Indonesian Midwifery and Health Sciences Journal

SAFETY OF PREGNANT WOMEN DURING THE COVID-19 PANDEMIC BY USING THE TELEHEALTH APPLICATION: A SYSTEMATIC REVIEW

Iva Satya Ratnasari, Indah Rahmaningtyas, Finta Isti Kundarti — Thu, 28 Jul 2022 00:00:00 +0000

Abstract

Introduction: The COVID-19 pandemic has affected the routine access of pregnant women to do ANC visits at health facilities. Various midwifery services have changed and developed through telehealth. Objectives: Analyze the effect of telehealth applications on pregnant women's safety during the COVID-19 pandemic through a systematic review. Methods: This study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The literature was carried out using keywords and Boolean operators through Pubmed, ProQuest, Science Direct, and Wiley Library databases with the publication year from December 2019 to January 2022. Results: 5 articles met the inclusion criteria. Two studies were conducted in the United States. Studies were also conducted in Australia, Poland, and China. The use of telehealth was safe to apply to pregnant women to carry out pregnancy care during the COVID-19 pandemic because telehealth services increase patient access to health care providers. A total of 3 articles described that the use of telehealth compared to general face-to-face care did not lead to worse pregnancy outcomes and could reduce the spread of the COVID-19 virus among pregnant women. Conclusion: The use of telehealth was safe for pregnant women to carry out pregnancy care during the COVID-19 pandemic and beyond. Although the use of telehealth had limitations such as difficulties in conducting a comprehensive physical examination and the possibility of obstacles in the use of technology, telehealth could continue to be developed in addition to and complement in-person visits. Further research could be done by minimizing bias in retrospective studies.

Keyword : COVID-19, Patient safety, Pregnancy, Telehealth

THE PREGNANT FACTORS OF ANXIETY IN PREGNANT MOTHERS DURING THE COVID-19 PANDEMIC : A SYSTEMATIC REVIEW

Thu, 28 Jul 2022 00:00:00 +0000

Introduction: The COVID-19 pandemic has a negative impact on the mental health of pregnant women. Women are prone to psychological problems such as fatigue, emotional disturbances, mood disorders and anxiety disorders. Anxiety of pregnant women must be prevented so as not to cause negative impacts on pregnant women and their fetuses. Objectives: The purpose of this study is to identify the triggers for anxiety in pregnant women during the COVID-19 pandemic based on a systematic review. Method: The method used to search in PubMed, ProQuest, Google Scholar with the publication year starting 2020-2021. The critical appraisal used is The Joanna Briggs Institute JBI. Results: 20 articles met the inclusion criteria. Research and studies were conducted in China, Iran, Canada, Turkey, Indonesia and the USA. Anxiety trigger factors are identified into 2, namely threats to physical integrity and threats to the integrity of one's own system. Threats to physical integrity consist of age, parity, physical activity, trimester of pregnancy, pregnancy complications, food availability, COVID-19 prevention efforts. Threats to the integrity of the self system consist of education, occupation, history of depression, unplanned pregnancy, family income, location of residence, presence of caregivers, health facility services, COVID-19 information, life partners, social support, counseling, telemedicine and insurance services. Discussion and conclusion: There are many factors that cause anxiety during a pandemic. There is a need for new identification to identify risk factors for anxiety in pregnant women so that more comprehensive prevention efforts can be carried out involving various health professions in the service.

Keywords: Pregnancy, Anxiety Triggers, COVID-19

THE EFFECT OF AUDIO VISUAL MEDIA ON IMPROVING KNOWLEDGE REPRODUCTIVE AND SEXUAL HEALTH RIGHTS

Wahyulia Rizqia Umami, Zakiyatul Faizah, Ratna Dwi Jayanti — Thu, 28 Jul 2022 00:00:00 +0000

Background: Social norms that assume that talking about reproductive health is taboo and that basic

education is often misunderstood can encourage adolescents to engage in uncontrolled sexual behavior.

Lack of knowledge regarding the importance of reproductive health can increase deviations in social

behavior. The number of early marriages that occurred in Ponorogo increased by about 50 percent in the

range from January to August 2020. The purpose of the research was to know about the effect of audiovisual

media on improving knowledge about reproductive and sexual health rights in SMK N 1 Ponorogo.

Methods: The design of this study is quasi-experimental with the research design of the pretest-posttest

questionnaire with control group design. The total sample of 84 respondents was taken using a simple

random sampling technique. The population used is class XII students of SMK N 1 Ponorogo. The sample

used met the inclusion criteria, namely a healthy state, class XII and was willing to be a respondent. The

independent variable is education using audio-visual media about reproductive and sexual health rights

and the dependent variable is the level of knowledge. The collected data were analyzed using the Wilcoxon

Signed Rank Test. Results: There was an influence of providing education through audio-visual media on

increasing knowledge about reproductive and sexual health rights in the experimental group after being

given audio-visual media on health education with a p value (0.001). Conclusions: Providing audio visual

media about reproductive health education can improve knowledge and information in adolescents.

Keywords : knowledge, reproductive and sexual health rights, audio-visual media

THE CORRELATION OF INFORMATION MEDIA ABOUT ADOLESCENT ANEMIA WITH INTEREST IN COMPLEMENTARY OR PHARMACOLOGY THERAPY

Nur Maziyah Hurin'in, Tri Yunita Fitria Damayanti, Nur Cholila — Thu, 28 Jul 2022 00:00:00 +0000

Background: Factors that cause anemia are diet, blood loss, chronic infection, micronutrients, or congenital abnormalities of red blood cells or Hb. Iron deficiency is a common cause of anemia, iron deficiency occurs when there is inadequate intake and absorption of iron even though iron is very important for the growth of human cells, especially during adolescence. This study aims to analyze the relationship between information media and interest in choosing complementary therapies or pharmacology if symptoms occur or anemia is diagnosed. Methods: This was a cross-sectional analytic research. The research population was all Midwifery Students of the Nahdlatul Ulama Institute of Health Tuban 2nd semester Age 18-23 years, data collection was carried out in April 2022. The sample size was calculated using the slovin formula, obtained 46 samples, side technique using simple random sampling. The instrument used is a questionnaire via google form which has been tested for validity and reliability. Analysis of the data used was the Contingency Coefficient with an alpha value of 0.05 using SPSS. Results: Almost half of the respondents (26.1%) who received information about anemia from electronic media were interested in using pharmacological therapy for anemia and almost half of the respondents (30.4%) who received information from print and electronic media were interested in choosing pharmacological therapy for anemia. Data analysis using contingency coefficients showed an insignificant relationship p = 0.938 (> 0.05) between information media about adolescent anemia and interest in complementary or pharmacology therapies,. Conclusion: possible environmental factors that could influence a person's behavior of interest in choosing complementary or pharmacology therapies.

Keywords: Anemia, complementary, information media, pharmacological therapy

FACTORS ASSOCIATED WITH ACUTE RESPIRATORY TRACT INFECTION PNEUMONIA IN TODDLERS

Ayu Citra Gestari, Dwiyanti Puspitasari, Muhammad Miftahussurur — Thu, 28 Jul 2022 00:00:00 +0000

Abstract

Background: Most of the deaths of children under five in the world occur due to respiratory tract infections, especially in the lower respiratory tract. Pneumonia is one of the biggest causes of infant mortality in the world. Objective: The purpose of this study was to determine several factors that influence acute respiratory tract infections with pneumonia in children under five. Methods: Case control research design was used with statistical analysis of Chi Square test bivariate and multivariate logistic regression analysis which had a significance of 5%. Data collection using simple random sampling technique. Results: The variables that have the greatest significant value are immunization status and exclusive breastfeeding status. Toddlers with incomplete immunization have a 2.876-fold risk of being infected with pneumonia compared to toddlers who are fully immunized. Breastfeeding that is not exclusive is at risk of infection with pneumonia 3.111 times that of toddlers who are given exclusive breastfeeding. Conclusion: Exclusive breastfeeding status and immunization status are the most influential variables on acute respiratory tract infection with pneumonia.

Keywords: pneumonia, exclusive breastfeeding, immunization

THE EFFECT OF VIDEO DISPLAYING ON STUDENTS’ KNOWLEDGE ABOUT HIV/AIDS

Ika Dwi Martanti, Samsriyaningsih Handayani — Thu, 28 Jul 2022 00:00:00 +0000

Background: Human immunodeficiency virus (HIV) is a virus that weakens the immune system and ultimately causes acquired immunodeficiency syndrome (AIDS). Based on the integrated biological and behavioral survey (IBBS) in 2015, adolescents' knowledge regarding the correct understanding of HIV prevention was still low. Knowledge is important as a first step towards HIV / AIDS prevention among adolescents. One of the steps to overcome this problem is by disseminating knowledge and information through lecture. Methods: The research was conducted at SMK 17 Agustus 1945 Surabaya. Data collection is carried out in February 2020 – January 2021. This type of research was quasi experimental. The sampling method used was consecutive sampling. The sample size was 32 respondents. Providing material is done online using zoom cloud meetings. The pretest and posttest data collection was done by students online using google form. The analysis in this study used univariate and bivariate analysis. The data collected and processed were then analyzed using the Chi-square test. Analyses: The results of the analysis test in the control group obtained a p-value of 0.941 while in the intervention group a p-value of 0.699 was obtained. Conclusion: There is no difference in knowledge of adolescents about HIV / AIDS in the control and intervention groups.

Keywords: knowledge, adolescents, HIV / AIDS

THE RELATIONSHIP BETWEEN EDUCATION AND EMPLOYMENT WITH PRE-MARRIAGE HEALTH CHECK COMPLIANCE ON PROSPECTIVE WOMEN

Umu Qonitun, Mariyatul Qiftiyah, Erna Eka Wijayanti, Dewi Tri Purwaningsih — Thu, 28 Jul 2022 00:00:00 +0000

Background : Bride and groom are a strategic target group in an effort to improve health before pregnancy. Premarital health examination is an effort to avoid maternal illness/death. Education and occupation are assessed to affect the compliance of premarital partners in premarital examination, pregnancy, childbirth and after delivery.The purpose of this study was to determine the relationship between education and work with compliance with premarital health examinations for prospective brides (CPW) at Plumpang Health Center, Tuban Regency. Method : analytical research. With the independent variable education and occupation and the dependent variable compliance who perform premarital health checks, using a cross sectional approach with a population of 50 CPW, sample 44 CPW. The sampling technique used random sampling and data collection using the Catin Visit Register measuring instrument and the Chi Square statistical test. Results: the research conducted at 50 CPW calculated the Pearson chi square statistical test, the results obtained a significance value of p = 0.003 so that it is smaller than the alpha value = 0.05 (p = 0.003 < = 0.05). Then H0 is rejected and Ha is accepted which means there is a relationship between Education, Employment and Compliance with Pre-Marriage Health Checks at the Plumpang Health Center, Tuban Regency. Conclusion : that there was a relationship between education, work and compliance with pre-marital health examinations at the Plumpang Health Center, Tuban Regency.

keyword : Education, employment, bride, premarital health

ANTENATAL CARE AND MATERNAL OUTCOME OF PREECLAMPSIA

Nurul Mardiyah, Ernawati Ernawati , Wahyul Anis — Thu, 28 Jul 2022 00:00:00 +0000

Background: In Indonesia, preeclampsia is the second most common cause of maternal death. One of the government's steps to reduce it by antenatal care policy. This study aimed to analyze whether the frequency of antenatal care and antenatal health care facilities are assosiated with maternal mortality and morbidity of preeclampsia patients treated at a tertiary hospital in Surakarta. Methods: Analytic observational study with a cross-sectional design using secondary data. The sample was preeclampsia patients at RSUD Dr.Moewardi Surakarta from January to December 2019 who were taken by total sampling. Independent variables are frequency of antenatal care and antenatal health care facilities, dependent variables are maternal mortality and morbidity. Data analysis using Chi-Square Test. Results: From 182 samples, antenatal care frequency average was 7,5 times (range: 0-16 times), the most antenatal healthcare facilities were advanced health facilities (85,5%), maternal mortality was 1,6%, and morbidity was 71,4%. Frequency of ANC was not associated with maternal mortality (p=1,000), frequency of ANC was not associated with morbidity of preeclampsia (p=1,000), antenatal healthcare facilities were not associated with maternal mortality (p=1,000), antenatal healthcare facilities were not associated with morbidity of preeclampsia (p=0,223). Conclusion: The frequency of antenatal care and antenatal healthcare facilities were not associated with maternal mortality and morbidity due to preeclampsia.

Keywords: antenatal care, maternal outcome, preeclampsia

UTILIZATION OF TELEHEALTH IN MIDWIFERY SERVICES DURING THE COVID-19 PANDEMIC: A QUALITATIVE STUDY

Avina Oktaviani Algifnita, Ivon Diah Wittiarika — Thu, 28 Jul 2022 00:00:00 +0000

Background: The COVID-19 pandemic has a significant impact on midwifery services, especially in Midwife Self-Practice. The government, Dinas Kesehatan, and professional organizations released many health protocols, urging all activities at home as well as regional restrictions to limit the spread of COVID-19. This leads to a slowdown in access to health services, especially midwifery. Telehealth services are recommended by the government and must be implemented in every health facility to strive to improve the quality of health. Midwives are one of the vanguards in and in maternal and child health services that can utilize telehealth in their services in Midwife Self-Practice during the COVID-19 pandemic. Objective: To analyze the influence of telehealth utilization in midwifery services during the COVID-19 Pandemic. Method: A qualitative phenomenology with data collection method through a semi-structured in-depth interview conducted in March-April 2021 at The Midwife Independent Practice in Surabaya. The study participants were midwives who owned The Independent Practice of Midwives using purposive sampling techniques. Result: During the COVID-19 pandemic, two themes were obtained, namely the utilization of telehealth and the influence of telehealth in obstetric services. Conclusion: Midwives believe that there is a positive influence in the use of telehealth, in addition to being profitable, it can also be used as an alternative in midwifery services during the COVID-19 pandemic.

Keywords: Health Policy, Telehealth, Maternal Health, COVID-19

THE EFFECT OF SUPPORTING ON ADHERENCE TO FE TABLET CONSUMPTION IN ADOLESCENT WOMEN

Rosda Rodhiyana, Rize Budi Amalia , adityawarman adityawarman — Thu, 28 Jul 2022 00:00:00 +0000

Background: In Indonesia, the TTD (Tablet Tambah Darah) supplementation program has been carried out in various ways and strategies. Anemia in adolescent girls is still one of the problems that must be solved. In addition to knowledge, factors that can affect the level of compliance indicate that support affects changes in attitudes and behavior in the consumption of Fe tablets. This study aims to analyze the compliance of tablet consumption in adolescent girls in Islamic boarding schools as a strategic effort to determine health policy among female students. Methods: The research method is a cross sectional study; the sampling technique is total sampling with the results of 180 female students. The independent variable is support from the pesantren, while the variable is compliance with Fe tablet consumption. The instrument used is a questionnaire. Data analysis used Spearman Rho test with p value < 0.05. Results: The results showed that there was no relationship between the supporting variables (p=0.222) on the level of adherence to Fe tablet consumption in adolescent girls in Islamic boarding schools Ar-Rohmah Ngawi. Conclusion: The data shows that there is no effect between the support of the pesantren and the level of adherence to the consumption of Fe tablets in adolescent girls.

Keywords: TTD supplementation, anemia for adolescent girls, female students, support, compliance

Front Matter

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Back Matter

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