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All Journal Journal Of Nursing Practice Health and Scientific Journal
Pusparini Dwi Arisanti
Poltekkes Kemenkes Malang
Nursing

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Diagnostic Accuracy of the Roll Over Test (ROT) and Mean Arterial Pressure (MAP) for Early Detection of Preeclampsia in Pregnant Women Pusparini Dwi Arisanti; Lumastari Ajeng; Rahajeng Siti Nur Rahmawati; Koekoeh Hardjito
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1005

Abstract

Background: Preeclampsia remains a leading cause of maternal mortality. Early identification of pregnant women at risk is essential to prevent severe maternal and fetal complications. While Mean Arterial Pressure (MAP) and the Roll Over Test (ROT) are used for early detection, there is a need to compare their diagnostic performance in low-resource clinical settings to optimize screening protocols. Purpose: This study aimed to determine the sensitivity and specificity of ROT and MAP in screening for preeclampsia among pregnant women. Methods: This diagnostic observational study used a prospective approach involving 46 pregnant women (gestational age >30 weeks at the Puhjarak Community Health Center, Kediri District. Participants were selected using simple random sampling from a population of 52 eligible pregnant women. Screening was conducted using MAP and ROT, and the occurrence of preeclampsia was evaluated at ≥36 weeks of gestation based on clinical diagnosis. Data were analyzed to calculate sensitivity, specificity, and predictive values. Results: The prevalence of preeclampsia in this study was 17.3%. Both MAP and ROT showed a sensitivity of 75%. However, ROT showed higher specificity (94%) compared to MAP (63%). The PPV for ROT (75%) was also higher than for MAP (30%), Conclusion: There The findings suggest that the ROT may have higher specificity than MAP in screening for preeclampsia. However, further studies with larger samples are needed to confirm these findings.
BREAST CARE FOR POSTPARTUM TO OVERCOME BREAST ENGORGEMENT Pusparini Dwi Arisanti; Ira Titisari
Health and Scientific Journal Vol. 1 No. 1 (2026): Health and Scientific Journal
Publisher : Kampus 4 Prodi Kebidanan Kediri Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/hsj.v1i1.6296

Abstract

Background: Postpartum care is essential because this phase is prone to complications, so health services for postpartum mothers play a crucial role in early detection and prevention of complications. In East Java, the number of postpartum visits has declined over the past three years. In 2024, Kediri Regency ranked second-lowest in complete postpartum care coverage with a score of 58.62%, which is still far from the target of 95%. One aspect of postpartum care coverage is breast examination and the recommendation for exclusive breastfeeding. Problems that occur during breastfeeding include blocked milk ducts, which cause pain, fever, redness, and hardening or swelling of the breasts, which are signs of milk duct blockage. Method: This study employed a descriptive observational design with a case study approach involving Mrs. F P1001, who experienced a blocked milk duct on the fifth day postpartum at the Mojo Community Health Center. Results: The assessment results showed that Mrs. F complained of breast pain, and the breast examination revealed redness and tenderness. The intervention provided included information, education, and communication (IEC) on proper breastfeeding techniques, advising the mother to express breast milk to help empty the breasts, and performing breast care. Conclusion: After breast care was performed, Mrs. F said that the breast pain she felt had decreased
Co-Authors Ira Titisari Koekoeh Hardjito Lumastari Ajeng Rahajeng Siti Nur Rahmawati