Pregnancy Checks Research Articles

HUBUNGAN RESIKO TINGGI USIA IBU HAMIL DENGAN KEJADIAN HIPERTENSI DALAM KEHAMILAN DI PUSKESMAS BATU AJI

Pregnancy is the fertilization or union of sperm and ovum and is followed by bullying or implantation. One of the diseases that often threatens pregnancy is the age at risk of developing hypertension during pregnancy. 39 (66.1%) pregnant women with hypertension, and 36 (61.0%) at risk. This study aims to determine the relationship between the high risk of maternal age and the incidence of hypertension in pregnancy at the Batu Aji Health Center, Batam City in 2020. The design of this study used analytical design or cross sectional design. The sampling technique used purposive sampling. Research respondents needed in this study were 59 respondents. Chi-Square statistical test results obtained value (p value = 0.03<0.05), indicating that Ho is rejected and Ha is accepted. Conclusion: there is a significant relationship between the high risk of maternal age and the incidence of hypertension in pregnancy at the Batu Aji Health Center, Batam City in 2020. It is hoped that pregnant women must carry out pregnancy checks regularly and need counseling and apply low-fat and high-protein foods to overcome them. the occurrence of hypertension in pregnancy.

The Identification of Maternal Characteristics and The Incidence of Anemia in Pregnant Women

Aim: The research aims to identify maternal characteristics and anemia in third trimester pregnant women at Mantrijeron Primary Health Center of Yogyakarta. Methods: The study employed a correlation design and cross-sectional approach. The sampling technique in this study used the purposive sampling method with the number of samples was 69 people—the data analysis used using chi-square analysis. Results: This study shows correlations between education level, parity, maternal age, and the frequency of ANC visits as indicated by p-value (&lt;0.05) and the incidence of anemia in the third trimester of pregnant women Mantrijeron Primary Health Center of Yogyakarta. Meanwhile, those with no correlation were nutritional status as indicated by p-value (0.389&gt; 0.05). Conclusion: Pregnant women are suggested to have pregnancy checks regularly at least four times during pregnancy so that complications, such as anemia, can be indicated earlier and can be minimized. Keywords: Characteristics; anemia in pregnant women

MATERNAL PSYCHOLOGICAL CHANGES DURING PREGNANCY AND PREGNANCY SERVICE PROCEDURES DURING THE COVID-19 PANDEMIC IN KERTOSARI VILLAGE

In general, a mother who is experiencing pregnancy for the first time will feel happy and will be more curious about self-change and fetal development. However, at the same time, pregnant women also feel anxious. Research conducted in Naples, Italy, March 15-April 1, 2020, shows that the Covid-19 pandemic has a severe psychological impact on 53% of pregnant women. During pregnancy, women may experience stress and anxiety, this can cause detrimental effects such as fetal death or fetal abnormalities. Antenatal Care is a pregnancy check that aims to improve the physical and mental health of pregnant women optimally so that they are able to face childbirth, childbirth, preparation for exclusive breastfeeding, and the return to reproductive health properly. The solution to this community service is to provide counselling about psychological changes in pregnant women and how to get pregnancy services during the Covid-19 pandemic, which in fact has changed a lot compared to before the Covid-10 pandemic, so it is hoped that it can reduce the anxiety faced by mothers during this period. pregnancy and still want to carry out pregnancy checks at a health worker or midwife accompanied by a health cadre, during which during the Covid-19 pandemic, pregnant women continue to carry out their pregnancy checks according to the minimum standard, which is 4 times during pregnancy. The implementation of this counselling activity is carried out for pregnant women and health cadres in Kertosari Village in a gradual period of time and does not leave the health protocol determined by the Government. The results obtained are the enthusiasm of pregnant women and health cadres who will accompany them during the process of pregnancy examinations.

PENGETAHUAN DAN SIKAP TENTANG TANDA BAHAYA KEHAMILAN BERHUBUNGAN DENGAN PEMANFAATAN BUKU KIA

Background : The Maternal and Child Health (MCH) Handbook contains complete information, including early detection or danger signs of maternal health problems from pregnancy to childbirth to increase knowledge of mothers and their families. The attitude of pregnant women about signs of pregnancy is important in changing the behavior of pregnant women in dealing with signs of pregnancy.&#x0D; Objective : To determine the relationship between knowledge and attitudes of pregnant women about the danger signs of pregnancy with the use of the MCH Handbook.&#x0D; Method : Using a cross-sectional design. The population used was trimester III pregnant women who had MCH books and were visiting to carry out pregnancy checks at Puskesmas Kota Palu (11 Puskesmas) during the research period in 2019. Using the cluster sampling method with a total of 110 respondents. Primary data were collected through ODK Collect, then analyzed univariate and bivariate.&#x0D; Results : There is a relationship between knowledge about the danger signs of pregnancy and the use of the MCH Handbook (p-value = 0.003). There is a relationship between the attitudes of pregnant women about danger signs and the use of the MCH Handbook (p-value = 0.008). OR = 3,235 indicates that mothers with positive attitudes are 3,235 times more likely to use the MCH handbook than mothers who are negative.&#x0D; Conclusion : There is a relationship between knowledge and attitudes about the danger signs of pregnancy and the use of the MCH Handbook.&#x0D; Keywords: Knowledge, Attitudes, danger sign of pregnancy, MCH Handbook.

Pengetahuan dan Praktik Bidan tentang Standar Pelayanan Kehamilan di Era Pandemi Covid-19

Coronavirus 2019 (COVID-19) is a highly contagious new type of respiratory disease (pneumonia) caused by coronavirus 2 (SARS-CoV-2). All countries are making various efforts to control covid-19, but there are still many infected victims, so WHO has designated this case as a Covid-19 Pandemic. Pregnant women are more susceptible to viral infections; this is due to changes in the immune system and body anatomy. Pregnancy checks in the hospital will be a significant risk for the threat of covid-19 transmission, while services during pregnancy are essential to avoid complications that can occur during pregnancy. This study aims to identify midwives' knowledge and practice regarding the standard of pregnancy services during the Covid 19 pandemic, using a questionnaire given to midwives as health care workers. The study design used a crosssectional study with a chi-square statistical test to determine health services barriers during the pandemic. They were analyzed descriptively. Samples took with quota sampling, with a total of 30 midwives in Candi Sidoarjo sub-district. The research instrument used a questionnaire. This study indicates that 70% of midwives have good knowledge but do not implement standard pregnancy care during the pandemic. The analysis results show that there is no relationship between knowledge and standard practice of pregnancy services during the Covid-19 pandemic. Conclusion: Most midwives have good knowledge and do not practice standard pregnancy services during the Covid- 19 pandemic. Suggestion. The next research is to identify the achievements of the pregnancy service program during the Covid-19 pandemic

Identification of factors causing reproductive disorders of the cow found in North Labuhanbatu Regency, North Sumatera Province

&lt;p class="MDPI17abstract"&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to identify the factors that cause reproductive disorders in beef cattle in the North Labuhanbatu, North Sumatra.&lt;/p&gt;&lt;p class="MDPI17abstract"&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The objects of this study were cattle with reproductive disorders and breeders whose cattle had reproductive disorders. This research used a survey method. Primary data was obtained by distributing questionnaires and conducting direct interviews with breeders, while secondary data was obtained by studying the 2017 report of UPSUS SIWAB (Indonesian Ministry of Agriculture's program to accelerate the fulfilment of domestic beef cattle population targets) in North Labuhanbatu Regency. The questionnaire covered the characteristics of cow with reproductive disorders including body condition score (BCS), type of cows, feed given to cows with reproductive disorders, maintenance management, veterinary/medical personnel visits, pregnancy checks, heat synchronization, birth assistance, type of mating, and the breeders identity. This questionnaire was distributed to 30 breeder respondents in 5 districts. Data were analyzed using stepwise regression with SPSS.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p class="MDPI17abstract"&gt;&lt;strong&gt;Results: &lt;/strong&gt;The results showed that 110 cows had reproductive disorders, 57.3% of which experienced hypofunctional ovaries. The independent variable that has the strongest correlation to the dependent variable is the body condition score (sig. 0.043), followed by the feed given to the cows (sig. 0.046) with the regression equation Y = -4.297 + 1.495X&lt;sub&gt;1&lt;/sub&gt; + 2.492X&lt;sub&gt;2&lt;/sub&gt;.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p class="MDPI17abstract"&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The identified factors that had correlation to reproductive disorders in female beef cattle are body condition score and feed.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;

PENYULUHAN KUNJUNGAN ANTENATAL CARE (ANC) DI DESA SALO TIMUR

The implementation method used in this activity is in the form of ANC counseling and discussions with participants. This activity took place at the Salo Timur Village Office Hall on December 11, 2020. The target of this activity was pregnant women in Salo Timur Village, the Salo Health Center Work Area. The media used to facilitate the implementation of counseling were using infocus and laptops where the extension material was in the form of Powerpoints, and the distribution of leaflets to the audience.Pregnancy examination is one of the important steps towards a healthy pregnancy and is something that pregnant women must do. Pregnancy checks can be done through a gynecologist or midwife with a minimum of 4 checks during pregnancy, namely in the first trimester of pregnancy, the second trimester and twice in the third trimester of pregnancy (applies in normal pregnancy).Antenatal Care (ANC) visit is a visit from a pregnant woman midwife or doctor as early as possible since she feels that she is pregnant to get antenatal care. At each ANC visit, the officer collects and analyzes data regarding the mother's condition through anamnesis and physical examination to obtain a diagnosis of intrauterine pregnancy, and whether there are any problems or complications. (Saifudin, et al, 2002).During the period of pregnancy, mothers are advised to undergo ANC examinations. ANC examination is a pregnancy check to optimize the mental and physical health of pregnant women. This examination aims to recognize early on if there are abnormalities or complications during pregnancy so that pregnant women can immediately take further steps. Not only that, ANC also aims to monitor the development of pregnancy, prepare for childbirth, prepare for exclusive breastfeeding and prepare mothers to accept the presence of a baby.

Analysis of ultrasonographic and hystopathologic features of placental invasiveness in Vitro Fertilization (IVF) pregnancies: a prospective study

Purpose In Vitro Fertilization (IVF) techniques make up 1.5–5% of all births in developed countries. These pregnancies are characterized by implantation and functional alterations of the placenta, higher incidence of multiple pregnancies, higher incidence of hypertensive syndromes and pre and post partum hemorrhage (PPH). Methods Since January 2017 to May 2018 all single IVF pregnancies coming to San Camillo Hospital were considered prospectively for routine pregnancy checks until delivery and compared with a control group of spontaneous pregnancies. Each patient underwent to an obstetrical ultrasound of the third trimester at our clinic, with particular attention on the study of the placenta. Birth modalities, type and timing of third stage of labor, peri and post-partum complications were recorded. Results We had a higher incidence of cesarean sections in the IVF group (85% versus 25%) and peri and post-partum complications (38% versus 5%). We recorded a statistically significant difference of reduction in IVF pregnancies of VI (p = .0039) and VFI (p = .0043), while the FI index was not statistically significant in the two study groups (p = .4351). Conclusion Despite the small sample size of our study, our data follow the trend of scientific literature, with an effective increase in placental anomalies in IVF pregnancies compared to healthy controls.

Faktor-Faktor yang Mempengaruhi Terjadinya Kekurangan Energi Kronik pada Ibu Hamil

Chronic Energy Deficiency in pregnant women is a condition of the mother's lack of protein and energy intake during pregnancy which can cause health problems for the mother and the fetus. The purpose of this study was to determine the factors that influence the occurrence of chronic energy deficiency in pregnant women. This research is an analytical survey with a cross sectional research design, the study was conducted in June - August 2020 at the Pegayut Public Health Center, Pemulutan District, Ogan Ilir Regency, South Sumatra. The population in this study were all pregnant women who carried out ANC examinations at Pegayut Health Center in 2019 which totaled 369 people and the sample used in this study was the entire population of 369 people, data analysis used univariate (proportion), bivariate (chi square test) and multivariate (logistic regression) analysis. The analysis showed that maternal age at intervals of pregnancy (p value: 0,000) and parity (p vaue: 0,000) had a significant relationship with chronic energy deficiency, while the age of pregnant women (p value: 0.147) had no significant relationship with the occurrence of energy deficiency. chronicles. Based on the final model of multivariate analysis, the variable that has the greatest effect on chronic energy deficiency is the pregnancy interval variable. It is hoped that pregnant women should carry out routine pregnancy checks at least 4 times during pregnancy to monitor the health of the mother and baby so as to prevent complications of pregnancy and childbirth.

Factors Impacting Reproductive Success and Asset Value of Beef Breeding Females in Mississippi Auctions

AbstractA breeding female’s perceived value is a complicated process and depends on a combination of expected production costs, reproductive success, and calf values. A conceptual asset value model based on female characteristics as signals and net implicit marginal value expectations is developed. A hedonic model based on sequentially sold individuals at multiple Mississippi auction locations is estimated by panel regression. Among other findings, pregnant females are discounted in proportion to abortion risk, which decreases toward birth. A follow-up cost/benefit analysis indicates producers are better off from at home pregnancy checking and selling only nonpregnant females or cow/calf pairs.

13 Generation of SLICK beef cattle by embryo microinjection: A case report

Due to climate change, cattle can experience heat stress more frequently in traditionally temperate, non-tropical environments. Because of this and the fact that most of the world’s inefficient cattle reside in tropical zones, we set out to demonstrate our ability to adapt Angus animals to heat stress through a single gene edit in the prolactin receptor (PRLR). We selected PRLR, because it is known that the SLICK phenotype results from 1 of 3 different mutations in PRLR and therefore is related to heat stress regulation. The overall project was initiated through a partnership between Acceligen and BluePrint Genetics (BPG). BPG harvested 1415 oocytes from a total of 9 ovum pickup rounds from 7 different Angus donors. These oocytes were graded, selected, and put in maturation medium for shipping to Acceligen. Matured oocytes were fertilized in Fert-TALP medium and co-incubated with frozen/thawed semen from 3 different reproductive certified Angus bulls. Consequently, targeted editing was done on a single cell in the zygotes 12h after fertilization by introduction of guide (g)RNA/Cas9 (250ng μL−1 of each) through intracytoplasmic microinjection. Then, treated zygotes (n=1341) were cultured in synthetic oviductal fluid with amino acids (SOFaa) culture medium under a controlled atmosphere until on Day 6, when 277 (20%) grade 1 embryos were selected and 39 returned to Blueprint Genetics for transfer. Because the number of available recipients was limited, only 4 rounds of fresh embryo transfer were completed, and the remaining embryos (n=190) were vitrified for future transfers. Pregnancy checks by ultrasound on Day 30 revealed a 23% (9/39) rate of pregnancy, which decreased to 13% (5/39) by Day 60. In total, 4 animals reached term and delivered healthy calves. Genetic testing of the PRLR target site was done by amplicon sequencing, which showed 3 edited SLICK animals (75%) and one wild-type. Thus, the SLICK zygote editing by microinjection was demonstrated to be an efficient method to produce bovine beef animals and is currently being prepared for regulatory review in multiple countries and commercialization.

HUBUNGAN PROTEIN URINE DAN MEAN ARTERI PRESSURE DENGAN KEJADIAN HIPERTENSI PADA IBU HAMIL TRIMESTER III DI RSU PRIMA HUSADA SIDOARJO

Preeclampsia is still a major health problem for pregnant women in the world and in Indonesia. These are the three main causes of maternal death. Preeclampsia is a complication in pregnancy characterized by hypertension, protein in the urine and edema in the extremities. This study aims to determine the relationship between urine protein levels and mean arterial pressure in third trimester pregnant women at Prima Husada Hospital Sidoarjo. This research method is cross sectional analytic observation with a sample size of 30 pregnant women. Urine protein levels are obtained by examining using the urine dipstick method. Meanwhile, mean arterial pressure is obtained by measuring the mother's blood pressure and then calculated using a formula to determine the results. Data analysis using Chi Square. Results: Of the 30 respondents, 20% were positive on the examination of protein levels and 30% were positive on the examination of the mean arterial pressure. On examination of urine protein with hypertension, the result was p = 0.272 (&gt; 0.005). The results of the analysis of the relationship between MAP and hypertension obtained p = 0.001 (&lt;0.005). Conclusion: There is no relationship between protein levels and hypertension and there is a relationship between mean arterial pressure and hypertension. It is expected that pregnant women carry out routine pregnancy checks at least 4 times during pregnancy and midwives routinely carry out early detection of preeclampsia to prevent complications in the mother and the fetus.

Reproductive Diseases in Farmed Rabbit Does.

Simple SummaryThe domestic rabbit doe can have several reproductive diseases, including infertility. These were causes for consultations from rabbit producers. This led us to study the reproductive diseases of farmed does. To do this, we relied on visits to rabbitries, made since 1994. Low fertility, which in our case we considered less than 70% pregnancies (85.5% was the average observed on farms), plus an abortion rate equal to or greater than 2% of inseminated does, were the most frequent problems. Then, we scheduled work from 2014, through pregnancy checks with abdominal palpation. We recorded the results for each rebred lactating doe examined, along with data on her body and sanitary condition, and parity order. We found an effect of low body condition or diseases, such as mastitis, on infertility. Age also had an effect: first parity does were less fertile. Therefore, before servicing a doe, it is necessary to evaluate its condition, as well as various management practices (reproductive rhythm) or environmental factors (lighting).In this study, we determined the occurrence of reproductive diseases in does on 1373 visited farms in Spain and Portugal, between 1994 and 2019. The retrospective information obtained was entered in a database classified as follows: apparent infertility (≤70% pregnancy rate), abortions (≥2% of serviced does), high fetal death risk at parturition (≥10%) or dystocia, amongst others. Infertility was the reason for 181 visits. The median of prevalence of apparent infertility in these cases was 35% (minimum to maximum: 25–90%) and the mean, 37.4%. We performed a prospective study to determine risk factors at the individual and farm level, with a second database corresponding to 2014–2019. We carried out pregnancy checks, assessed sanitary status and body condition, and recorded the age of 17,297 rebred lactating does on 142 farms. The median size of the farms was 800 does, and the examined cohorts, 350 does. Predisposing risk factors for infertility were observed: e.g., mastitis had an effect. During the 5-year study, we made a third database with the results from 190,508 does palpated by producers in a subset of 134 farms. In this case, the median of the prevalence of apparent infertility was 14.5% (minimum to maximum: 4.1–50%), which could be considered baseline occurrence when monitoring the theriogenology of rabbit doe farms. Reproductive rhythm was an enabling risk factor: does serviced ≤25 d postpartum were less fertile than at ≥32 d. We made a database with the body condition score (BCS) on a linear scale from 1 (emaciated) to 9 (obese). The pregnancy rate (PR) of underweight and borderline does (4/9) was 73.1%. The PR of overweight and borderline does (6/9) was 82.6% and those classified with a mean BCS (5/9): PR = 79.3%. We may infer that the optimum BCS for reproduction is 6/9, rather than 5/9. Some changes in female rabbit health and husbandry to improve reproductive performance and welfare are highlighted.

Hubungan Dukungan Suami pada Ibu Hamil Terhadap Kunjungan Antenatal Care (ANC) Di BPM Soraya Palembang

The period of pregnancy is the health status of pregnant women which can be determined by examining and pregnancy at the closest health service called Antenatal care (ANC) pre-delivery care or care for pregnant women. ANC is a pregnancy to optimize the mental and physical health of pregnant women. Thus being able to deal with childbirth, during childbirth, breastfeeding, and returning to health naturally. Antenatal care examination is a pregnancy that is performed for periodic examination of the mother and fetus, followed by correction of deviations. The pregnancy period is the health status of pregnant women which can be known by examining their pregnancy checks at the nearest health service called ANC care before delivery or care for pregnant women. Antenatal care (ANC) is a pregnancy to optimize the mental and physical health of pregnant women. An antenatal care examination is a pregnancy performed for periodic examination of the mother and fetus, which is followed by corrective action against the prescribed. The purpose of this study was to determine the correlation between husband supports in pregnant women on the Antenatal Care (ANC) visit at Private Midwifery Palembang. This study used qualitative descriptive research with a sectional cross-sectional design. The significant result with the Chi-square test was α = 0.05. The sample was 25 pregnant mothers. In this study, the results of mothers who received husband support were 23 respondents (92%), while mothers who did not receive husband support were 2 respondents (8%). Mothers who had good Antenatal Care visits were 23 respondents (92%), while those who were not good at conducting Antenatal Care visits were 2 respondents (8%). Data analysis used univariate and bivariate analysis. The statistical test results obtained ρ value = 0,000. It could be concluded that there was a significant correlation between husband's support for pregnant mothers and ANC visit in 2019 at Private Midwifery Palembang.

When mothers talk about their past habits: A case study of stunting in Kendary City, Indonesia

Stunting can be a nutritional problem that will adversely affect the optimal development process of children according to their genetic potential. Stunting can hinder the process of growth and development in under-fives. This study aimed to determine the causes of stunting in under-fives in the Abeli sub-district, Kendari City. The method of study was descriptive qualitative by a case study design. Data obtained through in-depth interviews of 4 (four) key informants and 5 (five) ordinary informants. Based on the results of the study, it was known that the incidence of stunting in the Abeli sub-district was caused by low birth weight, exclusive breastfeeding, and complementary feeding. It was based on the results of interviews, of four under-fives were stunting, there were three under-fives had a birth weight <2500 grams. The reason was because of inadequate breast milk production and a lack of family support for mothers to provide exclusive breastfeeding to under-fives. The reason was that the mother did not carry out routine pregnancy checks so that the condition of the fetus was poorly monitored. Besides, all under-fives who were stunting did not receive exclusive breastfeeding. In giving complementary feeding, the mothers gave complementary feeding to under-fives too early. Besides, a portion of the meal did not meet the needs of under-fives and less varied food.

Tingkat Hiperemesis Gravidarum pada Ibu Hamil Trimester I di Kabupaten Kendal

Hyperemesis gravidarum is excessive or uncontrollable vomiting during pregnancy, which causes dehydration, electrolyte imbalance, or nutritional deficiencies. If this situation gets worse and cannot be overcome, it will endanger the mother and the fetus. The purpose of this study was to determine the description of the hyperemesis gravidarum of pregnant women in the first trimester in Kendal Regency. Descriptive research design using a non-probability sampling design with a total sample of 54 pregnant women with gestational age 0-12 weeks who conducted pregnancy checks at the Polindes, Nolokerto Village, Kaliwungu District, Kendal Regency. The research instrument used a Check List. Data analysis using percentage. The results showed that almost all respondents (92.6%) had mild hyperemesis gravidarum, and a small proportion (7.4%) of respondents had moderate hyperemesis. It can be concluded that most of the trimester 1 pregnant women have hyperemesis gravidarum. It is recommended that pregnant women and their families actively seek information regarding the handling of hyperemesis gravidarum.&#x0D;

Analysis Of The Factors That Influence The Achievement Of K1 In The Working Area at The Tirtoyudo Community Health Center

The problem of maternal death is still a major problem in the health sector. The health of a pregnant women is an important aspect to consider in a women’s life cycle because during her pregnancy there can be unexpected complications. Pregnancy checks should be done as early as possible, as soon as a woman feels she is pregnant. The purpose of the study was to determine the effect of partial and silmutan between the pregnant women’s knowledge, husbands support, and the role of cadres on the level of achievement of K1 in the work area at the health center of Tirtoyudo. The research design used is quantitative research using “explanatory research. The sampling technique used is “proportional sampling” of 105 respondents. This study uses a survey method using a questionnaire that contains statements and the collection of dats by interview and questionnaire, then in the measurement technique of research data using a Likert scale. Likert scale has a gradation from very positive to very negative to four levels. Instruments that both must meet two requirements is important is valid and reliable. Validity is the level of reliability and validity of the tool measuring are used, while the test of reliability is useful to establish whether the instrument, in terms of this questionnaire, can be used more than one time, at least not by the respondents are the same and will generate data consistent. Results The study showed that 1) the knowledge Ibu Hamil has the effect of the positive and signiikan against keputusanIbu Pregnant To do Visits First (K1) three months of the first period of pregnancy , 2) support of husband does not have the effect that is significant to the decision of the mother pregnant to do the visit first (K1) three months of the first period of pregnancy and 3) the role of the CadreHealth has the effect that a positive and significant to the decision of the mother pregnant to do the visit first (K1) three months of the first period of pregnancy

Based Assistance Continuum of Care Can Increase Family Independence in Overcoming Health Problems Pregnant-Women

Pregnancy is a natural process during pregnancy does not rule out the possibility of problems or complications that can interfere with health. This study is the development of a minimum standard of visits for pregnant-women and the care provider acts as a ball-picker, with the aim of empowering the family to be independent in recognizing pregnancy complications, overcoming minor complaints, meeting nutritional needs, carrying out pregnancy checks and taking blood tablets. Visits are carried out continuously 15 times during pregnancy and communicating until the mother gives birth. This study usED experimental design with control. The research subjects were 120 people taken by simple random sampling. Data were collected using observation sheets, then analyzed using the logarithmic-formula (Log10). The results showed an increase in the level of family independence in recognizing complications during pregnancy, family independence in overcoming mild complaints in pregnancy, independence in fulfilling the nutritional needs of pregnant-women, family independence in carrying out pregnancy examinations, independence the family in giving tablets added blood. The average independence change is 37.4%, based assistance continuum of care that is done by conducting intensive visits and more often can increase family independence in overcoming health problems of pregnant-women, able to reduce self care deficits, improve family capacity in meeting demands self care and families are able provide care for pregnant-women independently.

The Relation of Nurul?s Model with Mental Health during Pregnancy

Mental health as a condition of the welfare of the mother during pregnancy needs to be managed by health personnel as well as pregnant women themselves. Midwives still pay less attention to mental health problems in pregnant women, which can be seen in the low level of mental health examinations for pregnant women during pregnancy checks, even though 29% of pregnant women in Bogor district experience mental emotional problems. This was a quantitative research and was conducted from March to May 2019 in Independent Midwifery Practice in Bogor. The subjects of this research were pregnant women and the data were analyzed by using Partial Least square. Based on result of the research, The Construction Model Mental Health on Mothers during pregnancy in Independent Midwifery Practice is very important and needs attention. Pregnancy is still considered as a physical change that needs to be intervened because it is easier to be handled and detected. Maternal examination during pregnancy is carried out by Midwives, in the implementation of mental health checks during pregnancy for pregnant women and this role has not been carried out optimally. This research suggests conducting socialization with midwives as well as across related sectors to get political support in carrying out activities in health facilities and independent practice midwives. Keywords: Pregnancy, Mental Health, Nurul’s Model Corresponding Author: Nurul Husnul Lail1,2 1Doctoral Student, Departement of Public Health Sciences, Faculty of Medicine, Andalas University 2Faculty of Health Sciences, Nasional University email address: nurulhusnul76@gmail.com

DETEKSI DINI KOMPLIKASI KEHAMILAN, PERILAKU HIDUP BERSIH DAN SEHAT SERTA DETEKSI DINI GANGGUAN PERTUMBUHAN DAN PERKEMBANGAN BAYI DAN BALITA DI WILAYAH KERJA PUSKESMAS PEGAMBIRAN KOTA PADANG

Puskesmas Pegambiran is located in Lubuk Begalung Sub-district, Padang City has five villages with a pregnancy complication rate of 19.9% and neonatal complications of 11.74% (2016). The general objective that will be achieved is to increase the number of better health degrees for pregnant women, infants, toddlers, and pre-school age children through promotive and preventive activities. The method used is by conducting surveys and interviews, conduct counseling, demonstrate clean and healthy living habits, anthropometric measurements of infants, toddlers, and pre-school children, observation, pregnancy checks, hemoglobin checks, and counseling. The results obtained were counseling and demonstrations on clean and healthy living behaviors in pre-school age children at Alya Zahira Kindergarten, which all students could participate in and run smoothly. 98% of kindergarten students demonstrated healthy hygiene habits, including washing hands, brushing teeth, and mentioning healthy snacks. Anthropometric measurements of infants and toddlers and pre-school age children showed that weight for age was within normal limits, height/length according to age, and expected limits. 3.7% thin and short toddlers and 1.2% of toddlers have speech delays, 1.2% children under five with a history of epilepsy, and need further treatment, so referrals are made. 1.2% of children under five were referred to because they did not recognize colors. All pregnant women (100%) have normal hemoglobin levels (10 g / dl), and pregnancy conditions are appropriate for their gestational age. It is hoped that further community service activities will be carried out by applying the partnership midwifery practice model (mentoring) to the above targets for several months. There are changes in behavior patterns for promotive and preventive actions that have been given.