Nanda, Kiki Riskianti
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Effects of Stress During Pregnancy on Maternal and Fetal Health: A Systematic Review Hasriantirisna, Hasriantirisna; Nanda, Kiki Riskianti; Munawwarah. M, St.
Advances in Healthcare Research Vol. 2 No. 2 (2024): March - August
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v2i2.339

Abstract

Purpose: This study aims to systematically review the effects of stress during pregnancy on maternal and fetal health, with a focus on the physiological, psychological, and socioeconomic dimensions. Research Design and Methodology: A systematic review design was adopted, analyzing peer-reviewed articles published between 2000 and 2023. The review included studies focusing on human subjects that examined various stress-related factors and their impact on pregnancy outcomes. Data was collected through exhaustive searches of electronic databases, followed by thematic analysis and meta-analysis where appropriate. Findings and Discussion: The review reveals significant impacts of prenatal stress on maternal and fetal health. Elevated maternal cortisol levels are linked to adverse birth outcomes, such as preterm birth and low birth weight. Prenatal stress also causes structural changes in fetal brain development, leading to long-term cognitive and behavioral issues. Systemic inflammation resulting from chronic stress exacerbates these effects. Socio-economic and cultural disparities further intensify the negative impacts of prenatal stress. Tailored interventions, including culturally competent care and improved access to healthcare, are essential for mitigating these effects. Implications: The study underscores the need for comprehensive stress management programs for pregnant women, policies enhancing healthcare accessibility, and interventions addressing socio-economic stressors. Future research should focus on longitudinal studies and exploring genetic mechanisms to develop more effective interventions. These efforts are crucial for improving maternal and fetal health outcomes globally.
Supplementary Feeding (Soy Biscuits) on the Frequency of Nausea and Vomiting of Pregnant Women Experiencing Hyperemesis Gravidarum in Health Crisis Situations Munawwarah, St.; Nanda, Kiki Riskianti; Hasriantirisna, Hasriantirisna; Yahya, Fajar Dhini
Advances in Healthcare Research Vol. 3 No. 1 (2025): September - February
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v3i1.387

Abstract

Purpose: This study examines the role of soy biscuits as supplementary food in reducing the frequency and severity of nausea and vomiting in pregnant women experiencing hyperemesis gravidarum (HG) in health crises. The research explores the nutritional effectiveness of soy biscuits, their acceptability among pregnant women, and their potential as a non-pharmacological intervention in community-based maternal healthcare settings, particularly at TPMB Hj Sitti Hasrah Ibrahim. Research Design and Methodology: This study employs a systematic literature review (SLR) approach, analyzing relevant studies from peer-reviewed journals to assess the impact of protein-based nutritional interventions on HG symptoms. The research synthesizes evidence on dietary strategies, maternal nutrition, and the physiological mechanisms through which soy biscuits alleviate HG symptoms. The review also incorporates empirical data from similar interventions to evaluate their feasibility in low-resource and crisis-affected healthcare settings. Findings and Discussion: The findings indicate that soy biscuits significantly stabilize blood sugar levels, reduce gastric motility disturbances, and improve maternal food tolerance. Compared to high-carbohydrate or high-fat diets, a protein-based nutrition approach is more effective in managing nausea and vomiting in patients with HG. Additionally, soy biscuits are well-tolerated and accepted by pregnant women, making them a practical intervention for managing HG in settings with limited access to pharmacological treatments. Implications: This study offers practical insights for healthcare providers, policymakers, and food manufacturers advocating for nutritional interventions in maternal healthcare programs. Future research should investigate alternative formulations, large-scale implementation, and long-term health outcomes to establish a comprehensive dietary strategy for managing HG.
Maternal Age and Risk of Pregnancy Complications: A Qualitative Study Nanda, Kiki Riskianti
Advances in Healthcare Research Vol. 3 No. 2 (2025): March - August
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v3i2.488

Abstract

Purpose: This study aims to explore the relationship between advanced maternal age (≥35 years) and the risk of pregnancy complications through a qualitative perspective, emphasizing women's perceptions, experiences, and coping strategies. Research Method: A systematic literature review methodology was employed to synthesize qualitative research findings related to advanced maternal age and pregnancy complications. Relevant studies were reviewed to identify recurring themes, contradictions, and contextual gaps. Results and Discussion: The findings reveal that advanced maternal age is associated with heightened risks of complications such as preeclampsia, gestational diabetes, hypertension, preterm birth, and postpartum hemorrhage. Personal experiences, cultural beliefs, and access to healthcare influence perceptions of these risks. Women with higher perceived susceptibility are more likely to seek medical intervention, while those facing socio-economic barriers or cultural stigma exhibit lower health-seeking behaviors. Implications: The study underscores the importance of developing culturally sensitive maternal health programs tailored to the needs of older pregnant women. Healthcare providers should adopt empathetic communication strategies and accessible education programs. Future research should address this study's limitations by employing mixed-methods approaches and considering broader social determinants of health.
Qualitative Study on Pregnant Women's Perceptions of Iron Tablet Administration in Anemia Prevention during the First to Third Trimesters Yahya, Fajar Dhini; Munawwarah, St.; Hasriantirisna, Hasriantirisna; Nanda, Kiki Riskianti
Advances in Healthcare Research Vol. 3 No. 2 (2025): March - August
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v3i2.537

Abstract

Purpose: This study aims to evaluate the effect of iron tablet supplementation on pregnant women from the first to the third trimester in preventing pregnancy-related anemia. The primary focus is on understanding the dynamics of consumption compliance, maternal perceptions, the effectiveness of health education, as well as environmental factors and accessibility that influence the success of the intervention. Research Method: This study employed a qualitative approach, based on a systematic literature review of relevant publications from 2018 to 2025. The analysis was conducted thematically to identify consumption patterns, motivations, educational interventions, and their impact on the hemoglobin status of pregnant women. Results and Discussion: The findings indicate a progressive trend in adherence to iron tablet consumption from the first to the third trimester, with the main barriers being complaints of nausea and gastrointestinal side effects. Positive perceptions of the benefits of iron tablets, along with appropriate social support and education, have been shown to improve adherence. Health education tailored to the stage of pregnancy is more effective in changing behavior. Consistent iron tablet consumption contributes to increased hemoglobin levels and reduces the risk of anemia, as well as pregnancy complications such as preterm birth and low birth weight. Implications: This study provides original contributions to the development of trimester-based maternal health education strategies and the improvement of iron tablet availability in primary care. The implications include strengthening maternal and child health program policies and involving multiple stakeholders, including families and communities, in supporting the success of interventions.
PENGARUH PENGETAHUAN TENTANG SENAM HAMIL TERHADAP PELAKSANAAN SENAM HAMIL PADA IBU HAMIL DI RS ANGKATAN LAUT JALA AMMARI Nanda, Kiki Riskianti; Darmiati, Darmiati; Ernawati, Ernawati
JURNAL KESEHATAN DELIMA PELAMONIA Vol 8 No 1 (2024): Jurnal Kesehatan Delima Pelamonia
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v8i1.694

Abstract

Selama kehamilan terjadi perubahan fisik dan psikologis pada ibu, yang mengharuskan ibu untuk beradaptasi agar persalinan dapat berjalan dengan lancar. Tidak sedikit ibu yang mengalami kecemasan dan stress saat beradaptasi dengan perubahan masa kehamilan, salah satu upaya yang dapat dilakukan ibu hamil untuk mencegah stress dan komplikasi masa kehamilan dengan melaksanakan senam hamil. Sejak lama diketahui bahwa sala satu hal penting dalam membina ibu hamil ialah memberikan pengetahuan mengenai kehamilannya. Kurangnya edukasi pada ibu hamil berdampak pada motivasi untuk melakukan perawatan kehamilan yang baik dan benar. Salah satu cara mengurangi ketidaknyamanan dan meningkatkan motivasi adalah memberikan edukasi kesehatan. Di era perkembangan tekhnologi saat ini edukasi kesehatan dengan media video sangat diminati masyarakat, ini merupakan strategi yang baik untuk memberikan edukasi kesehatan melalui video. Oleh karena itu, pengetahuan senam hamil terhadap kondisi tersebut adalah dengan memberikan edukasi melalui berbagai media dan metode diantaranya penyuluhan menggunakan leaflet, flipchart, power point, pemutaran video gerakan senam hamil, dan lain-lainnya. Tujuan: Untuk mengetahui pengaruh pengetahuan tentang senam hamil terhadap pelaksanaan senam hamil pada ibu hamil di Rs Angkatan Laut Jala Ammari. Metode: Metode penelitian menggunakan Quasi Experiment dengan jenis desain One-Group Pre-Test-Post-Test. Populasi penelitian melibatkan seluruh ibu hamil di Rs. Angkatan Laut Jala Ammari dari bulan maret sampai April 2023 sebanyak 28 ibu hamil. Dari populasi ini, diambil sampel sebanyak 17 orang menggunakan metode purposive sampling. 05 Maret hingga 05 April 2023. Hasil dan Kesimpulan : Hasil uji statistik Chi-Square menunjukkan nilai signifikan yaitu p=0,013(<0,05) dimana terdapat hubungan yang sangat signifikat antara tingkat pengetahuan ibu hamil dengan pelaksanaan senam hamil
Hubungan pengetahuan dengan upaya pencegahan anemia saat menstruasi pada remaja putri di wilayah kerja puskesmas rappokalling makassar Ernawati, Ernawati; Puranamasari, Dian; Nanda, Kiki Riskianti
JURNAL KESEHATAN DELIMA PELAMONIA Vol 8 No 1 (2024): Jurnal Kesehatan Delima Pelamonia
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v8i1.695

Abstract

Adanya siklus menstruasi setiap bulan merupakan salah satu faktor penyebab remaja putri mudah terkena anemia lebih-lebih didorong oleh pengetahuan mereka yang kurang tentang anemia. Berdasarkan teori Precede-Proceed Model yang dikembangkan oleh Lawrence W.Green (1991) bahwa perilaku kesehatan termasuk di dalam perilaku pencegahan anemia terutama di masa pasca pandemi COVID-19 dipengaruhi oleh tiga faktor yaitu faktor predisposisi, faktor pendukung dan faktor pendorong. Tujuan dari penelitian ini adalah Mengetahui hubungan pengetahuan dengan upaya pencegahan enemia saat menstruasi pada remaja putri. Rancangan penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional, Penelitian ini bersifat Kuantitatif analitik, Menggunakan 2 variabel yaitu variable independen dan variabel dependen yang ditanyakan dalam waktu yang sama dengan jumlah sampel sebanyak 32 remaja putri. Hasil uji chi Square tests terdapat hubungan yang baik pada kriteria pengetahuan dengan upaya remaja dalam melakukan pencegahan anemia saat menstruasi dengan p-value 0.009.
PENGARUH SENAM HAMIL TERHADAP NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI TPMB HJ. NANI NURCAHYANI TAHUN 2024 Nanda, Kiki Riskianti; Khirat, Nur Ummul; Subriani, St.; Nawir, Nur Winanda
JURNAL KESEHATAN DELIMA PELAMONIA Vol 8 No 2 (2024): Jurnal Kesehatan Delima Pelamonia
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v8i2.702

Abstract

Latar Belakang: Kehamilan merupakan salah satu tahap kehidupan yang harus dipersiapkan oleh seorang perempuan, dalam proses kehamilan terjadi perubahan fisiologis dan psikologis karena adanya peningkatan estrogen dan progesterone lamanya sekitar 280 hari atau 40 minggu atau 9 bulan salah satu komplikasi dalam masa kehamilan yaitu nyeri punggung. Senam hamil dapat meringankan nyeri punggung bawah yang dirasakan ibu hamil karena di dalam senam hamil terdapat gerakan yang dapat memperkuat otot abdomen, membuat elastisitas otot dan ligamen yang ada di punggung dan relaksasi, sehingga senam hamil dapat menurunkan nyeri punggung bagian bawah. Tujuan Penelitian: Untuk mengetahui apakah ada pengaruh senam hamil terhadap nyeri punggung pada ibu hamil trimester III di TPMB Nani, Nur Cahyani Tahun 2024. Metode: yang digunakan dalam penelitian ini adalah survei analitik yaitu dengan pendekatan cross sectional, teknik purposive sampling, populasi dalam penelitian ini ibu hamil trimester III di TPMB Nani Nur Cahyani dengan jumlah sampel 40. Hasil penelitian ini menunjukkan adanya pengaruh senam hamil terhadap nyeri punggung pada ibu hamil trimester III dengan nilai p value sebesar 0,000 (<0,05), maka Ha diterima H0 ditolak. Kesimpulan: Terdapat penegaruh senam hamil terhadap nyeri punggung pada ibu hamil trimester III.
Pengaruh Pemberian Daun Kelor Terhadap Peningkatan Hemoglobin Pada Ibu Nifas di RSIA Sitti Khadijah 1 Makassar Hasriantirisna, Hasriantirisna; Nanda, Kiki Riskianti; Wulandari, Ikrawanty Ayu; Wahyuni, Sri
JURNAL KESEHATAN DELIMA PELAMONIA Vol 8 No 1 (2024): Jurnal Kesehatan Delima Pelamonia
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v8i1.731

Abstract

The Effect of Giving Moringa Leaves on Increasing Hemoglobin in Postpartum Women at RSIA Sitti Khadijah 1 Makassar in 2024 Anemia during the postpartum period can occur in mothers, where after giving birth the hemoglobin level is less than normal, and this condition can cause iron loss and can affect the lactation process and can result in the uterus not contracting because the blood does not provide enough oxygen to the uterus. . Post partum anemia is defined as if the Hb level is <11 g/dL at 8 weeks postpartum. The most common causes of postpartum anemia are inadequate Fe requirements during pregnancy and complications during childbirth. Moringa leaves (Moringa oleifera) have been proven to have a higher Fe content compared to other green vegetables at 28.29 mg, so they can be used as an alternative for treating anemia. Research objective: To determine the effect of giving Moringa leaves on increasing hemoglobin in postpartum women at RSIA Sitti Khadijah 1 Makassar in 2024. The method used in this research is a type of experimental research with a quasi-experimental design. The sampling technique used was purposive sampling technique, with a population of all postpartum mothers, and a sample of 30, selected using certain criteria which included an intervention group and a control group. Research results: Shows the influence of Moringa leaves on increasing hemoglobin in postpartum women with a p value (0.000). Conclusion: There is an effect of giving Moringa leaves on increasing hemoglobin in postpartum women Keywords: Moringa leaves, postpartum mothers, hemoglobinparagraph
Gambaran Pengetahuan Remaja Putri tentang Genitalia Hygiene saat Menstruasi pada Siswi Kelas IX di SMP Negeri 3 Takalar Tahun 2025 Yahya, Fajar Dhini; Nanda, Kiki Riskianti
JURNAL KESEHATAN DELIMA PELAMONIA Vol 9 No 1 (2025): Jurnal Kesehatan Delima Pelamonia
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v9i1.735

Abstract

Reproductive health in adolescents, particularly concerning genital hygiene during menstruation, is an essential aspect that is often overlooked. Lack of knowledge and awareness may lead adolescent girls to adopt improper hygiene practices, increasing the risk of reproductive tract infections. This study aimed to describe the knowledge of adolescent girls about genital hygiene during menstruation at SMP Negeri 3 Takalar. This was a descriptive quantitative study using a cross-sectional approach. The sample consisted of 42 ninth-grade female students selected through total sampling. Data were collected using a questionnaire and analyzed using univariate methods. The results showed that most respondents had moderate knowledge (57.1%), good knowledge (40.5%), and a small proportion had poor knowledge (2.4%). It can be concluded that the majority of adolescent girls at SMP Negeri 3 Takalar have a moderate level of knowledge regarding genital hygiene during menstruation, although continuous education is still needed to improve proper hygienic practices.
OPTIMALISASI PEMBERIAN EDUKASI SENAM IBU HAMIL TERHADAP PENGETAHUAN KEJADIAN RUPTURE PERINEUM DI SITUASI KRISIS KESEHATAN DI PUSKESMAS ANTANG PERUMNAS TAHUN 2024 Nanda, Kiki Riskianti; Salim, Agus; Yahya, Fajar Dhini; Suriyani, Suriyani
JURNAL KESEHATAN DELIMA PELAMONIA Vol 9 No 1 (2025): Jurnal Kesehatan Delima Pelamonia
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v9i1.736

Abstract

Background: Childbirth often causes perineal tears (perineal rupture) which can cause bleeding, where perineal tears are caused by rupture of the tissue of the birth canal. One way to prevent perineal rupture is to strengthen and maintain the elasticity of the perineum through pregnancy exercises. Objective: This study aims to determine the optimization of providing exercise education for pregnant women regarding knowledge of perineal rupture incidents in health crisis situations at the Antang Perumnas Community Health Center. Research design: used in this research is observational analytics using quantitative data using a cross sectional approach which aims to determine the effect of providing pregnancy exercise education on knowledge of perineal rupture incidents at the Antang Perumnas Community Health Center. Research results: This shows that the p-value of the influence of pregnancy exercise education on the level of knowledge of perineal rupture in crisis situations is 0.000. Because p<0.05, Ha is accepted. H0 is rejected. So it can be concluded that there is an influence of pregnancy exercise education on the level of knowledge of perineal rupture in health crisis situations at the Antang Perumnas Health Center in 2024.