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A Thorough Systematic Review of The Impact of Educational Interventions On The Quality of Life For Pregnant Women Experiencing Nausea And Vomiting Juliana, Mutia; Nurlianto, Yahya
The Indonesian Journal of General Medicine Vol. 1 No. 6 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

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Abstract

Background: Hyperemesis gravidarum (HG) is the primary cause of early pregnancy hospitalization and sick leave, causing significant financial costs. Improper management can result in negative pregnancy outcomes and lower women's quality of life. Methods: The systematic review included research articles assessing the impact of educational intervention on women with NVP's quality of life, published from 2000 to 2023. Result: The review explores the impact of educational interventions on the quality of life of pregnant women in Iran, Taiwan, Norway, and the UK. The studies, conducted in hospitals, health centers, and social media, measured QOL using tools like NVPQOL, SF36.v2, EQ-5D, and QoLS. Five of the seven RCT studies reported a significant effect. Conclusion: The study explores the impact of educational interventions on pregnant women experiencing nausea and vomiting related-pregnancy (NVP) and their quality of life. It found that exercise education and strong support networks can improve QOL. However, factors like pain, depression, low education, younger age, and lack of a partner can negatively affect QOL.
An Evaluation Of Prophylactic Tranexamic Acid's Ability To Stop Postpartum Hemorrhage: A Systematic Review Juliana, Mutia; Nurlianto, Yahya
The Indonesian Journal of General Medicine Vol. 1 No. 6 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

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Abstract

Background: Tranexamic acid (TXA) has been used to treat acute bleeding in trauma-related settings, with low side effects. However, the benefits of prophylactic TXA use remain unclear, raising the possibility of administration before PPH diagnosis. Methods: The study followed the PRISMA 2020 guidelines and developed a systematic review and meta-analysis of blinded and randomized clinical trials to determine the impact of prophylactic TXA use on bleeding volume in cesarean or vaginal deliveries, focusing on English studies. Result: TXA showed significant effects on post-partum bleeding reduction, with lower hemoglobin variation compared to the control group. However, some studies reported mild side effects and the effect was even greater in cesarean delivery. Risk factors for bleeding were considered. Conclusion: Promising outcomes have been observed in lowering blood component requirements and preventing postpartum hemorrhage (PPH) with TXA, a prophylactic treatment for PPH. Even though the use of uterotonics was reduced, a recent multicenter RCT conducted in France was unable to demonstrate a meaningful decline in PPH diagnoses. The study also showed a great deal of variability in TXA use and how it affected cesarean deliveries.
The Impact Of Vitamin D Supplementation During Pregnancy On Preeclampsia Risk: A Comprehensive Systematic Review Nurlianto, Yahya; Juliana, Mutia
The Indonesian Journal of General Medicine Vol. 1 No. 8 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

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Abstract

Background: Studies suggest vitamin D's potential role in reducing early-onset preeclampsia risk through improved endothelial function and reduced oxidative stress. This systematic review aims to evaluate the impact of vitamin D supplementation on the risk of preeclampsia based on literatures of the last 10 years. Methods: The review adhered to PRISMA 2020 standards and analyzed full-text English literature from 2014 to 2024. It excluded editorials, review papers from the same journal, and submissions lacking a DOI. Literature sources included PubMed, SagePub, SpringerLink, and Google Scholar. Result: A total of  500 articles were retrieved from online databases (PubMed, SagePub, SpringerLink and Google Scholar). After three rounds of screening, five articles directly relevant to the systematic review were selected for full-text reading and analysis. Conclusion: Vitamin D plays a crucial role in various physiological processes, including calcium homeostasis, immune modulation, and vascular function, all of which are implicated in the pathogenesis of preeclampsia.
Prevalence, Management of Placenta Previa, and Pregnancy Outcomes: An Update Systematic Review Juliana, Mutia; Nurlianto, Yahya
The International Journal of Medical Science and Health Research Vol. 1 No. 2 (2024)
Publisher : International Medical Journal Corp. Ltd

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Abstract

Background:Placenta previa increases the risk of postpartum hemorrhage, leading to maternal deaths. Risk factors include advanced maternal age, multiparity, smoking, and cesarean section. Traditional treatments include hemostatic balloons, surgical sutures, and uterine artery embolization. Methods: Using PRISMA 2020 criteria, this systematic review focused on full-text English literature published between 2014 and 2024. Without a DOI, editorials and review pieces published in the same publication as the submission were rejected. The literature was compiled using various internet databases, including PubMed, ScienceDirect, and SagePub. Result: Following a thorough three-level screening process, seven publications were identified as being closely related to our current comprehensive study. Following that, the entire content was thoroughly reviewed, and these articles were subjected to extra scrutiny. Conclusion: The Society of Obstetrics and Gynecology recommends interventional treatment for placenta previa patients at high risk of hemorrhage, including balloon occlusion, to reduce bleeding, shorten operation time, and reduce postoperative complications.
Kehamilan Tidak Direncanakan Dan Stres Psikologis: Pemicu Persalinan Kurang Bulan - Laporan Kasus Halim, Muhammad Ilham; Nurlianto, Yahya
Action Research Literate Vol. 9 No. 2 (2025): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v9i2.2815

Abstract

Persalinan kurang bulan atau preterm birth merupakan penyebab utama morbiditas dan mortalitas perinatal secara global. Salah satu faktor risiko signifikan yang berkontribusi terhadap kelahiran prematur adalah stres psikologis yang kerap muncul akibat kehamilan tidak direncanakan. Di Indonesia, tingginya angka kehamilan tidak direncanakan pada remaja menjadi perhatian serius, mengingat dampaknya terhadap risiko komplikasi obstetri dan kesehatan mental ibu hamil. Penelitian ini bertujuan untuk menganalisis hubungan antara kehamilan tidak direncanakan dan stres psikologis sebagai pemicu persalinan kurang bulan, serta mengkaji implikasi klinis terkait pencegahan dan intervensi dini. Penelitian ini menggunakan desain studi kasus kualitatif dengan pendekatan fenomenologis. Subjek penelitian adalah seorang remaja 17 tahun dengan kehamilan tidak direncanakan yang mengalami persalinan kurang bulan pada usia kehamilan 30-31 minggu. Data dikumpulkan melalui wawancara mendalam, observasi non-partisipatif, studi dokumentasi medis, dan penggunaan kuesioner tingkat stres. Hasil penelitian menunjukkan adanya hubungan antara kehamilan tidak direncanakan dan peningkatan risiko persalinan prematur akibat stres psikologis yang signifikan. Stres berlebih menyebabkan ketidakseimbangan hormon kortisol dan katekolamin, yang memicu kontraksi uterus prematur dan pecahnya membran ketuban dini. Intervensi berupa konseling psikologis, dukungan sosial, dan edukasi kesehatan reproduksi di kalangan remaja diperlukan untuk menekan angka kehamilan tidak direncanakan dan mencegah komplikasi obstetri seperti persalinan kurang bulan. Implementasi program pendidikan seksual dan akses kontrasepsi juga menjadi kunci dalam mengurangi insiden kehamilan tidak direncanakan di kalangan remaja.