, determinan kejadian perdarahan postpartum bersifat multifaktorial sehingga deteksi dini sejak masa antenatal sangat diperlukan untuk menurunkan risiko perdarahan postpartum pada ibu nifas di Indonesia.  
The Impact of Gadget Screen Exposure in Children and Developmental Status Aged 12 - 72 Months Endah Dian Marlina; Raudhatul Munawarah; Rosita Syaripah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1713

Abstract

In 2023, Indonesia’s population of children under five reached 30.2 million. Current data indicates that 33.44% of early childhood individuals are exposed to digital devices, with many facing risks of psychological, cognitive, and socio-emotional impairments. Objective: This study aims to analyze the relationship between gadget screen exposure and the developmental status of children aged 12–72 months. A quantitative study with a cross-sectional design was conducted at Posyandu Puskesmas Pulo Gadung, East Jakarta, in 2025. A sample of 60 respondents was selected through purposive sampling. Data were collected using the Pre-Screening Developmental Questionnaire (KPSP) and a maternal questionnaire regarding gadget usage. Data were analyzed using univariate and bivariate (Chi-square) analysis. Bivariate analysis revealed a significant relationship between gadget exposure and developmental status ($p < 0.05$). High gadget exposure was predominantly associated with "doubtful" or "deviant" developmental outcomes. Excessive gadget use negatively impacts child development. It is crucial for health workers and parents to implement early stimulation and strict screen-time monitoring to ensure optimal growth.
Systematic Review: The Effect of the Enhanced Recovery After Surgery (ERAS) Protocol on Recovery, Pain Management, and Length of Hospital Stay in Cesarean Section Patients Sri Mulyati; Aticeh Aticeh; Raudhatul Munawarah; Nur Fitri Ayu Pertiwi; Endah Endah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1945

Abstract

Cesarean section surgery often causes pain and prolongs hospital stays. The Enhanced Recovery After Surgery (ERAS) protocol offers a fast and comprehensive recovery solution. This systematic review aims to evaluate the effect of the ERAS protocol on recovery, pain management, and length of hospital stay in cesarean section patients. Researchers selected the literature using the PRISMA guidelines. The selection stages include identification, screening, eligibility assessment, and inclusion. literature articles retrieved from PubMed, Google Scholar, ScienceDirect, and the Cochrane Library. The researchers used specific keywords such as ‘ERAS protocol,’ ‘cesarean section’, ‘postoperative recovery’, ‘pain management’, and ‘length of stay’ to limit the search to articles published in the past five years (2021–2026). This process yielded five relevant articles for analysis. The review results show the ERAS protocol effectively accelerates physiological function recovery and physical mobility. ERAS also significantly reduces pain scores. Furthermore, patients experience a shorter length of hospital stay. This protocol demonstrates high safety and efficiency profiles. Healthcare facilities must implement ERAS as a standard of maternal nursing care to improve the quality of service for cesarean section patients.
Risk Factors for Preeclamsia Harnanik Nawangsari; Raudhatul Munawarah; Rosita Syaripah
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 2 No. 3 (2025): July : Green Health: International Journal of Health Sciences, Nursing and Nutr
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v2i3.204

Abstract

Preeclampsia is a severe pregnancy complication characterized by hypertension and signs of organ damage, with a multifactorial etiology involving maternal, genetic, and environmental interactions. This study aims to analyze determinants contributing to the occurrence of preeclampsia through a comprehensive literature review. The research method involved an in-depth analysis of 15 scientific journals, consisting of 8 national publications from Google Scholar and 7 international publications from PubMed, selected based on relevance, credibility, and publication date. Data from these sources were synthesized to identify common risk factors, biological mechanisms, and preventive measures. The findings indicate that the primary risk factors for preeclampsia include a history of chronic hypertension, obesity, gestational diabetes, nulliparity (first pregnancy), and a family history of preeclampsia. Nutritional deficiencies, particularly low calcium and vitamin D intake, are also significantly associated with increased risk. Furthermore, immunological factors such as abnormal maternal immune tolerance, as well as placental dysfunction leading to poor perfusion, play a crucial role in the pathogenesis of preeclampsia. The interplay between these factors suggests that preeclampsia is not caused by a single mechanism, but rather by a complex network of physiological, metabolic, and genetic influences. This complexity underscores the importance of early risk factor identification and intervention strategies during antenatal care. Preventive efforts may include nutritional supplementation, weight management, blood pressure monitoring, and targeted medical interventions for high-risk individuals. In conclusion, preeclampsia remains a significant contributor to maternal and perinatal morbidity and mortality worldwide. Understanding its determinants enables healthcare providers to implement timely preventive measures and reduce its negative impacts on both mother and fetus. Further research is warranted to elucidate the precise mechanisms underlying these determinants, potentially paving the way for more effective prevention and treatment strategies.