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Profile Of Congenital Heart Disease (CHD) Patients In Cirebon, Indonesia: Maternal Passive Smoking Risk : Maternal Passive Smoking Risk Pratiwi, Witri; Puji Rachmawan, Yogi
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 6 No. 1 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol6.Iss1/196

Abstract

Background: Congenital heart disease (CHD) is the most common congenital disorder and a leading cause of infant mortality. Maternal pregnancy history is considered a potential risk factor for CHD. This cross-sectional study aimed to investigate the patient and maternal profile of CHD cases in Cirebon, Indonesia. Methods: The study was conducted at Hasna Medika Cardiovascular Hospital from November 2019 to March 2020, and data were collected through questionnaires and medical records. The study included 28 CHD patients, of whom 57.1% were female, and most had acyanotic CHD (82.1%). Results: None of the mothers had a history of active smoking, but all were exposed to passive smoking. Additionally, 17.9% of the samples had a history of fever during the first trimester, 17.9% took medication during pregnancy, and all consumed vitamins and supplements. Hormonal contraceptive failure accounted for 17.9% of CHD cases, while 7.1% of mothers had gestational hypertension. None of the mothers had gestational diabetes mellitus. Conclusions: The study suggests that passive smoking may be closely related to CHD, but further research is needed to confirm this association. Therefore, it is crucial for pregnant women to avoid exposure to cigarette smoke. Health promotion programs that educate the public about the risks of smoking during pregnancy and infancy are highly encouraged.
Gender Differences in Rheumatic Heart Disease: Data from a District Hospital in Cirebon, Indonesia Alia Hikmayani, Airin; Puji Rachmawan, Yogi; Pratiwi, Witri
Jurnal Health Sains Vol. 6 No. 1 (2025): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i1.1464

Abstract

Rheumatic heart disease (RHD) has a high prevalence in low- and middle-income countries, including Indonesia. Gender is among the sociodemographic factors that can influence RHD prevention and management strategies. This study aims to describe the clinical profile of RHD patients, with a focus on gender differences. This cross-sectional study was conducted at Hasna Medika Cardiovascular Hospital in Cirebon, Indonesia. This study included RHD patients in the outpatient clinics, either who came for routine treatment or were newly diagnosed with RHD. Patients’ demographic and clinical data were collected through medical records from January 2023 to December 2023. A total of 157 patients’ data were analyzed. RHD was more common in women (70.7%) than men (29.3%). The incidence of RHD in women was higher (27.9%) in the age group 60 years old and above than in men (19.6%). The most common valve involved in RHD was the mitral valve, more frequently in women (100%) than men (97.8%), with severe mitral stenosis being the most prevalent valve abnormality in both genders (52.3% in women, 47.8% in men). Women have a higher prevalence of RHD than men. This study emphasises the importance of education and the needed improvement of RHD management strategies, specifically for women, as they have a higher burden of RHD.