Incidence Of Pregnant Women Research Articles

Relationship of Age with the Event of Chronic Energy Lack For Pregnant Mothers

Background : According to WHO, every day in 2019 around 810 women died, by the end of the year 295,000 people from 94% of them were in developing countries. The direct cause of maternal death by 90% are complications that occur during delivery and after delivery. Chronic Energy Deficiency is a condition caused by an imbalance in nutritional intake between energy and protein, so that the nutrients needed by the body are not fulfilled. Based on the results of the Nutrition Status Monitoring in 2017, it was found that the percentage of pregnant women with chronic energy deficiency in Indonesia was 14.8%. The prevalence of CED in pregnant women in Indonesia based on Riskesdas data in 2018 is 17.3% and based on the Indonesian Health profile that the incidence of CED in pregnant women in 2019 is 17.9%
 Objective : Knowing the relationship between age and the incidence of chronic energy deficiency (KEK) in pregnant women
 Methods : Analytical with cross sectional approach. The sample in this study were all maternity mothers registered in the register from March 2021 to May 2022 as many as 224 people (total sampling).
 Results : The distribution of the frequency of CED incidence in pregnant women is 366.6%. Age of pregnant women mostly aged 20-35 years 69.2%, LBW 3.6% and 3.1% bleeding. There is a significant relationship between age and the incidence of CED in pregnant women with a p value of 0.000.
 Conclusions and Suggestions: There is a significant relationship between age and the incidence of CED in pregnant women. It is expected that health workers, especially midwives, provide counseling to pregnant women about nutritional needs during pregnancy.

Confirmation of preeclampsia-like syndrome induced by severe COVID-19: an observational study

BACKGROUNDSince the outbreak of the COVID-19 pandemic, some studies have reported an increased preeclampsia incidence in pregnant women with SARS-CoV-2 infection. Several explanations for this association have been proposed, including a preeclampsia-like syndrome induced by severe COVID-19. This syndrome was described in a small case series and has not been confirmed in larger studies, and its effect on perinatal outcomes has not been studied.OBJECTIVEThis study aimed to confirm the preeclampsia-like syndrome because of COVID-19 and to investigate its implications on pregnancy outcomes and prognosis.STUDY DESIGNThis was a prospective, observational study conducted in a tertiary referral hospital. The inclusion criteria were pregnant women admitted to the intensive care unit for severe pneumonia because of COVID-19. They were classified into 3 groups based on clinical and laboratory findings: preeclampsia, preeclampsia-like syndrome, and women without preeclampsia features. The 3 cohorts were analyzed and compared at 3 different times: before, during, and after severe pneumonia. The main outcomes were incidence of adverse perinatal outcomes and signs and symptoms of PE, such as hypertension, proteinuria, thrombocytopenia, elevated liver enzymes, and increased angiogenic factors (soluble fms-like tyrosine kinase 1–to–placental growth factor ratio).RESULTSA total of 106 women were admitted to the intensive care unit because of severe pneumonia, and 68 women were included in the study. Of those, 53 (50.0%) did not meet the diagnostic criteria for preeclampsia and remained pregnant after pneumonia (non-preeclampsia); 7 (6.6%) met the diagnostic criteria for preeclampsia, had abnormal (>38) soluble fms-like tyrosine kinase 1–to–placental growth factor ratio (preeclampsia), and delivered during severe pneumonia, and 8 (7.5%) met the diagnostic criteria for preeclampsia, had normal (≤38) soluble fms-like tyrosine kinase 1–to–placental growth factor ratio (preeclampsia like), and did not deliver during pneumonia. Despite not having delivered, most preeclampsia-related features improved after severe pneumonia in women with preeclampsia-like syndrome. Women with preeclampsia had significantly poorer outcomes than women with preeclampsia-like syndrome or without preeclampsia.CONCLUSIONMore than 50% of women with severe COVID-19 and diagnostic criteria for preeclampsia may not be preeclampsia but a preeclampsia-like syndrome, which may affect up to 7.5% of women with severe COVID-19. Preeclampsia-like syndrome might have similar perinatal outcomes to those of normotensive women with severe pneumonia because of COVID-19. For these reasons, preeclampsia-like syndrome should be excluded by using soluble fms-like tyrosine kinase 1–to–placental growth factor ratio in future research and before making clinical decisions.

Factors That Influence the Behaviour of Pregnant Women toward Nutritional Fulfilment in Denpasar City

The mother nutritional needs during pregnancy must be met properly, because the fetal nutrition depends on the nutrition of the mother. Based on the results of Riskesdas in 2013 obtained that the proportion of pregnant women aged 15-49 years who are at risk in experiencing chronic energy lack in Indonesia were 24.2% and in Bali were 10.1%.The incidence of pregnant women with chronic energy lack is influenced by various factors that are closely related to the behavior of pregnant women to fulfill their nutrition. There are three factors that affect behavior, namely predisposing factors or factors that facilitate (Predisposing Factor), Supporting Factors (Enabling Factor) and Driving Factors (Reinforcing Factor). The purpose of this study was to determine the factors that influence the behavior of pregnant women in the fulfillment of the nutrition. This study employed descriptive design with cross-sectional approach. There were 99 respondents recruited in this study by using nonprobability sampling. The data were collected by using questionnaire. The finding of this study showed that factors that influence the behavior of pregnant women in the fulfillment of nutrition were age (value p = 0.020), education (value p<0.001), attitude (value p<0.001), and family support (value p<0.001). While parity (value p = 0.082) and knowledge (value p = 0.226) did not affect the behavior of pregnant women in the fulfillmen of the nutrition. Maintaining pregnancy is important to detect the growth and development of the baby in the womb. The mother should pay attention to the nutrients consumed during pregnancy.

Anaesthetic Management of Patient with Hypertrophy Obstructive Cardiomyopathy Posted for Elective Caesarean

Introduction: Dynamic valvular insufficiency and LVOT blockage are also possible outcomes of hypertrophic obstructive cardiomyopathy (HOCM). Furthermore, attempting to replace an inadequate mitral valve surgically can result in iatrogenic LVOT blockage. In the general population, it affects one out of every 500 adults, with a male to female ratio of 2:1. Among the general population, the prevalence is around 0.2 percent, and the incidence in pregnant women is around 0.1–0.5 percent. Case Report: 21 year old female patient presented with 9 months of amenorrhea posted for elective lower segment caesarean section. Her previous documents revealed that she was a diagnosed case of hypertrophic obstructive cardiomyopathy during her last pregnancy 1 year ago. History of previous surgery that is induced abortion at two and half months of gestation age a year back operated under spinal anaesthesia. ECG showed ST elevation present in V2 , V3, V4 , V5 leads and features of left ventricular hypertrophy (LVH) , Her echocardiography report revealed features of hypertrophic obstructive cardiomyopathy with severe LVOT obstruction. Left ventricular ejection fraction (LVEF) was 20-25%. Conclusion: HOCM is normally well tolerated during pregnancy, although those who have had previous symptoms or arrhythmias may experience an exacerbation of symptoms. The majority of these people, on the other hand, can be effectively controlled medically. This case report showed that patients with HOCM can be safely managed under general anaesthesia with muscle relaxants and inhalational volatile anaesthetics, as well as an erector spinae block for analgesia

Risk Factors For Malaria Incidence In Pregnant Women In Puskemas Bosnik And Marau Regency Biak Numfor

Malaria infection in pregnancy is very detrimental to both the mother and the fetus it contains, because it can increase the morbidity and mortality of the mother and fetus. The prevalence of malaria in Papua Province with Annual Parasite Incendence in 2016 amounted to 208.95 per thousand population, the prevalence of malaria in pregnant women in Papua Province as much as (3.09%). The prevalence of malaria in pregnant women in Biak Numfor Regency in 2017 was 4.11%. The purpose of this study was to determine the risk factors for the incidence of malaria in pregnant women at the Bosnik and Marau Health Centers, Biak Numfor Regency in 2018.This study is an observational study with case control design in pregnant women in the Bosnik Health Center and Marauw Health Center area of Biak Numfor Regency. The study sample with simple random sampling was 27 pregnant women as cases and 27 pregnant women as control.data analised with chi square test. From the results of a multivariate analysis found 2 (two) variables associated with malaria incidence in pregnant women, namely sleeping not using mosquito nets (OR = 3,768 p = 0.024 95% CI 1,158-12,270) and Hb anemia < 9 gr% (OR = 5,500 p = 0.013 95% CI 1,323-22,862) while 3 (three) variables namely low economic status, first parity and ≥ 4 and nutritional status is not associated with malaria incidence. Risk factors for malaria incidence in pregnant women are related to sleep habits not using mosquito nets and anemia Hb < 9gr%.

Topical Application of Olive Oil and Aloe Vera Gel on Pregnant Women's Striae Gravidarum

One of the physical changes that often occur in 50-90% of pregnant women is the appearance of striae gravidarum. Striae gravidarum is caused by stretching of the skin during pregnancy. The impact is a decrease in confidence, itchy, hot, and dry sensations, and cause emotional distress that can interfere with pregnancy. Olive oil and Aloe vera gel are good natural ingredients for skincare. The purpose of this study was to find out the effectiveness of the topical application of Olive oil and Aloe vera gel against the incidence of pregnant women’s striae gravidarum in the Working Area of Puskesmas Kedungmundu 2020. This research was a quantitative study with a quasi-experiment control group design with pretest-posttest. Sampling techniques use purposive sampling. The results of bivariate olive oil analysis with the Wilcoxon test showed P-value (0.647 α 0.05), so there was no effect of topical application of olive oil on the incidence of striae gravidarum. The results of bivariate analysis of Aloe vera gel with Wilcoxon test showed a P-value (0.642 α 0.05), so there was no effect of topical application of Aloe vera gel on the incidence of striae gravidarum. Based on the Independent Test T-Test the difference between the two groups pre-post obtained P-value (1 α 0.05), then there was no difference in the effectiveness of the topical application of olive oil and aloe vera gel to the incidence of striae gravidarum in pregnant women in The Region of Puskesmas Kedungmundu 2020.

Patient Acceptability of Universal Transvaginal Cervical Length Screening Program Implementation at HRH Princess Maha Chakri Sirindhorn Medical Center, Thailand

Background: Preterm birth is a significant problem. It is a leading cause of early neonatal death. Transvaginal ultrasonography for cervical length measurement during second trimester could predict preterm labor. Vaginal progesterone reduced preterm birth incidence in pregnant women with short cervical length. Objective: To evaluate the acceptance rate of a universal transvaginal cervical length (TCL) screening program implementation. Materials and Methods: A retrospective cohort study of universal TCL before 24 weeks of gestation at the time of anatomical scan between 18 to 23+6 weeks from single center from July, 2017 through July, 2018. Pregnant woman with cervical length (CL) <20 millimeters (mm) were diagnosed cervical shortening and were offered treatment as protocol. Incidence of cervical shortening was assessed. Acceptance rates and factors for declining TCL screening were analyzed. The incidence of preterm birth before 34 weeks and 37 weeks were reported. Results: Three hundred forty-one Thai pregnant women were enrolled. Of those, 294 (86.2%) accepted TCL screening. Three pregnant woman (1.1%) had a CL <20 mm. Employed women and women who had income >10,000 Baht per month were likely to accept TCL screening (OR, 2.13; 95% CI, 1.14 to 3.98 and OR, 2.85; 95% CI, 1.37 to 5.95, respectively). The incidence of preterm birth was accounted for 8.9 percent in the acceptance and 2.1 percent in denial group. Conclusion: The universal transvaginal cervical length screening program at HRH Princess Maha Chakri Sirindhorn Medical Center was successfully implemented at 86.2% of acceptance rate. Keywords: Cervical length; Universal screening; Acceptability; Preterm birth; Prevention

β-hemolytic Streptococcus incidence in pregnant women of Campinas Municipality, São Paulo

β-hemolytic Streptococcus incidence in pregnant women of Campinas Municipality, São Paulo

Differences in the prevention and incidence of maternal venous thromboembolism according to the type of institution in Japan in 2018: A sub‐analysis of national questionnaire surveillance

To clarify the relation between institutions capacity to manage venous thromboembolism (VTE) and its incidence in pregnant women throughout Japan. Among the 2299 institutions that received the surveillance questionnaire, 666 (29.0%) responded, after which data from 295 961 women who gave birth at those institutions in 2018 were analyzed. Incidences and characteristics of antepartum and postpartum VTE in perinatal medical centers (PMCs), general hospital with obstetric facilities (GHs), and maternal clinic with beds (MCs) were then determined. The frequencies at which routine antepartum and postpartum thromboprophylaxis for high-risk women and routine transport to the more advanced medical institutions upon antepartum and postpartum pulmonary thromboembolism (PE) onset were performed differed significantly according to types of institution (PMCs: 92.4%, 96.2%, 23.8%, and 21.2%; GHs: 76.5%, 80.6%, 58.8%, and 54.1%; MCs: 29.2%, 41.7%, 96.5%, and 96.2%, respectively). Among the 295 961 women analyzed, 243 (0.082%) developed VTE. Incidences of antepartum VTE differed significantly according to institution types (PMCs: 106.4, GHs: 51.6, and MCs: 11.6 per 100 000 women). PMCs and GHs had significantly higher incidences of postpartum VTE compared to MCs (43.3 and 26.6 vs. 10.7 per 100 000 women, respectively), although PMCs and GHs had similar incidences. Among the four women (1.4%) who died due to VTE, three and one developed a PE in a PMC and MC, respectively. PMCs had higher incidences of VTE despite their more frequent performance of thromboprophylaxis. Several pregnant women with higher risk of VTE transported to PMCs.

Clinical characteristics of pregnant women with COVID-19 in Japan: a nationwide questionnaire survey

BackgroundFew reports have presented an overall view of pregnant women with coronavirus disease 2019 (COVID-19) across an entire country and throughout the entire gestation period. Furthermore, no such reports are available for Japan. We examined the clinical characteristics and outcomes of pregnant women with COVID‑19 on a national scale in Japan.MethodsA nationwide questionnaire-based survey for all 2,185 maternity services in Japan was conducted between July and August 2020. Information regarding maternal characteristics and epidemiological, clinical, treatment, and perinatal outcomes of pregnant women diagnosed with COVID-19 between 16 January and 30 June 2020 were collected. Main outcome measures were incidence of pregnant women with COVID-19 and infant infection, positive rate of the universal screening test for asymptomatic pregnant women, identification of infection route and rates of maternal death, and severe cases.ResultsResponses from 1,418 institutions were assessed (65% of all delivery institutions in Japan). Seventy-two pregnant women were reported to have been diagnosed with COVID-19. The positive rate of the universal screening test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among asymptomatic pregnant women was 0.03% (2/7428). The most common route of infection was familial (57%). Fifty-eight pregnant women with COVID-19 were symptomatic, of whom five (8.6%) had a severe infection and one died (a tourist). Severe respiratory symptoms, oxygen administration, and pneumonia were frequently reported in the third trimester and postpartum period compared with in early pregnancy (22.2% vs 2.5% [P = 0.03], 38.9% vs 7.5% [P = 0.01], and 50.0% vs 7.5% [P < 0.001], respectively). All pregnant women with COVID-19 underwent caesarean sections, regardless of symptoms. There were no SARS-CoV-2 transmissions to newborns.ConclusionsIn Japan, the number of cases of COVID-19 infection in pregnant women is very low. Compared with early pregnancy, late pregnancy may be a risk factor for exacerbation of symptoms and familial transmission is the most common route of infection. The importance of infection prevention should be emphasised, especially in women in late pregnancy, their families, and any cohabitants.

Does a MediDiet With Additional Extra Virgin Olive Oil and Pistachios Reduce the Incidence of Gestational Diabetes?

ObjectiveThe present study aimed to evaluate gestational diabetes mellitus (GDM) incidence in pregnant women following the Mediterranean diet (MedDiet) with the addition of extra virgin olive oil (EVOO) and pistachios. MethodsA total of 560 pregnant patients were enrolled in the present study. The MedDiet was introduced in both the interventional group (IG) and the control group. The women in the IG received 40 mL of EVOO every day along with 25 to 30 g of roasted pistachios. The incidence of GDM was recorded along with specific maternal and neonatal outcomes. ResultsThe nutritional scores and MedDiet adherence screener scores were not statistically different between the groups at baseline, but the difference was statistically significant and higher in the IG at 24 to 28 weeks (P = .001) and at 36 to 38 weeks (P = .001). GDM was diagnosed in 51 (20.4%) women in the control group and 34 (13.6%) women in the IG. The MedDiet significantly reduced GDM incidence (P = .02) after adjusting for confounding factors. ConclusionThe present study shows that dietary intervention in pregnant women, including a MedDiet and increased consumption of EVOO and pistachios, decreases the incidence of GDM.

Pajanan Pestisida Sebagai Faktor Risiko Kejadian Berat Badan Lahir Rendah (BBLR)

Background:&#x0D; Low birth weight (LBW) is one of the causes of infants death. One of the factors that is proven to be associated with LBW incidence is pesticide exposure to pregnant women. The high number of female farmers in the agricultural sector will increase the risk of pesticide exposure in pregnant women.&#x0D; Objectives:&#x0D; This study aims to describe how pesticide exposure can be a risk factor for the incidence of LBW.&#x0D; Research method:&#x0D; This study is a systematic study that used meta-synthesis aggregation approach. The search for articles focused on articles that examined the risk factors for pesticide exposure on the incidence of LBW in pregnant women which was conducted on the online databases of Science Direct, Scopus, PubMed, Springer, Google Scholar, and Garuda Portal. The criteria for the articles used were national observational journals indexed at least 4 and indexed international journals published in 2010-2020.&#x0D; Result:&#x0D; There were 8 articles that match to the criteria and research topic. Factors that were proven to increase the risk of LBW incidence in pregnant women were agricultural activities related to pesticide, participation in agricultural activities, completeness of PPE, storage of pesticide, duration of exposure to pesticide, frequency of exposure to pesticide, amount of pesticide mixture, and types of pesticide used.&#x0D; Conclusion:&#x0D; Pesticide exposure to pregnant women causes the accumulation of pesticide residues in the body, thus reducing the formation of thyroid hormones and IGF-1 which can cause LBW.&#x0D; &#x0D; Keywords: low birth weight; pesticide exposure; pregnant women

Pajanan Pestisida Sebagai Faktor Risiko Kejadian Berat Badan Lahir Rendah (BBLR) : Sebuah Kajian Sistematik

Background:&#x0D; Low birth weight (LBW) is one of the causes of infants death. One of the factors that is proven to be associated with LBW incidence is pesticide exposure to pregnant women. The high number of female farmers in the agricultural sector will increase the risk of pesticide exposure in pregnant women.&#x0D; Objectives:&#x0D; This study aims to describe how pesticide exposure can be a risk factor for the incidence of LBW.&#x0D; Research method:&#x0D; This study is a systematic study that used meta-synthesis aggregation approach. The search for articles focused on articles that examined the risk factors for pesticide exposure on the incidence of LBW in pregnant women which was conducted on the online databases of Science Direct, Scopus, PubMed, Springer, Google Scholar, and Garuda Portal. The criteria for the articles used were national observational journals indexed at least 4 and indexed international journals published in 2010-2020.&#x0D; Result:&#x0D; There were 9 articles that match to the criteria and research topic. Factors that were proven to increase the risk of LBW incidence in pregnant women were agricultural activities related to pesticide, participation in agricultural activities, completeness of PPE, storage of pesticide, duration of exposure to pesticide, frequency of exposure to pesticide, amount of pesticide mixture, and types of pesticide used.&#x0D; Conclusion:&#x0D; Pesticide exposure to pregnant women causes the accumulation of pesticide residues in the body, thus reducing the formation of thyroid hormones and IGF-1 which can cause LBW.

Third-trimester repeat HIV testing: it is time we make it universal

Since the 1990s, perinatal transmission of HIV has decreased substantially, largely as a result of improved detection secondary to routine HIV screening in pregnancy and the use of antiretroviral therapy. However, despite reductions in HIV transmission, elimination of perinatal transmission, defined as an incidence of perinatal HIV infection of <1 per 100,000 live births and a transmission rate of <1%, remains elusive. An estimated 80% of perinatal transmissions occur after 36 weeks' gestation, which highlights the importance of diagnosis and treatment of maternal HIV infection before the highest-risk period for perinatal transmission. With timely identification of seroconversion, intrapartum and neonatal interventions can lower the risk of perinatal transmission from 25% to 10%, substantially reducing perinatal transmission events. The American College of Obstetricians and Gynecologists and the Centers for Disease Control and Prevention recommend that routine HIV testing be performed in all pregnancies, as early in the prenatal course as possible. Third-trimester repeat testing is only recommended for individuals known to be at high risk of acquiring HIV (ie, those who are incarcerated; who reside in jurisdictions with elevated HIV incidence; who are receiving care in facilities that have an HIV incidence in pregnant women > 1 per 1000 per year; or have signs or symptoms of acute HIV). However, among reproductive-age women, heterosexual intercourse is the most common mode of HIV transmission, and the risk of HIV seroconversion is greater during pregnancy than outside of pregnancy. Furthermore, state statutes for HIV testing in pregnancy are largely lacking. In this clinical opinion, we reviewed the evidence in support of universal third-trimester repeat HIV testing in pregnancy using a successful state-mandated testing program in Illinois. In addition, we provided clinical recommendations to further reduce missed perinatal transmission cases by implementing universal third-trimester repeat testing, obtaining hospital buy-in, monitoring testing adherence, bridging communications across multidisciplinary teams, and engaging clinicians in advocacy work.

Incidence of concomitant illnesses in pregnancy in Indonesia: Estimates from 1990–2019, with projections to 2030

SummaryBackground‘Indirect’ causes of maternal death including concomitant illnesses such as infectious and non-communicable diseases (NCDs), accounted for 23% of maternal deaths in Indonesia in 2010. Reproductive-age women in Indonesia face a “double burden” of disease with increasing rates of NCDs and persisting rates of infectious disease. However, there is a lack of data on the burden of these diseases in pregnancy. The aim of this study was to estimate incidence of concomitant illnesses among pregnant women in Indonesia from 1990–2030.MethodsPublicly available data was accessed including incidence of concomitant illnesses in Indonesian reproductive-age women, population data and crude birth rate data from 1990–2019, and formed basis for projections to 2030. A dataset of estimates for all variables was generated for each year and sampled from a binomial distribution. Using these estimates, pregnancy estimates and incidence in pregnant women were calculated. A cubic splines model was fitted to generate estimates of incidence of concomitant illnesses in pregnancy.FindingsPast trends to 2019 show a decline in incident cases of infectious diseases except for HIV/AIDs, and an increase in most NCDs. In 2019, the most common disease was sexually transmitted infections. From 2020–2030, incidences of diabetes and lower respiratory infections are estimated to continue to increase.InterpretationWith an increasing incidence of NCDs and high-incidence of infectious diseases in pregnancy, Indonesian policymakers and stakeholders should consider what evidence-based strategies and interventions are best to reduce potential impacts of concomitant illnesses on pregnancy outcomes.FundingAustralian Government Research Training Program Scholarship.

Nano-encapsulated Iron and Folic Acid-Fortified Functional Yogurt Enhance Anemia in Albino Rats.

Iron deficiency anemia (IDA) is a major health concern in developing countries, and these see an increased incidence in pregnant women and children in particular. The contribution of dairy products as natural products in drug delivery approaches is inspiring. This study aimed to analyze the application of iron (Fe) and folic acid (FA) bovine serum albumin-nanoparticles (BSA-NPs) as anti-anemic pharmacological agents that fortify stirred functional yogurt (SFY), comparing these with a plain control and SFY fortified with Fe and FA in free forms. The physicochemical, cytotoxicity, microbiological, viscosity, oxidative interactions, microstructural, sensorial analyses, and bioavailability properties of IDA-induced Albino rats were examined. The Transmission Electron Microscope (TEM), Zetasizer, and Scan Electron Microscope (SEM) were applied. Nanocapsule-fortified SFY showed an enhanced apparent viscosity, water-holding capacity, microstructure, least lipid oxidation, and overall sensorial acceptability. Feed that included Fe + FA nanocapsule-fortified SFY (G6) succeeded in restoring hemoglobin (16.53 gdL−1), iron (109.25 μgdL−1), ferritin (33.25 μgdL−1), and total protein (8.6 gdL−1) at the end of the 4-week feeding period, with significant competition revealed in calcium and zinc absorbance. Nanocapsule-fortified SFY showed no adverse effects or architectural alterations in the liver, kidney, or spleen, as indicated by biochemical and histological examinations. Bovine serum albumin-nanoparticles (BSA-NPs) of iron (Fe) and folic acid (FA) can be recommended as anti-anemia supplements in different functional food applications.

Incidence complicating pregnancy: comparative characteristics in Irkutsk and Amur regions

Aim of the study was to investigate and compare the levels, structure, dynamics of indicators of morbidity complicating the course of pregnancy in the Irkutsk and Amur regions for the period 2008–2018. Material and methods . We used the databases of the Federal State Statistics Service and Medical Information Analytical Centers of the Irkutsk and Amur regions. To assess the trend of time series, we used one-way linear regression analysis. Time was independent variable. Results . Leading in the frequency of diseases of pregnant women: anemia, diseases of the genitourinary system, diseases of the circulatory system, thyroid disease. The highest incidence rates were recorded in the Amur Region. Trends in prevalence were noted in such forms as venous complications in pregnant women, diabetes mellitus. The prevalence of diseases of the genitourinary system, diseases of the thyroid gland, diseases of the circulatory system showed a downward trend. Conclusion . In the Amur region, the incidence of pregnant women was higher than the average Russian level and the level in the Irkutsk region in such forms as diseases of the genitourinary system, thyroid disease and circulatory system diseases. In all objects, there has been a tendency to an increase in the prevalence of venous complications, diabetes mellitus and thyroid diseases. The reason for this could be a crisis in the socioeconomic sphere, as well as an increase in the level of diagnosis.

Gambaran Kejadian Risiko 4T pada Ibu Hamil di Puskesmas Jatinangor

Introduction: High-risk pregnancies are found in pregnant women who are too old, too young, too many, and too close (4T). Many risk factors become screening/early detection of pregnant women in the Poedji Rochjati scorecard, including maternal age &lt;16 years, maternal age &gt;35 years, and mothers who have children 4 or more. Objective: The aim of this study was to describe the 4T risk incidence in pregnant women at the Jatinangor Community Health Center in 2020. Methods: The type of research used was descriptive-analytic with a quantitative approach and cross-sectional design. The population in this study were all pregnant women who were in Jatinangor Health Center. January-September 2020 period, amounting to 2357 people, using accidental sampling technique and obtained a total sample of 149 people. Data analysis using descriptive data analysis with frequency distribution. Results: The results showed that respondents who had the highest risk of 4T were 63.19% at the age of more than 35 years, and multiparity of 43.62%. Conclusion: In this study, it was found that the incidence of 4T risk in pregnant women at the Jatinangor Health Center in 2020 was mostly at the risk of being too old by 58.3% which was dominated by multiparity.

The Relationship between Knowledge and Dietary Habit with Incidence Chronic Energy Deficiency in the Pregnant Women in the Working Area Talise City of Palu

One of the nutritional problems in pregnant women, namely chronic energy deficiency. The lack of regular energy is the condition of pregnant women who suffer from the lack of long-lasting food (chronic) with various health disorders. Pregnant women should be pregnant to fulfill nutritional intake not to occur chronic energy deficiency (this study's purpose is the relationship between knowledge and dietary habit with chronic energy deficiency incidence in pregnant women in the Talise Public Health Center. The type of analytical research surveys using a cross-sectional approach. This research has been implemented in the puuskesmas Talise city in Palu from June until Juli 2020. The results showed that of the two independent variables, they were not related to chronic energy deficiency. The results of statistical tests for knowledge P-value = 0.775, dietary pattern P-value = 0.463. In this study, conclusions are expected to provide healthcare workers with more attention to the healthy food consumption fan that healthy during pregnancy and conduct self-examination to prevent pregnant women at risk of a shortage of chronic energy deficiency. It is recommended that mothers keep looking for information about mothers' nutritional value during pregnancy and consume food and beverages that are of adequate nutritional needs during the inevitable hamilager of less chronic energy during pregnancy.

Related Factors With The Event Of Less Chronic Energy In Pregnant Women

Chronic energy deficiency (KEK) is a state of malnutrition in unfavorable conditions. The need for pregnant women will increase from the usual exchange of almost all very active loads, especially in the third trimester. Therefore, an increase in the amount of food consumption needs to be increased, especially the consumption of food sources of energy to meet all the needs of the mother &amp; fetus, so if a little consumption will cause malnutrition or usually called KEK. The research objective was to determine the factors associated with the less chronic incidence in pregnant women. This research is a quantitative study, conducted with a descriptive-analytic, using a cross-sectional study approach. Cross-section design. The research sample was 44 respondents with Fisher's test. The results of this study indicate that there is a relationship between knowledge and the incidence of KEK in pregnant women using Fisher's test, the p-value is 0.004 (p &lt;0.05). , 05), there is no relationship between parity and SEZ occurrence using Fisher's test, the p-value is obtained at 0.533 (p&gt; 0.05). The conclusion in this study is that there is a relationship between knowledge and economic level with the incidence of KEK, there is no relationship between parity and the incidence of KEK in pregnant women. Suggestions for research to further expand the research sample not only to focus on pregnant women, but researchers can also examine adolescents and also pregnant women who experience chronic energy deficiency add research variables such as those that have not been researched, namely factors from disease infections and sources of disease. related to the incidence of KEK, Increasing the research period, with a longer period and it is hoped that more accurate and unusual research results can be obtained.