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All Journal INDONESIAN JOURNAL OF LEGAL AND FORENSIC SCIENCES Journal of Maternal and Child Health
Junus, Kezia Adelize Aurelia
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Chemistry Dentistry Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health

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Otonomi VS Paternalisme: Pengambilan Keputusan Medis pada Pasien dengan Skizofrenia Yen, Liauw Djai; Simanjuntak, Vionita; Yantoro, Felicia Cynthiadewi; Junus, Kezia Adelize Aurelia; Wijaya, Richard; Allo, Kezia Nathania Limbong; Lukito, Patricia Michelle; Dananjaya, Anna Sakurai; Wijaya, Yurike; Sugiarto, James; Mahardika, Danadipa Yoga; Gani, Alicia
Indonesian Journal of Legal and Forensic Sciences (IJLFS) Vol 13 No 2 (2023): Indonesian Journal of Legal and Forensic Sciences
Publisher : Penerbit, sejak 2012 : Asosiasi Ilmu Forensik Indonesia dan UPT Lab. Forensik Sain dan Kriminilogi - Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/IJLFS.2023.v13.i02.p02

Abstract

Background: Balance between autonomy and paternalism in the context of decision making of individuals with schizophrenia is a complicated and ethical problem. Collaboration between healthcare workers, family members, and individuals with schizophrenia is crucial to ensure decision made is for the individual’s best interest whilst upholding their dignity and rights. Methods: This is a literature review study. References used are literature from journal articles, law texts, and other textbooks in Indonesian and English. Results and Discussion: In clinical practice, doctors and patients both have autonomy to make the best decision. In patients with schizophrenia, autonomy conflicts with paternalism due to errors in cognitive function and decision making. Some studies have shown that schizophrenia patients can increase their understanding through information repetition, or by using improved information delivery procedures. Loss of capacity of decision making in patients with schizophrenia is temporary and can recover with time. Conclusion: It is important to find balance between autonomy and paternalism in medical practice. Doctors need to give clear information to patients, discussing benefits, downfalls, and risks from a certain procedure, respecting patient preference. However, doctors also have the responsibility to use their clinical judgement to give the best medical outcomes for patients.
Advanced Maternal Age and Low Birth Weight in Primigravid Births Junus, Kezia Adelize Aurelia; Ekowati, Ana Lucia; Soegiarto, Bertha; Setiawan, Andy
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.08

Abstract

Background: The number of women who delay pregnancy is increasing. Advanced Maternal Age/ AMA (pregnancies in women aged 35 years or older) have increased risks of complications, such as low birth weight/LBW (up to 1.59 times). The aim of this study is to know the association between AMA with LBW in primigravid births.Subjects and Method: This descriptive and analytical, cross sectional research consists of 169 primigravid births in Atma Jaya Hospital Jakarta, collected with a total sampling method for births between February 2016 to September 2021 meeting inclusion criteria. Independent variable included primigravid maternal age and dependent variable included birth weight. Prematurity was used as a dependent variable and an independent variable in two separate analyses. Characteristics of data are described, and analyses were done with the Fisher’s exact test for the associations between primigravid AMA and LBW, , between primigravid AMA and prematurity, and between primigravid prematurity and LBW Spearman’s correlation test was done for the correlation between primigravid maternal age and birth weight. Results: The proportions of women with higher education and maternal diseases are more elevated in AMA. LBW prevalence is 14.79%. The proportion of LBW is higher in AMA (OR=2.045; CI 95% 0.513 to 8.147), with statistically insignificant association (p=0.253). The correlation between maternal age and birth weight is insignificant (p=0.113). AMA has insignificantly higher odds for prematurity (OR=1.139; CI 95% 0.234 to 5.538; p=0.567). The association between prematurity and LBW is highly significant (OR 49.224; CI 95% 15.470 to 156.621; p<0.001).).Conclusion: Primigravid women aged ≥35 years have higher proportions of maternal diseases. Despite being statistically insignificant, AMA has higher odds for LBW. Prematurity is highly asso¬ciated with LBW. Further research concerning high-risk maternal age needs to be done to improve women’s and children’s health. Keywords: advanced maternal age, primigravida, low birth weight. Correspondence:Ana Lucia Ekowati. Department Of Medical Biology, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia. Jl. Pluit Selatan Raya No.19, Jakarta, 14440. Email: ana.lucia@atmajaya.ac.id.
Co-Authors Allo, Kezia Nathania Limbong Ana Lucia Ekowati Andy Setiawan Bertha Soegiarto, Bertha Dananjaya, Anna Sakurai Gani, Alicia Lukito, Patricia Michelle Mahardika, Danadipa Yoga Simanjuntak, Vionita Sugiarto, James Wijaya, Richard Wijaya, Yurike Yantoro, Felicia Cynthiadewi Yen, Liauw Djai