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Review of Determinants of Nonmedical Caesarean Section in Indonesia: A Systematic Review Nurfianto, Sigit; Suhanda, Rachmad; Yuarta, Ferina Agustia; Refani, Priska; Sembiring, Thyrister Nina Asarya; Mellazulfa, Dhea Sofiana; Laurentina, Yoriko; Yeni, Yeni
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.9

Caesarean section (C-section) delivery has increased worldwide. The number of deliveries using the C-section procedure at the age of 10–54 years in Indonesia reached up to 17.6% of the total number of deliveries, due to the presence of medical and nonmedical indications. This study aims to analyze about nonmedical indications of C-section. This study uses a systematic review method. The inclusion criteria for the investigated studies were articles published in 2011–2021, written in English or Bahasa Indonesia, observational studies with case control or cohort as the design, and available to be downloaded in full text. In total, 12 articles were included in this systematic review. The nonmedical factors that influence the C-section procedure are antenatal care, the mother's level of education, residency, health insurance, socio-economics, occupation, previous birth histories, the mother's demand, the family's support and decision-making, and doctor's referral. The government, through the help of health practitioners, needs to increase the education to pregnant women and their families regarding the advantages and disadvantages of their preferred delivery methods.

Review of Determinants of Nonmedical Caesarean Section in Indonesia: A Systematic Review Nurfianto, Sigit; Suhanda, Rachmad; Yuarta, Ferina Agustia; Refani, Priska; Sembiring, Thyrister Nina Asarya; Mellazulfa, Dhea Sofiana; Laurentina, Yoriko; Yeni, Yeni
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.9

Caesarean section (C-section) delivery has increased worldwide. The number of deliveries using the C-section procedure at the age of 10–54 years in Indonesia reached up to 17.6% of the total number of deliveries, due to the presence of medical and nonmedical indications. This study aims to analyze about nonmedical indications of C-section. This study uses a systematic review method. The inclusion criteria for the investigated studies were articles published in 2011–2021, written in English or Bahasa Indonesia, observational studies with case control or cohort as the design, and available to be downloaded in full text. In total, 12 articles were included in this systematic review. The nonmedical factors that influence the C-section procedure are antenatal care, the mother's level of education, residency, health insurance, socio-economics, occupation, previous birth histories, the mother's demand, the family's support and decision-making, and doctor's referral. The government, through the help of health practitioners, needs to increase the education to pregnant women and their families regarding the advantages and disadvantages of their preferred delivery methods.

DEMOGRAPHIC FACTORS ASSOCIATED WITH ANXIETY AMONG PREGNANT WOMEN OF POST-PANDEMIC COVID-19 IN CENTRAL KALIMANTAN Sembiring, Thyrister Nina Asarya; Shadiqi, Muhammad Abdan; Bakhriansyah, Mohammad; Arifin, Syamsul; Febriana, Silvia Kristanti Tri
The Indonesian Journal of Public Health Vol. 20 No. 3 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i3.2025.448-460

Introduction: Anxiety in the 3rd trimester of pregnant women increased during the COVID-19 pandemic, ranging from 45.9% to 62% and occurs due to either a maturity crisis or a fear of childbirth. It has an impact on the health of the mother and the fetus. A preliminary study at a private mother and children hospital in Palangka Raya in December 2022 showed that 7 out of 10 3rd trimester pregnant women experienced anxiety. Aims: to analyze the relationship between parity, education level, employment status, and income with anxiety level among 3rd trimester pregnant women at a private mother and children hospital in Palangka Raya post-pandemic COVID-19. Method: An observational study with a cross-sectional approach and a representative sample size was 255 respondents from 3rd trimester pregnant women using a non-probability sampling method and a questionnaire as the research instrument. Odds Ratios (ORs) and 95% Confidence Intervals (95% CIs) were calculated by using Multinomial Logistic Regression analyses. Results: Higher education was significantly associated with a low anxiety level (adj. OR 0.266, 95%CI 0.094-0.786; p= 0.012) as well as low income with moderate anxiety of 3rd trimester pregnant women (adj. OR 0.121, 95%CI 0.024-0.613; p=0.011). Conclusion: There is a relationship between education level as well as income and anxiety among 3rd trimester pregnant women at a private mother and children hospital in Palangka Raya.

The Effectiveness of Black Mulberry Bark (Morus Nigra L.) Ethanol Extract in Reducing Blood Glucose Levels in Male Mice (Mus Musculus) Induced by Aloxan Saritani, Ayunda Tamara Barito; Indrisari, Maulita; Sembiring, Thyrister Nina Asarya; Nurkalbi, Nuni Rismayanti; Saputra, Agil
Devotion : Journal of Research and Community Service Vol. 6 No. 12 (2025): Devotion: Journal of Community Research
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/devotion.v6i12.25595

Diabetes Mellitus (DM) is a disorder of carbohydrate metabolism characterized by a disruption of the body's ability to produce insulin. The bark of the black mulberry stem has a high chemical content of anthocyanins, phenolics, flavanoids and has been known to have many properties. The purpose of this study was to determine the effectiveness of ethanol extract of black mulberry stem bark (Morus nigra L.) on reducing blood glucose levels in male mice (Mus musculus). This research is included in the laboratory-scale experimental type of research. The simplicia of the black mulberry stem is macerated then produces a dry extract. Antidiabetic testing was carried out by dividing 24 mice into 6 groups, namely a healthy control group, a positive control group (glibenchlamid), a negative control group (Na CMC 0.5%), and a 10% b/v dose extract group, a 15% b/v dose extract group, a 20% b/v dose extract group, which was induced with an allocation of 130 mg/kg BB. Based on the results of research that has been carried out, ethanol extract of black mulberry stem bark at a dose of 20% b/v has the highest effect of reducing blood glucose levels with a percentage decrease of 33.51%, compared to doses of 10% and 15%, showing a percentage decrease of 5.51% and 2.36%.

THE RELATIONSHIP OF EDUCATION BY ANIMATED VIDEOS AND LEAFLETS WITH MOTHERS’ KNOWLEDGE ABOUT ANEMIA IN PREGNANT WOMEN Sembiring, Thyrister Nina Asarya; Sinulingga, Erick Darossi; Lumingkewas, Gloria; Saputri, Grace Dwie; Parhusip, Luther Gideon Eric Maruli; Oktoberia, Theresa; Ranti, Dalia; Setiawan, Frendy
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1832

Background: Anemia in pregnant women remains a significant public health issue in Indonesia, including in the working area of the UPTD Kereng Bangkirai Community Health Center in Palangka Raya City. Based on data from 2023 and 2024, there has been an increase in cases of anemia in pregnant women from 5 cases to 25 cases. This study aims to determine the relationship between pregnant women's knowledge level and the incidence of anemia, and to evaluate the effectiveness of health education in improving their knowledge and awareness.Methods: The method used is a pre-experimental approach. The design used was a one-group pretest-posttest design with a sample consisting of 77 pregnant women at the UPTD Kereng Bangkirai Community Health Center in Palangka Raya City, selected using purposive sampling based on inclusion criteria. Education was provided through animated videos and leaflets, accompanied by pretest and posttest questionnaires.Results: The results showed a significant increase in knowledge after the education intervention (p=0.000). The results of this study indicate that education by animated videos and leaflets is effective in increasing mothers' knowledge about anemia during pregnancy.Conclusion: There is a relationship between education by animated videos and leaflets and mothers' knowledge about anemia in pregnant women. This is important in maternal health services at community health centers to reduce the rate of anemia and improve the quality of maternal health during pregnancy.

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