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All Journal Indonesian Journal of Global Health research INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Mardianingsih, Siti
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Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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THE PERINATAL ANXIETY SCREENING SCALE (PASS) ASSESSMENT OF HIGHRISK PREGNANT WOMEN Mardianingsih, Siti; Mutianingsih, Rosa; Abdiani, Baiq Tuhu; fatawi, zulhadi
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 2 (2024): Indonesian Midwifery and Health Sciences Journal, April 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i2.2024.202-210

Abstract

Background: Psychological changes in pregnant women can be caused by hormonal imbalances. Imbalance can give rise to an anxiety response caused by conditions within oneself and the environment. Excessive anxiety can stimulate uterine contractions which can lead to pathological risks in the pregnancy. The aim of this research is to determine the anxiety and psychological domains of high-risk pregnant women. Method: The research design was descriptive research with a sample size of 30 pregnant women who had a history of high risk in Batu Kute village, Narmada subdistrict using cluster sampling technique. The instrument used was the PASS (perinatal anxiety screening scale) questionnaire. Result: The research results obtained were that most pregnant women experienced anxiety on a mild - moderate scale with a percentage of 70% experienced by mothers in the first and third trimesters of pregnancy. is in the domain category of excessive worry and specific fear as much as 57% and anxiety and active adjustment as much as 23.3%. The level of anxiety of pregnant women in the first trimester is due to the adaptation process to changes in a woman and will increasingly increase in the third trimester of pregnancy leading up to delivery. Conclusion: Anxiety conditions with or without previous symptoms will increase in high-risk third trimester mothers because they feel anxious about the condition of themselves and their fetus. If not treated, it will pose a risk to the mother, fetus and the birth process that will occur.
Danger Signs and 4T Risk Factors of Pregnant Women Mardianingsih, Siti; Daniyati, Asri
Journal of Ners and Midwifery Vol 10 No 3 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i3.ART.p419-424

Abstract

The number of cases of maternal death in 2020 was 122, an increase of 25 cases compared to 2019, which was 97 cases of maternal death. The highest number of maternal death cases was in West Lombok district with 43 cases. The maternal mortality rate in NTB Province has increased from 93.92 per 100,000 live births to 119.05 per 100,000 live births. When compared with the performance achievements in the RPJMN, the NTB province is still below the national target. The 4T factors (too old, too young, too closely spaced between pregnancies and too many children) can increase cases of complications in the mother. Birth interval between one child and another child of less than 2 years can increase the risk of maternal death. Delivery at intervals of less than 24 months (too often) is a high-risk group for postpartum hemorrhage. This research aimed to determine the risk factors experienced by pregnant women so that prevention can be taken to prevent maternal death during childbirth. The research method used a quantitative analytical observational with a Focus Group Discussion (FGD) approach. The research results showed that pregnant women did not understand the danger signs and risk factors for 4T, so that pregnant women are able to take preventive measures. Apart from that, this research also provides anticipatory solutions so that pregnant women and their husbands can avoid further complications related to the risks of 4T. This research concludes that the understanding of pregnant women and their husbands regarding the danger signs and risks of 4T has increased so that they are able to know the mother's condition during pregnancy and are able to plan and have a healthy pregnancy.
Case Report on Pre-Marital Screening, Information Communication, and Reproductive Health Education for Prospective Brides Mawaddah, Shohipatul; Munawarah, Ziadatul; Kamila, Nurul Aulia; Mutianingsih, Rosa; Mardianingsih, Siti
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.5115

Abstract

Premarital screening is one of the government's program strategies for all prospective brides and grooms to find out the risks that will be faced by the couple, and also for their children in the future. Many things can be anticipated by conducting this screening, such as the risk of disease transmission, infertility, maternal and child mortality during childbirth, and birth defects. The purpose of this case study is to conduct premarital screening and assistance in the form of providing health reproductive (communication, information, education). A pair of prospective brides and grooms (calon pengantin) planning to get married in 1 month visit the Health Center for a premarital examination. As per the Health Center's work procedure, they undergo a premarital screening examination and receive follow-up. The results of anamnesis and physical examination of both candidates were normal, laboratory examination results showed that only the bride to be's hemoglobin levels was below normal (10.8 gr/dL). Assistance was provided to both brides and grooms 3 times, 1 time at the Health Center and 2 home visits, midwifery care provided in the form of providing iron tablets and Tetanus Toxoid immunization to the bride and health reproductive (communication, information, education) to both. The final visit showed that the knowledge of both brides and grooms was in the very good category. Both prospective brides and grooms are ideal age biologically and psychologically to get married.
Co-Authors Abdiani, Baiq Tuhu Daniyati, Asri fatawi, zulhadi Kamila, Nurul Aulia Mawaddah, Shohipatul Munawarah, Ziadatul Mutianingsih, Rosa