Indonesian Midwifery and Health Sciences Journal

DIFFERENCES OF BIRTH WEIGHT AND ONSET OF ACHOLIC STOOL BETWEEN EXTRAHEPATIC AND INTRAHEPATIC CHOLESTASIS

Bagus Setyoboedi, Lasmauli Situmorang, Rendi Aji Prihaningtyas, Sjamsul Arief — Sun, 28 Apr 2024 00:00:00 +0000

Background: Biliary atresia (extrahepatic cholestasis) and neonatal hepatitis (intrahepatic cholestasis) are two main causes of cholestasis. It is important to distinguish the type of cholestasis for determine management. Patient with intrahepatic cholestasis have birth weight lower than extrahepatic cholestasis. Onset of acholic stool in extrahepatic cholestasis usually appear in 15-30 days of first life. The aim of the study to identify differences of birth weight and onset of acholic stool between the type of cholestasis. Method: A retrospective study on cholestasis children aged under 2 years was conducted at Dr. Soetomo General Academic Hospital from January 2012 to December 2016. A thorough history of birth weight and onset of acholic stool were undertaken. Based on histopatology liver biopsy patients were classified into twogroups: I (extrahepatic cholestasis) and II (intrahepatic cholestasis). Result: Statistical analysis of Mann Whitney U was used with p<0.05 being significant. A total of 84 children were included, 55% were male. 40 children suffered from extrahepatic cholestasis (mean age 4.8 ± 2.6 months old) and 44 children suffered from intrahepatic cholestasis (mean age 2.9 ± SD 3.8 months old). The mean birth weight between extrahepatic and intrahepatic cholestasis were 2813 ± 704 gram vs 2717 ± 577 gram) (p=0.29). The mean onset of acholic stool between extrahepatic and intrahepatic cholestasis were 43.0 ± 60.6 days vs 26.6 ± 39.7 days (p=0.27). Conclusion : There is no difference of birth weight and onset of acholic stool between extrahepatic and intrahepatic cholestasis.

MIDWIVES' PERCEPTIONS OF PREECLAMPSIA SCREENING

Febronia Martina Dua Lehang, Aditiawarman, Ivon Diah Wittiarika, Linda Dewanti — Sun, 28 Apr 2024 00:00:00 +0000

Background: Preeclampsia-related maternal mortality is a persistent issue globally, including in Indonesia. The International Federation of Gynecology and Obstetrics (FIGO) recommends universal preeclampsia screening in obstetric services. In Indonesia's NTT Province, pregnant women are screened based on guidelines in the MCH book. Sikka Regency mandates midwives to use the KSPR and MCH manuals for risk factor screening In 2022, 154 out of 9,685 screened pregnant women exhibited signs of preeclampsia risk factors. Despite the reduction in maternal deaths in Sikka Regency, the number of deaths directly linked to preeclampsia increased from one in 2021 to four in 2022. Notably, at Watubaing Public Health Center, two cases of maternal death were specifically attributed to preeclampsia. This underscores a significant gap in midwives' perceptions and clinical practices, elevating maternal mortality risk. This study explores midwives' perceptions of preeclampsia screening. Method: Qualitative research with a phenomenological approach at Watubaing Public Health Center involved three informants selected through purposive sampling, meeting the inclusion criteria. Data collection, conducted from April to July 2023, comprised in-depth semi-structured interviews that were subsequently analyzed thematically. Results: Midwives' expressed divergent opinions on preeclampsia screening, yet a consensus prevailed on its crucial importance. Conclusion: Midwives' perceptions of preeclampsia screening in ANC services are significantly shaped by internal and external factors, including knowledge and experience.

CORRELATION BETWEEN HEIGHT, BMI, MUAC WITH ANEMIA STATUS IN ADOLESCENT GIRLS

Muminah, Rize Budi Amalia , Lestari Sudaryanti , Sulistiawati Sulistiawati — Sun, 28 Apr 2024 00:00:00 +0000

Background: Anemia in adolescents is a health problem that needs immediate intervention in Indonesia. Anemia can caused by malnutrition. protein and iron deficiency will cause nutritional problems including stunted, thinness, and Mid Upper Arm Circumference (MUAC) < 23,5 cm. Protein and iron deficiency can interfere with the formation of hemoglobin resulting in anemia. This study aims to analyze the relationship between status based on height, Body Mass Index (BMI) and MUAC with anemia status at Mambaus Sholihin Islamic Boarding School in Gresik Regency. Method: This research is a quantitative observational analytic with the cross sectional method. The population was adolescent girls in Mambaus Sholihin Islamic Boarding School in Gresik Regency. The sample was 11th and 12th grade senior high school girls with a total of 141 respondents using the total sampling technique. The variables used in this research consisted of height, BMI, MUAC, and anemia. Height data was obtained by using microtoise, BMI using microtoise and scales, MUAC using tape measure plastic, and hemoglobin using the digital tool of Point of Care Testing (POCT) method. The research data were analyzed by chi square test with a contingency coefficient of 95%. Result: The results showed that out of 141 adolescent girls, 66.7% had normal height status, 23.4% were stunted, and 9.9% were severely stunted. In BMI status, 55.3% normal, 14.9% thinness, 15.6% overweight, and 14.2% obese. MUAC status was 79.4% with MUAC â‰¥ 23.5 cm and 20.6% with MUAC < 23.5 cm. Anemia status was 51.8% frail and 48.2% not anemic. After the chi square test, the significance value was obtained (p=0.006), which means that statistically there was a significant relationship between height and anemia, (p=0.003) there was a significant relationship between BMI and anemia, and (p=0.01) there was a significant relationship between MUAC and anemia. Conclusion: There is a relationship between nutritional status based on height, BMI, and MUAC with anemia status in adolescent girls at Mambaus Sholihin Islamic Boarding School in Gresik Regency.

THE CORRELATION OF ADOLESCENT KNOWLEDGE ABOUT FREE SEX PRACTICES WITH THE RISK OF CERVICAL CANCER ON THE MOTIVATION OF HPV VACCINATION AT JUNIOR HIGH SCHOOL 6 SURABAYA

Maria Agatha Arlean, Linda Dewanti, Dewi Setyowati — Sun, 28 Apr 2024 00:00:00 +0000

Background: Cervical cancer had the second position as the leading cause of cancer towards woman in worldwide. The prevalence of cervical cancer in Indonesia reaches 23,4 cases from 100.000 population (Kemenkes RI, 2019). To enhance awareness and knowledge about HPV vaccination and cervical cancer, it is imperative to disseminate information through early health promotion regarding cervical cancer prevention, including HPV vaccination, and avoiding behaviors that may elevate the risk of cervical cancer, such as engaging in unprotected sexual activities. The aim of this study is to determine the correlation between adolescents' knowledge of "Free Sexual Practices with Cervical Cancer Incidence Risk" towards motivation for HPV vaccination at 6 Junior High School Surabaya. Method: The quantitative cross-sectional approach involved 304 students from grades 7, 8, and 9, selected through stratified sampling and was analyzed using the Spearman analysis test. Results: The majority (83.1%) of adolescents in grades 7, 8, and 9 demonstrated good knowledge (83.1%) regarding free sexual practices with the risk of cervical cancer incidence. A considerable number of adolescents (29.9%) in grades 7, 8, and 9 showed a moderate level of motivation. There is a significant correlation between the knowledge level regarding cervical cancer and the risk of cervical cancer incidence concerning motivation for HPV vaccination, with a p-value of 0.000 (p < 0.05). Conclusion: There is a correlation between the knowledge level regarding cervical cancer and the risk of cervical cancer incidence concerning motivation for HPV vaccination at 6 Junior High School Surabaya.

PERCEPTIONS AND EXPERIENCES OF MOTHERS WITH A HISTORY OF EPISIOTOMY ON BARRIERS AND SOCIAL SUPPORT IN BREASTFEEDING

Sun, 28 Apr 2024 00:00:00 +0000

Abstract

Background: Breastfeeding rates in Indonesia have decreased significantly in recent years. In 2021, less than half of babies in Indonesia (48.6 percent) were breastfed in the first hour of life, down from 58.2 percent in 2018. Only 52.5 percent were exclusively breastfed in the first six months, which is a decrease sharply from 64.5 percent in 2018. The success of breastfeeding is determined by several inhibiting and supporting factors, one of which is anxiety due to an episiotomy. Episiotomy is often performed to prevent more severe perineal tearing during labor, but there is controversy regarding the benefits and risks of episiotomy, as well as its impact on breastfeeding practices. Objective: To describe the perceptions and experiences of mothers with a history of episiotomy regarding barriers and support in providing breast milk at 7 days postpartum at Airlangga University Hospital, Surabaya City. Method: This research was conducted using qualitative methods with a phenomenological approach/Interpretive Phenomelogical Analysis (IPA). The method for taking subjects used purposive sampling. This research involved a total of 8 informants. The analysis method used is content analysis. Results: It was found that the perception of mothers with a history of episiotomy regarding breastfeeding and their intention to breastfeed was still low. The experience of providing breast milk varies greatly and mothers tend to be physically and emotionally uncomfortable. Social support is very important for mothers' behavior in providing breast milk. There are physical and psychological barriers associated with episiotomy including pain, physical discomfort, anxiety about health and recovery so that breastfeeding behavior becomes disrupted.

DIFFERENCES IN THE LEVEL OF ANXIETY OF PREGNANT WOMEN IN THE I, II, AND III TRIMESTER

Gading Nurhafiza Rachma, Irwanto Irwanto, Dwi Izzati — Sun, 28 Apr 2024 00:00:00 +0000

Background: Pregnancy is a physiological period that requires various adjustments to the changes that occur and can induce anxiety. Anxiety during pregnancy can be experienced from the first trimester to the third trimester. This anxiety can have negative impacts on both the mother and the fetus. This research aimed to determine the differences in the anxiety levels of pregnant women in the first, second, and third trimesters in the working area of the Gading Surabaya Health Center. Method: This is a quantitative research with an observational analytic method and a cross-sectional design. The study population consists of pregnant women in the first, second, and third trimesters in the working area of Gading Surabaya Health Center. The study involved 100 samples of pregnant women in the first, second, and third trimesters selected using the simple random sampling method. The instrument used is a questionnaire, namely the Perinatal Anxiety Screening Scale (PASS). The analysis method used is the Kruskal-Wallis test. Results: The statistical test results show a p-value (0.023) < α (0.05), indicating a significant difference in anxiety levels among pregnant women in the first, second, and third trimesters. Most pregnant women in the first trimester (56.7%) and second trimester (70.7%) did not experience anxiety symptoms, while pregnant women in the third trimester (51.7%) experienced mild to moderate anxiety. Conclusion: There is a significant difference in anxiety levels among pregnant women in the first, second, and third trimesters.

THE INFLUENCE OF MOTHER'S KNOWLEDGE AND ATTITUDE ON BASIC IMMUNIZATION COVERAGE

Sun, 28 Apr 2024 00:00:00 +0000

Background: Basic Immunization is the administration of vaccines to infants aged 0-18 months. The success of the basic immunization program in infants is supported by the important role of parents who are responsible for their babies Objective: To determine the influence of mothers' knowledge and attitudes on basic immunization coverage. Methods: The research design used was correlational analysis with a cross sectional approach. The sampling technique used is total sampling. The population and sample of all babies aged 12-59 months at the Mande Health Center in September 2023 amounted to 58 people. The instruments used are questionnaires and leaflets. Analyze data with Chi Square. Results: 58 mothers who had babies were obtained in 14 babies with incomplete immunization status, there were 3 (21.4%) mothers who had less knowledge and 11 (78.6%) mothers who had good knowledge. Meanwhile, in 44 mothers with complete immunization status, 42 (95.5%) mothers have a confident attitude towards immunization, while 2 (4.5%) mothers have an unsure attitude towards immunization. Conclusion: There is an influence of maternal knowledge and attitudes with basic immunization status in Jamali Village.

THE RELATIONSHIP BETWEEN PREGNANT WOMEN'S ATTITUDES AND COMPLIANCE WITH INTEGRATED ANTENATAL CARE VISITS AT SINGOSARI HEALTH CENTER, MALANG REGENCY

Serly Dwijayanti, Herawati Mansur , Dwi Yuliawati — Sun, 28 Apr 2024 00:00:00 +0000

Background: Integrated Antenatal Care is a 10 T standardized pregnancy examination to facilitate the development of mother and baby and detect complications. The purpose of this study was to analyze the relationship between attitude and compliance of pregnant women to conduct Integrated Antenatal Care visits. Methods: The research design was correlation analytic with cross sectional approach. The population was all pregnant women who made Integrated Antenatal Care visits in July 2023, using purposive sampling technique obtained a sample of 44 respondents. The instrument used was a questionnaire of the attitude of pregnant women and a checklist of pregnant women's data from the Maternal & Child Health book and cohort. Chi Square test is used to analyze the relationship between variables. Research results: Most of the 59% of pregnant women have a negative attitude towards Integrated Antenatal Care and 61% of pregnant women are not compliant with Integrated Antenatal Care . The results of chi square analysis of the relationship between the attitude of pregnant women with compliance with Integrated Antenatal Care visits obtained the result of p = 0.000 (α < 0.05). Conclusion: There is a relationship between the attitude of pregnant women and compliance with Integrated Antenatal Care at Singosari Health Center, Malang Regency. The results of the study can be used as a basis for developing or comparing other factors that affect the compliance of pregnant women to conduct Integrated Antenatal Care visits.

THE CORRELATION OF FAMILY SUPPORT WITH THE LEVEL OF ANXIETY OF PRIMIGRAVIDA PREGNANT WOMEN IN FACING LABOR

NARESWARI NUGRAHA, CANDRA DEWI NATANINGTYAS — Sun, 28 Apr 2024 00:00:00 +0000

Introduction Anxiety in pregnant women is a common psychological condition where mothers feel anxious, restless, or worried about pregnancy, childbirth, or their future as a mother. This anxiety can be caused by various factors, including hormonal changes, physical changes that occur during pregnancy, uncertainty about the birthing process, feelings of not being ready to become parents, and concerns about the health of the baby and oneself. The purpose of this study is to examine the connection between primigravida pregnant women's anxiety levels and their amount of support from their families when it comes to giving birth. Method :This research design method uses a cross-sectional design. The population in this study was 75 third-trimester primigravida pregnant women. The total sample was 56 respondents using the purposive sampling technique. The sample was determined based on inclusion criteria, namely pregnant women who were willing to be respondents and pregnant women in the third trimester without complications. The analysis test used uses Spearman rho correlation. Result Analysis test results using Spearman rho correlation show a correlation value (r) = 0.716 with a p value of 0.000, where p < α (α = 0.05). This means that H1 is accepted and H0 is rejected. The results of this study can be concluded that family support is correlated with the level of anxiety of primigravida pregnant women. Based on this research, it is recommended that families can provide family support to primigravida pregnant women before delivery. Conclusion : the majority of primigravida pregnant women receive high family support and have mild levels of anxiety.

THE PERINATAL ANXIETY SCREENING SCALE (PASS) ASSESSMENT OF HIGHRISK PREGNANT WOMEN

Siti Mardianingsih, Rosa Mutianingsih, Baiq Tuhu Abdiani; zulhadi fatawi — Sun, 28 Apr 2024 00:00:00 +0000

Background: Psychological changes in pregnant women can be caused by hormonal imbalances. Imbalance can give rise to an anxiety response caused by conditions within oneself and the environment. Excessive anxiety can stimulate uterine contractions which can lead to pathological risks in the pregnancy. The aim of this research is to determine the anxiety and psychological domains of high-risk pregnant women. Method: The research design was descriptive research with a sample size of 30 pregnant women who had a history of high risk in Batu Kute village, Narmada subdistrict using cluster sampling technique. The instrument used was the PASS (perinatal anxiety screening scale) questionnaire. Result: The research results obtained were that most pregnant women experienced anxiety on a mild - moderate scale with a percentage of 70% experienced by mothers in the first and third trimesters of pregnancy. is in the domain category of excessive worry and specific fear as much as 57% and anxiety and active adjustment as much as 23.3%. The level of anxiety of pregnant women in the first trimester is due to the adaptation process to changes in a woman and will increasingly increase in the third trimester of pregnancy leading up to delivery. Conclusion: Anxiety conditions with or without previous symptoms will increase in high-risk third trimester mothers because they feel anxious about the condition of themselves and their fetus. If not treated, it will pose a risk to the mother, fetus and the birth process that will occur.