Health Status Of Pregnant Women Research Articles

Validity and reliability of the Polish version of the Pregnancy Mobility Index (PMI-PL).

Mobility, defined as active, controlled, multi-joint flexibility used in movement, is limited in pregnant women due to problems with low back pain (LBP) and pelvic girdle pain (PGP). The Pregnancy Mobility Index (PMI) is a tool for assessing mobility in relation to LBP/PGP. The lack of a Polish version of the PMI test prompted a transcultural adaptation to the Polish conditions. The aim of the study was to evaluate the measurement properties of the Polish adaptation of the Pregnancy Mobility Index. The study involved 121 pregnant women aged 18-44. The translation process was in accordance with the transcultural adaptation design. Reliability was assessed by intraclass correlation coefficient (ICC). Construct validity between the Polish version of the PMI (PMI-PL) and the Physical Activity Pregnancy Questionnaire (PPAQ-PL) was assessed by Spearman's rank correlation coefficient. The transcultural adaptation of the PMI test into Polish was satisfactory, with high internal consistency (Cronbach's alpha = 0.97-0.98, ICC = 0.989). Statistically significant inverse proportional correlations were found for total PA, total PA (light and above), light PA, moderate PA, and vigorous PA in the construct validity analysis between PMI-PL and PPAQ-PL. The Polish version of the PMI is a reliable instrument. The introduction of a questionnaire with a classification system will make it easier for health professionals to monitor the health status of pregnant women and encourage them to engage in physical activity appropriate for their current level of mobility.

A Survey of Lithuanian Pregnant Women's Knowledge about Periodontal Disease, Its Prevalence and Possible Influence on Pregnancy Outcomes.

Background: This study aimed to subjectively assess the changes in the oral health status of pregnant women, to find out their attitudes and knowledge about possible changes in the oral cavity that occurred during pregnancy, and their influence on the outcomes of pregnancy. Methods: 112 pregnant women who visited the Republican Siauliai Hospital during their pregnancy participated in the study. An anonymous self-administered questionnaire was used to conduct the research, surveying their demographic characteristics, oral health changes and habits during pregnancy, and awareness of possible negative pregnancy outcomes. Results: The study involved 112 pregnant women, with 35 in the first trimester, 28 in the second, and 48 in the third trimester. The findings revealed that pregnant women do not take sufficient care of their oral health: more than half of the respondents did not visit an oral care specialist during pregnancy; 22.3% of women reported brushing their teeth only once a day or less; and 35.7% did not clean interdental surfaces at all. Statistically, significantly more urban women believed there is a relationship between maternal oral health and adverse pregnancy outcomes than women living in rural areas (p = 0.013). While significant oral health changes were not observed in the first trimester, more women in the second and third trimesters reported issues such as bleeding gums, swelling, plaque accumulation, tartar, and caries (p < 0.001). Conclusions: The attitude of women towards oral health during pregnancy and their understanding of the possible risks for unfavorable pregnancy outcomes are insufficient. Notably, oral health issues become more prominent in the second and third trimesters, necessitating appropriate oral care to reduce the incidence of oral and dental diseases during pregnancy. This underscores the importance of educational and preventive public health policies focused on oral care for pregnant women, aimed at increasing awareness and promoting practices that safeguard both maternal and fetal health.

Nutrition Education and Nutritional Status of Chronic Lack of Energy Pregnant Women in PUSKESMAS Work Areas Throughout Kupang City

One of the indirect causes of preventable maternal and child mortality is the health status of pregnant women. Pregnant women with SEZ conditions are at risk of experiencing decreased muscle strength, which is needed in the process of labor so that it can result in fetal death, premature birth, birth defects, low birth weight babies, short birth babies and even infant death. The design used is quantitative with a cross sectional approach with univariate and bivariate analysis using the Chi-Square test. The population of this study were all pregnant women who did pregnancy checks at the Puskesmas in Kupang City in 2022. Sample technique using purposive sampling technique. This study was conducted from January to December 2022. The results showed that of all pregnant women who were given nutrition education in the form of counseling and provision of additional food, most experienced weight gain. In contrast to the increase in LiLA, although there is a change in the size of LiLA after being given education, there are still pregnant women who do not experience changes in LiLA. The statistical test results obtained a p-value &lt;0.005, which means that there is a relationship between the provision of nutrition education and the improvement of the nutritional status of pregnant women with SEZ. It is expected for health workers to carry out special monitoring of pregnant women at risk of SEZ in conducting health checks and consuming additional nutritionally balanced foods.

Development of an Android-Based Application to Prevent Baby-Born Stunted

INTRODUCTION: Stunting is still a problem for infants under five years old in Indonesia. One solution to improve the health status of pregnant women to prevent the child born stunting in the digital era is to design an application called ACALS, the &amp;ldquo;Aplikasi Cegah Anak Lahir Stunting&amp;rdquo; (ACALS)/ Application for preventing the birth of children with stunting. The application was created as an innovation and strategy for preventing and handling stunting. This study aims to evaluate the design and structure of ACALS as an application used to support the optimization of antenatal care for pregnant women. METHODOLOGY: The research design is Research and Development to evaluate the quality of innovative products in applications with user authority for pregnant women. This research was conducted in 2019 at the Jonggol Community Health Center, Bogor Regency, West Java, Indonesia. Through this research, a smartphone-based application called the ACALS/ Application was designed to prevent the birth of children with stunting, which was developed based on the Ministry of Health&amp;#39;s MCH Handbook. RESULT: The application is considered high quality based on its evaluation of all dimensions, which include completeness, correctness, security, timeliness, benefits, efficiency, reliability, and usability. Therefore, the design and structure of ACALS have been significantly developed. CONCLUSION: It was concluded that ACALS is very beneficial for pregnant women during pregnancy as a means of monitoring and supporting the optimization of antenatal care to prevent the birth of stunted babies.

Effects of personalized oral hygiene management on oral health status of pregnant women.

The Cariostat caries activity test (CAT) was used to evaluate the effectiveness of personalized oral hygiene management combining oral health education and professional mechanical tooth cleaning on the oral health status of pregnant women. To investigate whether personalized oral hygiene management enhances the oral health status of pregnant women. A total of 114 pregnant women who were examined at Dalian Women's and Children's Medical Center were divided into four groups: High-risk experimental group (n = 29; CAT score ≥ 2; received personalized oral hygiene management training), low-risk experimental group (n = 29; CAT score ≤ 1; received oral health education), high-risk control group (n = 28; CAT score ≥ 2), and low-risk control group (n = 28; CAT score ≤ 1). No hygiene intervention was provided to control groups. CAT scores at different times were compared using independent samples t-test and least significant difference t-test. No significant difference in baseline CAT scores was observed between the experimental and control groups, either in the high-risk or low-risk groups. CAT scores were reduced significantly after 3 (1.74 ± 0.47 vs 2.50 ± 0.38, P < 0.0001) and 6 months (0.53 ± 0.50 vs 2.45 ± 0.42, P < 0.0001) of personalized oral hygiene management intervention but not after oral health education alone (0.43 ± 0.39 vs 0.46 ± 0.33, P > 0.05 and 0.45 ± 0.36 vs 0.57 ± 0.32, P > 0.05, respectively). Within groups, the decrease in CAT scores was significant (2.43 ± 0.44 vs 1.74 ± 0.47 vs 0.53 ± 0.50, P < 0.0001) for only the high-risk experimental group. Personalized oral hygiene management is effective in improving the oral health of pregnant women and can improve pregnancy outcomes and the oral health of the general population.

Content and features of Mobile health (mHealth) for mother and child nutrition in the first 1000 days of life (family based intervention): A systematic review.

Background: Improving mother and child nutrition during the first 1000 days of life (DoL) is one of the major areas where mHealth has demonstrated great promise. A lot of mHealth is already used in society. However, no study examines the content and features of mobile health. Aim: This study aims to examine the difference in content and features of mHealth intervention for maternal and child nutrition throughout the first 1000 days of life. Thus, new apps can be enhanced. Methods: The online journal databases that offer free papers from Scopus-indexed journals published in 2017-2022 served as the primary sources for the literature included in this study. Several keywords were used in the literature search, which used the databases Google Scholar, Science Direct, and PubMed. A total of 8 articles were included in the literature review. Results: Existing mHealth provides content and features to support and improve the health status of pregnant women, breastfeeding mothers, and children aged 0-24 months. mHealth interventions have the potential to improve maternal and child nutrition health in the first 1000 days of life by providing education, communication, support, data collection and analysis, cultural appropriateness, accessibility, and capacity building for health workers. However, it is crucial to address challenges such as evidence-based design, privacy and security, sustainability, and data management, and to ensure cultural appropriateness and accessibility for all populations. Conclusions: The more complete the content, features, and uses of mHealth, the greater the users' acceptance.

The effect of family empowerment on hemoglobin levels in pregnant women

Empowering families can enhance their ability to detect high-risk pregnancies early, which can improve the health status of pregnant women. This study aimed to analyze the effect of the family empowerment model on the hemoglobin levels of pregnant women. It employed a quasi-experimental method with a cross-sectional study approach, implementing a family empowerment intervention to examine its impact on the health of pregnant women. Sampling was conducted using probability sampling with simple random sampling, resulting in 60 pregnant women divided equally into an intervention group and a control group. The independent variable was the family empowerment model intervention, and the dependent variable was the hemoglobin level of the pregnant women. Data were collected using a questionnaire and analyzed with the Wilcoxon test statistic, which indicated a significant effect (p=0.000) of the family empowerment model on the hemoglobin levels of pregnant women. The statistical analysis revealed that the intervention group’s hemoglobin levels showed a significant difference (p&lt;0.05) before and after the intervention. In summary, the treatment involving the family empowerment model significantly affected the hemoglobin levels in pregnant women. After the intervention, nearly all respondents demonstrated increased family involvement in maintaining and caring for pregnant women, facilitating the early detection of high-risk pregnancies, and contributing to increased hemoglobin levels among these women.

THE EFFECT OF THE OREM MODEL APPROACH ON KNOWLEDGE AND ATTITUDE OF PREGNANT WOMEN IN REDUCING THE INCIDENCE OF SEVERE PREECLAMPSIA (PEB) DURING THE PANDEMIC AT THE NORTH CIMAHI HEALTH CENTER

Background : One of the causes of maternal death is preeclampsia, the high incidence of preeclampsia in Indonesia cannot be separated by several factors such as low education and lack of health awareness. The role of nurses in this case: is to carry out promotive efforts by carrying out health promotions to pregnant women about preeclampsia, Self Care Orem theory with the main focus on seeing how a person maintains his health and welfare can be applied through health education as an effort to increase knowledge and attitudes of pregnant women. Objectives : This study aims to determine the effect of the Orem model approach on the knowledge and attitudes of pregnant women about preeclampsia at the North Cimahi Health Center. Methods : This research method is quasi-experimental quantitative research with a one-group pretest-posttest design. The sample is 55 respondents using the purposive sampling technique. The instrument is a knowledge and attitude questionnaire about preeclampsia. Result : The results of this study indicate that half of them, 30 respondents (54.4%) have good knowledge and almost all 46 respondents (83.6%) have a positive attitude. Based on the analysis of the Marginal Homogeniety and Mcnemar test, the value of p = 0.000 &lt; (0.05). Conclusions : Concluded that there is an effect of the Orem model approach on the knowledge and attitudes of pregnant women regarding preeclampsia. The results of this study are expected to be used as a reference and basis for improving the health status of pregnant women, especially in preventing preeclampsia.

Determinants of health-promoting behaviors in pregnant women.

The aim of the study was to examine the relationship between social support, marital dissatisfaction, psychological factors, and health-promoting behaviors in pregnant women. This cross-sectional study was conducted on 1,265 pregnant women who visited the outpatient clinic of a maternity hospital between May and August 2023. The Health Promotion Lifestyle-II Questionnaire was used to measure the healthy lifestyle behaviors of pregnant women. The mental health status of pregnant women was measured using the Depression Anxiety and Stress Scale-21. The Marital Disaffection Scale was used to assess the level of disaffection toward a spouse. Perceived social support was measured by the Multidimensional Perceived Social Support Scale. Pregnant women had a mean age of 26.46±5.09 years. Multivariate linear regression analysis revealed that there was a positive association between perceived social support and health-promoting behaviors. It was also found that marital disaffection was negatively associated with health-promoting behaviors (p<0.001). The present study suggests that stress, anxiety, depression, and marital disaffection are negatively associated with health-promoting lifestyle behaviors, while social support is positively associated with the adoption of health practices in pregnant women. Understanding the complex interplay between psychosocial factors and healthy behaviors is crucial to improving healthy behaviors in pregnant women.

ИСХОДЫ БЕРЕМЕННОСТИ И РОДОВ У ЖЕНЩИН В ПЕРИОД ПАНДЕМИИ COVID-19

Significance. The consequences of Covid-19 coronavirus infection, including in pregnant women, are currently being studied in depth. Analyzing pathological conditions in women during pregnancy against the background of Covid-19 and the outcomes of birth is important for understanding the consequences of the pandemic. A study on health status of pregnant women and the outcomes of birth makes it possible to develop targeted interventions to prevent undesirable consequences and to preserve the life of women and newborns. The purpose of the study is to analyze pregnancy and birth outcomes in women with Covid -19. Material and methods. The authors analyzed the archived labour and delivery records for 2020-2021 at the City Clinical Hospital No.7 of the Ministry of Health of the Udmurt Republic and Maternity Hospital No.5 in Izhevsk, repurposed to provide medical care to pregnant women, women in labor, new mothers and newborns with Covid -19. Analytical and statistical methods of research were applied. Results. The study shows that during the Covid-19 pandemic, Covid-19 incidence among pregnant women also increased. Premature births were most often (increased from 16.2% in 2020 to 18.1% in 2021) registered in women admitted to Maternity Hospital No.5 in Izhevsk. Over the same period, delivery by caesarean section increased from 40.2% to 49.7%. An increase in cases of severe coronavirus infection in pregnant women (from 1.6% in 2020 to 4.7% in 2021) and confirmed cases of Covid -19 in newborns immediately after birth (from 73.9% in 2020 to 80.3% in 2021) is noteworthy. Covid -19 was increasingly associated with severe pre-eclampsia (from 8.5% in 2020 to 11.7% in 2021) and an increase in stillbirths (from 16.9 in 2020 to 23.1 per 1000 births in 2021). In this regard, the frequency of hospitalization of pregnant women to the intensive care unit increased from 3.4% to 7.8%. Conclusion. In the period from 2020-2021 in the Udmurt Republic there was an increase in the frequency of hospitalization of pregnant women to the intensive care unit, as well as delivery by caesarean section. Against the background of severe course of Covid-19 coronavirus infection, there was an increase in the number of transfers of women to the intensive care unit (from 17.4% in 2020 to 20.2% in 2021), premature births (from 16.2% in 2020 to 18.1% in 2021), thromboembolic complications (from 0 in 2020 to 5.8% in 2021) and other complications of pregnancy, emphasizing the need to analyze cases of diseases in comparison with the labour and delivery medical records to develop preventive measures. Scope of application. The study results can be used in the development of preventive measures.

Pre-eclampsia risk monitoring and alert system usingmachine learning and IoT

After 20◦weeks of gestation, pre-eclampsia is characterized by newly developing hypertension. Preventative interventions only moderately lower a woman’s risk of pre-eclampsia due to its prevalence, the risk variables that have been found to be accurate in predicting its beginning, and the occurrence of pre-eclampsia. The signs and symptoms typically become visible toward the end of pregnancy (late second to early third trimester). Some of these tests are straightforward, while others are invasive; some have undergone significant research, while others are still being investigated in clinical settings. Pre-eclampsia has been linked, in particular, to cardiovascular sequelae in the fetus, such as hypertension and impaired vascular function. In our project, a system and analgorithm for evaluating the health status of pregnant women are proposed. Pre-eclampsia can cause major diseases and issues during pregnancy; thus, the system’s goal is to diagnose the condition early and monitor its risk. Our research examines the diagnostic options for early risk assessment to identify pregnant women at high risk for pre-eclampsia and the possible advantages for the women, the unborn child, and health-care systems. A system like this will be widely used in clinical obstetric practice. It is designed to be implemented to monitor pregnant women’s status updates through the Internet of Things based on machine learning.

Effect of Family Support on Psychological Disorders in Pregnant Women in Pulo Lor Village, Pulo Lor District, Jombang Regency

Psychological health disorders during pregnancy can cause poor pregnancy outcomes in the form of complications including the risk of preterm labor, delays in the delivery process, low birth weight, hypertension and impaired fetal neurodevelopment and development. The risk of these complications can be reduced by improving the factors that affect the psychological health of pregnant women including interpersonal relationships, family roles and social support. The purpose of this study was to determine the effect of family support on the psychological health status of pregnant women using the unpaired categorical analytic research method of more than two groups with univariate, bivariate and multivariate data analysis. The research process carried out on pregnant women in Jombang Regency has found that influential family support can reduce the risk of psychological disorders in the form of anxiety during pregnancy.

Mental health status of pregnant women during COVID-19 in healthcare centers of Iran: A cross-sectional study.

The COVID-19 pandemic impacted every single aspect of life. In addition to being a public health emergency, the COVID-19 outbreak impacted the mental health of individuals, especially pregnant women. This study aimed to examine the mental health status of pregnant women and also the effect of sociodemographic factors on their mental health status during COVID-19 in healthcare centers of Iran. This cross-sectional, analytical-descriptive study was conducted among pregnant women referring to healthcare centers in Shoushtar, Iran, in 2021. Multistage cluster sampling was used to select participants. Data were collected using the General Health Questionnaire-28 (GHQ-28). Data were analyzed using SPSS software version 22. The Pearson correlation coefficient was used to examine the association between quantitative variables. A generalized linear model (GLM) was applied to estimate the effect of independent variables on the dependent variable (mental health). A total of 197 participants with a mean ± SD age of 27.85 ± 6.37 years took part in this study. The total mean score of mental health was estimated at 17.47±8.20. The highest mean ± SD score was, respectively, related to social dysfunction (6.63 ± 2.86), anxiety and insomnia (5.28 ± 3.53), and somatic symptoms (4.17 ± 3.27). Mental health disorder was significantly correlated with participants' age (R = .223, P = .00), number of pregnancy (gravida) (R = .272, P = .00), number of births (para) (R = 0.272, P = .00), and number of abortions (R = .172, P = .015). About 80% of pregnant women did not reveal impaired mental health conditions or psychological distress, while 19.3% showed scores that indicate probable mental health conditions. Social dysfunction was the most common mental health problem among pregnant women. It is necessary to pay more attention to the mental health status of pregnant women during a pandemic. Interventions such as practical strategies to promote social support and improve pregnant women's mental health during pregnancy are highly important.

The effect of empowerment of the "Mahatta" Cadre on the health status of the first thousand days of birth

Introduction: For the past ten years, child malnutrition has been a major national concern in Indonesia. Although the incidence of stunted toddlers has reduced, more than a fifth of toddlers in Indonesia still have stunted growth, making the issue of stunted toddlers a public health concern. This condition got worst due to the COVID-19 pandemic. In Indonesia, the COVID-19 pandemic has hampered access for mothers and children to optimal health services. Thus, This study aims to assess the effect of empowerment of the "Mahatta" cadre on the health degrees ahead of the first thousand days of birth. Method: The research design was quasi-experimental, with consecutive sampling techniques to determine. The study was conducted in Sampang City. In this study, we divided into two groups. Each group consists of 58 respondents. The intervention group was a group that got empowerment from Mahatta cadres, and the control group was not. The instrument used in this study was a questionnaire sheet. The statistical analysis for the analytic study was man Whitney and Wilcoxon and chi-square. The significant p-value was less than 0.05. Results: The average age in the intervention group (43.59 ± 7.910 years old) was higher than the control group (42.53 ± 8.236 years old). Our findings show an enhancement of the test result in the control group of Mahatta's health workforce empowerment aspect. The empowerment of Mahatta cadres significantly increases the health status score (p=0.000) in the intervention group. The mean value in the intervention group was even higher than in the control group. This showed the potential for Mahatta cadres to improve the health status of pregnant women and children under two years of age. Conclusion: The empowerment of Mahatta cadres significantly increases the health status score in the intervention group.

UPAYA PENINGKATAN KESEHATAN IBU HAMIL MELALUI EDUKASI MENGGUNAKAN LEMBAR BALIK KEPADA KADER DAN IBU HAMIL

The World Health Organization (WHO) estimates that 830 women in the world and in Indonesia 38 mothers die every day due to complications from pregnancy and the birth process (WHO, 2019). K1 and K4 visits in the working area of the Karang Intan 2 Community Health Center, Banjar Regency from January to May 2022 were not optimal, it was found that the K1 visit coverage of 38.79% and K4 34.35% was still less than the expected K1 and K4 achievement percentage. The programs at posyandu are also not much developed due to the limitations and lack of knowledge of cadres. Efforts to carry out training of cadres in efforts to improve the health of pregnant women through education using feedback sheets for cadres and pregnant women in the working area of Karang Intan 2 Health Center, Banjar Regency. This service aims to increase the knowledge and understanding of cadres and pregnant women regarding how to improve the health status of pregnant women in the Karang Intan 2 Health Center Working Area, Banjar Regency. The method involves training and mentoring for cadres using Power Point media, videos, flip sheets and leaflets. Participants consist of 20 cadres from PKM Partners, 10 pregnant women, 1 midwife and 1 nutritionist at Karang Intan 2 Community Health Center, Banjar Regency, evaluated through pre-test and post-test as well as monitoring and evaluation by assessing cadre counseling for pregnant women at the posyandu. The results show that there is an increase in improvement from before, this shows that the material presented can be understood by cadres and pregnant women well

Kelas Ibu Hamil Di Desa Loru Kecamatan Sigi Biromaru

Quality antenatal care is essentially one of the basic medical services that is very strategic in an effort to improve the health status of pregnant women and the fetuses they contain. To achieve this desire, it is necessary to always pay attention to access to antenatal services that can be reached by pregnant women and their families, so that pregnant women can continue to attend antenatal check-ups on an ongoing basis for the health and safety of their pregnancy. Apart from that, the quality of the services provided must always be maintained, thereby increasing the continuity of antenatal checks so that partners can maintain the health status of the pregnancy and early detection of disorders that may occur during pregnancy (Guidelines for Antenatal Services).

General Health Status and Physical Activity Level of Pregnant Women in Bojnord, Iran During the COVID-19 Pandemic

Background and Aims Major changes to lifestyle due to the COVID-19 pandemic increased the potential risk of psychological disorders among pregnant women. This study aims to investigate the general health status of pregnant women in Bojnord, Iran, and assess its relationship with their physical activity level. Methods This is a descriptive-correlational study. The statistical population consists of all pregnant women referred to prenatal care centers in Bojnord city, of whom 55 were selected as the study samples. The instruments were the pregnancy physical activity questionnaire and the 28-item general health questionnaire (GHQ-28). Spearman correlation test was used to analyze the correlation between the two variables. Results The mean scores for the GHQ-28 subscales of somatic symptoms, severe depression, social dysfunction, and anxiety/insomnia were 11.90, 11.91, 12.97, and 16.49, respectively. There was a significant positive correlation between general health status and level of physical activity (r=0.54; P&lt;0.001). Regarding the four dimensions of GHQ-28, the results showed that physical activity had a negative and significant relationship with somatic symptoms (r=-0.61) and severe depression (r=-0.33), but it had no significant relationship with anxiety/insomnia and social dysfunction. Conclusion Pregnant women in Bojnord, Iran, are at risk of problems in several domains of general health during the COVID-19 pandemic. It is recommended that they stay active or engage in physical activity to regulate the psychological effects of the pandemic and quarantine.

Investigating the Effectiveness of Self-care Training on Improving the Physical Health Status of Pregnant Women

Background: Self-care during pregnancy includes principles and care programs that lead to clinical outcomes and effectively reduce adverse pregnancy outcomes. Objectives: This study was conducted to investigate the effectiveness of self-care training in improving the physical health status of pregnant women. Methods: This semi-experimental study was conducted on 116 pregnant mothers referred to the health centers of Sabzevar University of Medical Sciences in a simple random fashion with permutation blocks with two intervention (58 people) and control (58 people) groups. Demographic, skeletal, and muscular discomfort questionnaires were used to collect data, and data were collected before and after the intervention in both groups. After collecting the data, it was entered into SPSS 18 and analyzed with the help of descriptive and analytical statistics. Results: In this study, the results showed that out of 116 pregnant mothers participating, 58 were in the intervention group and 58 were in the control group, and between the variables of age (P = 0.001) and occupation (P = 0.003), job status (P = 0.042), gestational age (P = 0.001), number of deliveries (P = 0.001), exercise (P = 0.002), also there was a significant relationship between exercise time (P = 0.003) and physical health, and there was no significant relationship with the rest of the variables, and the average physical health in the control group before the intervention was 29.74 ± 6.97 and after the intervention was 28.41 ± 7.44 and in the intervention group before the intervention, it was 30.82 ± 6.38, and after the intervention, it was 27.7 ± 6.33, and there was a significant relationship between physical health and intervention. Conclusions: The results showed that self-care training increases the physical health of pregnant women; on the other hand, it is a very important tool for designing and implementing educational interventions to improve women's health.

STUDI KASUS: PEMERIKSAAN KADAR ALBUMIN DAN GLUKOSA URINE PADA ASUHAN KEHAMILAN Ny. I DI WILAYAH KERJA PUSKESMAS AIR BESAR KOTA AMBON

Pregnancy checks are very important for all pregnant women to determine fetal growth and maternal health, including detecting protein and glucose levels in the urine. Examination of urine albumin is a parameter of routine urine examination needed to help make a diagnosis. It is necessary to detect protein levels in the urine to diagnose preeclampsia because it can cause problems in pregnancy and childbirth and can even cause pain, as well as Diabetes Mellitus (DM). Complications of DM in pregnancy affect the mother and baby, namely premature birth, large babies, hypoglycemia, infant death in the womb, risk of pre-eclampsia, cesarean section (planned or emergency) and infant shoulder dystocia so it is also necessary to check urine glucose levels. This case study illustrates the indications for urine albumin and glucose examination where the mother is 42 years old, third trimester of pregnancy, complains of headaches and feels dizzy, current weight is 73 kg, last visit's weight was 69 kg. Blood pressure 140/90 mm Hg, there is edema in the leg area. The author conducted a laboratory examination and found that the urine albumin value was +1 while the urine glucose level was negative. Diagnosed with Mrs. I with mild preeclampsia. Midwifery care that is carried out focuses on overcoming the discomfort experienced by the mother and mild preeclampsia. Care was carried out for 4 visits with an interval of 1 week. On April 28, 2023 the results of the weight examination decreased 130/80 mmHg, the headaches were no longer felt, the urine albumin and glucose were negative. Early detection by carrying out a comprehensive examination from health workers including laboratory tests is needed to achieve the health status of pregnant women and family support so that the mother and fetus remain healthy during pregnancy.

IMPROVING THE KNOWLEDGE OF DENTAL NURSES IN SUPPORTING THE IMPLEMENTATION OF THE INTEGRATED ANC PROGRAMME AT PUSKESMAS IN LAMONGAN DISTRICT

Cross-programme cooperation between the Maternal and Child Health (MCH) room and the Dental and Oral Health room is one form of cooperation that is quite influential on the level of oral health of pregnant women. MCH which is a form of Puskesmas main activity is not only tasked with recording or knowing early all abnormalities or cases or complaints found in hard tissue and soft tissue in the oral cavity of pregnant women, but MCH also provides referral efforts to the Dental and Oral Health room for oral health care which involves the role of dentists and dental nurses. This community service aims to increase the knowledge of dental nurses in supporting integrated ANC at the Lamongan Regency Health Centre, various factors that affect the performance of dental nurses in the implementation of integrated ANC. From the results of the research, a fik performance model was found and can be taken into consideration by dental nurses in supporting the implementation of integrated ANC at the Puskesmas. The method used was to provide training for dental nurses working at Puskesmas in the Lamongan District Health Office working area, using lecture and discussion methods and questions and answers. The targets and outcomes achieved in this service are: 1) Increased knowledge of dental nurses about Ante Natal Care (ANC) and dental and oral diseases as well as systemic diseases related to pregnancy in increasing K1 visits of pregnant women at Puskesmas. This knowledge is expected to increase the visits of pregnant women to the dental clinic of the health centre. 2) Final report and article that will be included as a scientific publication in an accredited journal after the service. 3) Obtaining Haki for this module and community service. After this activity is completed, dental nurses can make efforts to increase integrated ANC visits at the Puskesmas where they work, which so far have not reached the target of visiting pregnant women in the dental clinic (Integrated ANC) not 100% so that the oral health status of pregnant women becomes better