Pregnant Women In 1st Trimester Research Articles

EFEKTIFITAS PEMBERIAN KOMBINASI AROMATERAPI PEPPERMINT DAN LEMON UNTUK MENGURANGI MUAL MUNTAH YANG BERLEBIHAN PADA IBU HAMIL TRIMESTER I DI PMB RONNI SIREGAR

One of the problems that occur during pregnancy that can increase the degree of pain is the occurrence of gestosis during pregnancy or diseases that typically occur during pregnancy, and one of the gestosis in pregnancy is hyperemesis gravidarum. The impact can occur on the mother and fetus. The purpose of this study was to determine the effectiveness of the combination of Peppermint and Lemonade Aromatherapy in reducing excessive vomiting nausea in 1st trimester pregnant women. This study uses a type of quantitative research with a Quasi-Experimental design with a Non Randomized Pretest Posttest Design. This research was conducted in December 2023 at the Midwifery Room of Medan Adventist Hospital. The sampling technique in this study was total sampling with a sample of 10 people. The instrument in this study used the observation sheet PUQE-24 Scoryng System. Based on researcher data from 10 respondents before the intervention was given, 6 of them experienced severe vomiting nausea and 4 respondents experienced moderate vomiting nausea and after the intervention there was a decrease in the level of vomiting nausea, namely 6 respondents with moderate vomiting nausea and 4 respondents experienced a decrease in mild vomiting nausea. The statistical test in this study used the Paired Sample T Test. The results of statistical tests with the Paired Sample Test obtained p values of 0.000 < 0.05. The conclusion of the results of this study is that the combination of peppermint and lemonade aromatherapy is effective in reducing excessive vomiting nausea in 1st trimester pregnant women.

Effectiveness Of Warm Ginger Milk Consumption In Reduce Emesis Gravidarum In 1st Trimester Pregnant Women In Pmb Karawang City Year 2023

Background: In early pregnancy, many mothers experience complaints of nausea, vomiting, especially in the morning, which is known as morning sickness or in medical language known as emesis gravidarum. Symptoms of emesis gravidarum in pregnant women can be treated both with conventional and non-conventional treatments or often referred to as complementary therapy, namely with herbal plants that are easily available such as lemongrass, lemon, peppermint leaves and the most popular is ginger. Research Objectives: To determine the effectiveness of consuming warm ginger milk juice in reducing emesis gravidarum in first trimester pregnant women at PMB Karawang City in 2023 Research Methods: The type of research used in this study is quasi-experimental and post test only design one group. The population in this study were 54 mothers. The sample in this study were 35 mothers who were in PMB Karawang City. Bivariate analysis using the Wilcoxon test. Results: The average frequency of emesis gravidarum in 1st trimester pregnant women before being given warm ginger juice was 9.97, a standard deviation of 1.636, a minimum of 7 and a maximum of 13. The average frequency of emesis gravidarum in 1st trimester pregnant women after being given consumption warm ginger milk juice is 5.54, a standard deviation of 1.039, a minimum of 4 and a maximum of 7. Conclusion: It can be concluded that consumption of warm ginger milk juice is effective in reducing emesis gravidarum in first trimester pregnant women at PMB Karawang City in 2023.

Blood lead levels in pregnant women and their newborn infants at an Indian teaching hospital.

With the growth of the world's economy and industrialization, lead (Pb) contamination in the environment has become a major issue on a global scale. Lead is typically linked to unfavorable pregnancy outcomes such as stillbirth, low birth weight preterm, and spontaneous abortion. In this study, we evaluated the blood lead levels of pregnant women and their birth outcomes attending an Indian tertiary care teaching hospital, those who were not exposed to any lead-associated industry or shops. A descriptive study was undertaken to evaluate blood lead estimation in pregnant women and umbilical blood lead levels in a community hospital. Blood samples from 104 mothers during the 1st trimester, 90 mothers during 3rd trimester, and from the umbilical cord were collected. Self-administered questionnaires were used to collect information on demographics, medical history, and concerns linked to pregnancy. Following acid digestion, the levels of lead in whole blood were determined by an atomic absorption spectrometer. The DNA damage in high blood lead-concentrated pregnant women was evaluated by comet assay methods. Among 194 blood samples of pregnant women, 31 (15.98%) samples revealed ≥5 μg/dL blood lead levels. High lead concentration (≥5 µg/dL) in 1st trimester pregnant women, end of 3rd trimester and cord blood were detected 20.19%, 11.11% and 1.11% respectively. The mean blood lead levels in 1st trimester, 3rd trimester, and cord blood were 3.88 ± 3.19, 2.66 ± 1.82, and 1.53 ± 1.06 mg/dL, respectively. The blood lead concentrations were significantly higher in the 1st trimester of pregnancy than in the 3rd trimester of pregnancy (P < 0.0017). A positive correlation between maternal and infant blood lead levels was revealed (P < 0.0001). When the comet assay was used to assess the genotoxic consequences of elevated blood lead levels during pregnancy, higher amounts of DNA damage were found in the samples (P < 0.01). In this descriptive study, there was a significant amount of lead transferred from mother to baby through the placenta. All mothers were not exposed to lead-associated industry and most were housewives. This article may be viewed as an eye-opener for understanding the blood lead concentration during pregnancy to avoid abnormal birth outcomes. To minimize exposure to environmental lead, all possible measures should be undertaken.

P07-054-23 A Plasma Cuprome Reveals the Biology and Status of Copper in 1st Trimester Pregnant Women in Rural Bangladesh

P07-054-23 A Plasma Cuprome Reveals the Biology and Status of Copper in 1st Trimester Pregnant Women in Rural Bangladesh

KNOWLEDGE, ATTITUDES AND BEHAVIORS WITH DENTAL CARIES EXPERIENCES IN PREGNANT WOMEN OF THE 1ST TRIMESTERIN

Background: Pregnancy is a natural process, involving physiological, anatomical and hormonal changes. The result of these hormonal changes is the emergence of changes in the conditions felt by pregnant women such as nausea and vomiting so that it can cause the mouth to be in an acidic state, as a result oral hygiene becomes bad and very easy to cause damage such as cavities, bad breath and other periodontal diseases such as gingival inflammation. Objective: analyze the Relationship of Attitude and Behavior Knowledge with Dental Caries Experience in 1st Trimester Pregnant Women in the Cirangkong Health Center Working Area, Cijambe District, Subang Regency. Method: research with crossectional design, population of 40 respondents using non-random sampling method. The data were taken by examining dental caries list questions (questionnaires) in pregnant women in the 1st trimester. The data were analyzed using the Spearman Rank statistical test. Results There is a relationship between knowledge, attitudes and behaviors with the caries experience of pregnant women in the 1st trimester, namely (p=0.000 &lt;α: 0.05). the value of the correlation coefficient where the results are most related is the attitude variable with a value of 0.770 and the P-Value of 0.000 which means that it has a very strong relationship compared to other variables. The conclusion that the attitude of pregnant women in the I trimester is most related to the experience of caries (DMF-T) at the Cirangkong Health Center.

PSYCHOPATHOLOGY, HEALTH PROMOTING &amp; HEALTH IMPAIRING BEHAVIOR AMONG PREGNANT WOMEN

The objective of the study was to determine how much age, income, education, health promoting and health impairing behavior correlates and predict the psychopathology (depression) among pregnant women. The sample was taken from the maternity units of the government, private hospitals and clinics of Faisalabad district. The sample of 432 pregnant women in 1st trimester was taken by purposive sampling technique. The demographics were age, income, education of pregnant women. Prenatal Health Behavior Scale (PHBS) was used to measure the health promoting and health impairing behavior and Edinburgh Postnatal Depression Scale (EPDS) was used to measure the psychopathology. The findings revealed that age and health impairing behavior positively predicted depression (β = .19, p &lt; .001), (β = .48, p &lt; .001) respectively while income, education and health promoting behavior negatively predicted depression (β = -.09, p &lt; .01), (β = -.08, p &lt; .05), (β = -.31, p &lt; .001) respectively. The ∆R2 value of .38 revealed that 38% change in the variance of model 1 and model 2 with ∆F (2,426) =189.48, p &lt; .001.The findings revealed that age, income, education, health promoting behavior and health impairing behavior are significantly associated and predictors of depression. Keywords: Pregnancy, Psychopathology, Health promoting behavior, Health impairing behavior

Hubungan Usia, Paritas, dan Pekerjaan Terhadap Resiko KEK Ibu Hamil Trimester 1 di Puskesmas Cilengkrang Bandung Tahun 2022

Nutrition has a major contribution to the life cycle, one of the nutritional problems of pregnant women is malnutrition, both macro and micro malnutrition which is manifested in chronic energy deficiency In Indonesian it’s KEK. KEK can cause premature, low birth weight, stunting and other complications, early detection can use indicator by measuring Upper Arm Circumference. The prevalence rate of KEK for pregnant women in Indonesian 17.3% nationally. The purpose this study was to analyze the relationship between age, parity, occupation with KEK risk. Method research used quantitative with a crosssectional approach. The sample this study was the entire population, 1st trimester pregnant women at the Cilengkrang Health Center from March 2020 to March 2022 who had complete medical record data. The independent variables in the study were age, parity, occupation, the dependent variable was KEK risk. Sampling used a total sampling technique who met the inclusion criteria, analyzed using Univariate Analysis and Bivariate analysis was carried out with the Chi Square statistical. The results of research on each variable p value&lt;0.05. The conclusion is there is a relationship between age, parity, occupation with KEK for pregnant women in 1st trimester. Suggestions for pregnant women and pregnant women plan their pregnancies at reproductive age at 20 years to 35 years and must know the nutrition they need during pregnancy, to create a healthy pregnancy and minimize the risk of complications.

Hubungan Gravida, Jarak Kehamilan Dan Status Gizi Dengan Kejadian Hiperemesis Gravidarum Pada Ibu Hamil Trimester I

Hyperemesis gravidarum is excessive nausea and vomiting in pregnant women that is so severe that it interferes with work. This research was conducted at RSIA Amanna Baturaja which aims to determine the relationship of gravida, gestational interval and nutritional status to the incidence of Hyperemesis Gravidarum. The design of this study used a quantitative analytic survey method with a cross sectional approach. The population is all 1st trimester pregnant women who checked their pregnancy at RSIA Amanna Baturaja in 2020, which amounted to 232 respondents. Sampling using random sampling technique, the sample size is 70 respondents. Data analysis using the chi square test with a significance level of = 0.05. The results showed that there was a relationship between primigravida (p-value 0.017), gestational interval (p-value = 0.041), and nutritional status with the incidence of hyperemesis gravidarum (p-value 0.040). This shows that there is a significant relationship between nutritional status and the incidence of hyperemesis gravidarum. The conclusion is that there is a significant relationship between gravida, pregnancy distance and nutritional status with the incidence of Hyperemesis Gravidarum at Amanna Hospital in Baturaja, East Baturaja District, OKU Regency in 2020. The results of this study can be used as a reference to improve the quality of health services for pregnant women to prevent hyperemesis gravidarum.

High prevalence of early (1st trimester) gestational diabetes mellitus in Polish women is accompanied by marked insulin resistance - comparison to PCOS model.

Both pregnancy and polycystic ovary syndrome (PCOS) constitute insulin-resistant states that are associated with an increased prevalence of glucose intolerance. Some women demonstrate significant insulin resistance (IR) and develop gestational diabetes (GDM) even in the 1st trimester. We compared surrogate IR indices in 1st-trimester pregnant women and in women with PCOS (Rotterdam consensus criteria). We performed a 75-g oral glucose tolerance test (OGTT) with insulin measurements in 106 healthy 1st-trimester pregnant women at 9.9 ± 2.6 weeks of gestation and in 418 women with PCOS. We assessed IR (HOMA-IR, QUICKI, Matsuda, Belfiore, and Stumvoll indices) as well as the prevalence of GDM according to the International Association of Diabetes and Pregnancy Study Groups (IADSPG) and World Health Organization (WHO) (1999) criteria. Despite having a slightly lower BMI (p = 0.027), pregnant women had either similar (QUICKI, Belfiore index, Stumvoll0-120 min) or greater IR than women with PCOS (e.g. HOMA-IR 3.85 ± 6.11 vs. 2.64 ± 2.04, p = 0.002), while only the Matsuda index demonstrated less IR in pregnant women (p = 0.003). The correlation between IR indices in pregnant women showed marked variability, ranging from r = 0.334 (HOMA-IR vs. Belfiore index) to r = -1.0 (HOMA-IR vs. QUICKI, p < 0.001). This was accompanied by a high prevalence of GDM (14.2% and 9.4%, IADPSG and WHO criteria, respectively). Women with GDM diagnosed according to IADPSG criteria demonstrated greater IR than pregnant women without GDM. In women with GDM diagnosed according to WHO (1999) criteria these differences were visible only for OGTT-derived IR indices (Belfiore, Matsuda, and Stumvoll0-120 index). Depending on the choice of IR indices, healthy 1st-trimester pregnant women demonstrate either similar or greater IR than women with PCOS, and this is accompanied by a high prevalence of early GDM. It remains to be established whether GDM screening should be performed in the 1st trimester.

Circadian misalignment measured by social jetlag from early to late pregnancy and its association with nutritional status: a longitudinal study

A mismatch between circadian and social clocks leads to a circadian misalignment, which has been widely measured by social jetlag (SJL). There are several studies measuring SJL, but it has not been studied in pregnant women. Therefore, this study aimed to identify the occurrence of SJL throughout pregnancy and to verify whether there is an effect of pre-pregnancy body mass index (BMI) on SJL throughout pregnancy. The baseline of the present study was conducted with 205 1st trimester pregnant women of whom 100 were followed in their 2nd and 3rd trimester. SJL was calculated based on the absolute difference between mid-sleep time on workdays versus work-free days. The pre-pregnancy BMI and current BMI (kg/m2) were calculated. Linear regression and Generalised Estimating Equation (GEE) adjusted for confounders were used to determine the association between SJL and the gestational trimesters (time), and anthropometric variables. Most of the pregnant women (54.5%) presented SJL > 1 h in the first gestational trimester. We also found an isolated effect of the gestation trimester on the SJL mean. In this sense, pregnant women had a decrease in SJL from the second to the third trimester (1.33 ± 0.08 versus 1.12 ± 0.07, respectively; p = 0.012). GEE analyzes showed that pregnant women of a normal weight showed a decrease in SJL from the second to the third trimester (1.29 ± 0.11 and 0.93 ± 0.08, respectively, p = 0.032), but this was not found in the other groups of nutritional status (underweight, overweight and obesity). In addition, a positive association between SJL and pre-gestational BMI in the third trimester (β = 0.200, p = 0.046) was found. SJL is quite prevalent during the gestational period and excessive BMI both before and during pregnancy is associated with an increased risk of having SJL > 1 h in the third and second trimesters, respectively. In addition, pregnant women of normal weight—but not underweight or overweight—had decreased SJL from the second to the third trimester.

Literature Review: The Effect Of Lemon Aromatherapy On Emesis Gravidarum

Nausea and vomiting (Emesis Gravidarum) often occurs in 1st trimester pregnant women. The cause is due to an increase in the hormones estrogen and HCG in early pregnancy. One of the effects is dehydration which causes the fetus to experience problems, therefore therapy is needed one of the therapies to deal with is the aroma therapy of lemon. International literature searched by electronic means with key words (emesis, lemon therapy, aromatherapy). 8 selection articles on the effect of lemon aromatherapy on emesis gravidarum. Result of this study is there were differences in emesis gravidarum in aromatherapy with the same treatment. One of the treatments for emesis gravidarum is a non-pharmacological method, namely lemon aromatherapy. Aromatherapy lemon therapy contains 66-80% limonene, geranil acetate, nerol, linalyl acetate, 0.4-15% pinene, 1-4% pinene, 6-14% terpinene and myrcen. Chemical compounds such as geranil acetate, nerol are useful for antidepressants, nantiseptics, anti spasmodics to relieve feelings of anxiety, stress, and fatigue. Conclusion of this research that the use of lemon aromatherapy is effective in reducing the occurrence of emesis gravidarum

Literature Review: The Effect Of Lemon Aromatherapy On Emesis Gravidarum

Nausea and vomiting (Emesis Gravidarum) often occurs in 1st trimester pregnant women. The cause is due to an increase in the hormones estrogen and HCG in early pregnancy. One of the effects is dehydration which causes the fetus to experience problems, therefore therapy is needed one of the therapies to deal with is the aroma therapy of lemon. International literature searched by electronic means with key words (emesis, lemon therapy, aromatherapy). 8 selection articles on the effect of lemon aromatherapy on emesis gravidarum. Result of this study is there were differences in emesis gravidarum in aromatherapy with the same treatment. One of the treatments for emesis gravidarum is a non-pharmacological method, namely lemon aromatherapy. Aromatherapy lemon therapy contains 66-80% limonene, geranil acetate, nerol, linalyl acetate, 0.4-15% pinene, 1-4% pinene, 6-14% terpinene and myrcen. Chemical compounds such as geranil acetate, nerol are useful for antidepressants, nantiseptics, anti spasmodics to relieve feelings of anxiety, stress, and fatigue. Conclusion of this research that the use of lemon aromatherapy is effective in reducing the occurrence of emesis gravidarum

Estimation the Prevalence of Anemia in Pregnancy in Tuz City, Saladin Governorate

Introduction: Anemia is a state of decreased level of hemoglobin below normal. WHO defines anemia as hemoglobin level below 10.5 gm/dl in 2nd trimester, below 11 gm / dl in 1st and 2nd trimesters and below 10gm/dl postpartum. The Aim of this study to estimate prevalence of anemia in pregnancy in Tuz city, Saladin governorate. Subjects and Methods:This study was conducted at the beginning of November 2019 to the end of February 2020. 150 women at child bearing age were participated in this study (100 pregnant women collected randomly from those attending antenatal care center in Tuz General Hospital in Saladin governorate and 50 healthy non pregnant women collected randomly as control.). Written consent was taken from each woman participating in the study after expanding the aim of the study for each subject. In the laboratory of the hospital, 3 ml of cubital venous blood had been drawn from each patient using disposable syringes and needles.The same automated analyzer had been used to perform complete blood count (CBC) and 5 parameters had been estimated for each patient. Results: 96% of non-pregnant women had normal hemoglobin level and 4%of them had mild to moderate anemia. Among pregnant women, 4% of them severe anemia, 65% of them had mild to moderate anemia, and 31% of them had normal hemoglobin level. Among pregnant women in 1st trimester, 27.8% of them had mild to moderate anemia and 72.2% of them had normal hemoglobin level. Among pregnant women in 2nd trimester, 8,3% of them had severe anemia, 75% had mild to moderate anemia, 16,7% of them had normal hemoglobin level. Among pregnant women in 3rd trimester, 2,2% had severe anemia, 71,7% had mild to moderate anemia and 26,1% had normal hemoglobin level.

Objective sleep efficiency but not subjective sleep quality is associated with longitudinal risk of depression in pregnant women: A prospective observational cohort study

BackgroundSleep disturbances are one of the most frequent chief complaints brought to the healthcare professionals during routine prenatal care visits. Sleep and mood disturbances are often intertwined, and depression in particular is a leading cause of disability and disease burden worldwide with women more likely to be affected than men. However, limited studies have prospectively investigated the association between sleep disturbances and longitudinal risk of depression in pregnant women, with no studies using actigraphy to objectively estimate daytime and nighttime sleep duration and the extent of sleep disruption. ObjectivesTo examine the predictive and longitudinal association of objective actigraphic and subjective sleep disturbances with depressive symptoms in pregnant women. DesignA prospective observational cohort study. Methods204 1st trimester pregnant women recruited from a university-affiliated hospital provided socio-demographic and health information, wore a wrist actigraph for 7 days, and completed Pittsburgh Sleep Quality Index, Center for Epidemiologic Studies - Depression Scale, and Epworth Sleepiness Scale. Identical data collection procedures were implemented again in the 2nd and 3rd trimester, with each data collection scheduled at least 8 weeks apart. We estimated unadjusted and multivariable adjusted odds ratios and 95% confidence intervals to evaluate various types of sleep disturbances at 1st trimester and risk of depression at follow-ups. Results121 (59.3%) 1st trimester women had a sleep efficiency of < 85% by actigraphy, and 92 (45.1%) had Pittsburgh Sleep Quality Index global scores > 5 indicative of poor sleep quality. In multivariable adjusted models, 1st trimester objectively measured sleep efficiency < 85% was associated with 2.71-, 3.87-, and 5.27-fold increased odds having risk of depression at 2nd trimester, 3rd trimester, and both 2nd and 3rd trimesters, respectively. ConclusionsHealthy pregnant women experience both objective and subjective sleep disturbances during the early trimester, with a substantial proportion of them also having high depressive symptoms throughout the pregnancy. Objectively assessed poor sleep quality in the 1st trimester, but not self-reported characteristics of disturbed sleep, may play a role in the development of both elevated and persistent high depressive symptoms in pregnancy. Future studies using objective sleep measurements and clinical diagnostic interviews are warranted to examine whether an early intervention aiming at improving sleep may help reduce high depressive symptom risk and lower depression rate in women during pregnancy.Tweetable abstract: Objectively assessed poor sleep efficiency in the 1st trimester predicts both elevated and persistent high depressive symptoms in pregnancy.

Selenium status in a Northern Irish pregnant cohort with iodine deficiency.

Selenium and iodine are trace elements that are maximally concentrated in the thyroid. Iodine is a substrate for thyroid hormone synthesis, while the selenoproteins protect the thyroid from the oxidative stress incurred. We measured plasma selenium concentration in 241 pregnant women in 1st trimester, previously reported to have iodine deficiency. Mean age was 30.3 years (SD 5.4), BMI 26.2 kg/m2 (SD 4.9) and 53% reported taking supplements. Median urinary iodine concentration was 73 μg/L (IQR 37-122) (WHO recommendation, ≥150 μg/L). Mean plasma selenium concentration was 75 µg/L (SD 7.7) which is below the 80-125 µg/L reported to be optimal. Four-day food diaries revealed a selenium intake of 43 µg/day (SD 15.9), also below the 55-70 µg/day reported to be optimal. This is the first report of selenium status in pregnancy on the island of Ireland. The possible combined effects of iodine and selenium deficiencies in pregnancy merit further investigation.

PENGARUH PEMBERIAN AIR REBUSAN DAUN MINT TERHADAP FREKUENSI EMESIS PADA IBU HAMIL TRIMESTER I

Emesis in pregnancy is a condition where the mother experiences excessive nausea and vomiting. More than 70% of pregnant women suffer from this complaint in trimester 1. Based on a preliminary study to 10 pregnant women with emesis, as many as 2 (20%) pregnant women consume the drug to reduce nausea, and 8 (80%) Still experiencing nausea. The purpose of the research is to know the influence of water-boiling mint leaves against emetic in pregnant women in the Sukorame Puskesmas in Kediri City. This research is pre-experiment research with one group Pretest-posttest design. The population is the pregnant women trimester 1 in Sukorame Puskesmas and the sample in the study is all the pregnant women of TM 1 in Sukorame Puskesmas. The sampling techniques used the total population, with the instrument using an observation sheet. Based on the test Wilcoxon obtained a significant value of p value = 0.001, so it can be concluded that there is the influence of the water-boiling mint leaves to the emetic frequency in the 1st trimester pregnant women. Hope researchers can increase the participation to reduce the occurrence of emetic in pregnant women trimester 1 by consuming the water stew mint leaves

Comparative assessment of serum level of selenium and iron in 1st trimester of pregnancy with non-pregnant women

Introduction: Pregnancy is dynamic anabolic state in women’s life. During pregnancy women undergo profound hormonal, metabolic and physical changes. Aim of the present study was to compare the serum level of selenium and iron between pregnant and non-pregnant women. Materials and Methods: The present study was carried out in 50 first trimester pregnant women and 50 non pregnant women at tertiary care hospital in Surat, in age group of 30 years and in BMI groups of Blood was collected and serum was analyzed for selenium and iron concentration in atomic absorption spectrophotometry (AAS).We have also measured anthropological parameter like height, weight and based on this BMI calculated. SPSS software used for statistical analysis. Result: There was a significant lower level of serum selenium (p found in 1st trimester pregnant women compared to non-pregnant women. There was a significant decreased in selenium level in all BMI group in pregnant women except in 30 kg/m2 group and there was a decreased in serum iron level in all BMI group in pregnant women compared to non-pregnant women. Conclusion: There was a significant decrease in serum selenium and iron level in 1st trimester of pregnant women com pared to non- pregnant women, which indicate that during pregnancy requirement of trace elements increase to meet demand for fetus growth. A reduction in maternal selenium concentration during pregnancy can lead to various disorders such as miscarriage, premature birth, preeclampsia, pregnancy include hypertension, low birth weight, retinopathy of prematurity etc. Keywords: Selenium, Iron, Atomic absorption spectrophotometry.

PENGARUH PAKET EDUKASI HBsAg TERHADAP PENGETAHUAN DAN SIKAP IBU HAMIL TRISEMESTER 1 TENTANG HBsAg DI WILAYAH KERJA PUSKESMAS TAMANAN KABUPATEN BONDOWOSO

Latar Belakang:Kejadian infeksi virus hepatitis B pada ibu hamil menjadi perhatian khusus, karena selain dapat menyebabkan masalah kesehatan pada ibu, juga dapat menularkan pada bayi yang dikandungnya, terutama pada proses kelahiran. Tujuan:adapun tujuan dari penelitian ini adalah untuk mengetahui pengaruh paket edukasi HbsAg terhadap pengetahuan dan sikap ibu hamil trimester 1 tentang HbsAg. Metodologi:Penelitian ini menggunakan desain penelitian pre eksperimen dengan pendekatan One Group Pretes-Posttest, dengan menggunakan kuesioner, sampel pada penelitian sebanyak 35 responden dengan menggunakan tekhnik total sampling. Kesimpulan: Dari penelitian ini diperoleh hasil yaitu terdapat pengaruh yang signifikan dengan nilai P= 0.000. Hal ini berarti menunjukkan bahwa ada pengaruh paket edukasi HbsAg terhadap pengetahuan dan sikap ibu hamil trimester 1 tentang HbsAg di wilayah kerja puskesmas Tamanan Kabupaten Bondowoso.

Pregnant Women in Four Low-Middle Income Countries Have a High Prevalence of Inadequate Dietary Intakes That Are Improved by Dietary Diversity.

Background: Up-to-date dietary data are required to understand the diverse nutritional challenges of pregnant women living in low-middle income countries (LMIC). To that end, dietary data were collected from 1st trimester pregnant women in rural areas of Guatemala, India, Pakistan, and Democratic Republic of the Congo (DRC) participating in a maternal lipid-based nutrient supplement (LNS) Randomized Controlled Trial to examine dietary diversity (DD), usual group energy and nutrient intakes, and prevalence of inadequate dietary intakes. Methods: Two 24-h dietary recalls were conducted in ~240 pregnant women/site (total n = 966) prior to 12-week gestation. Adequate DD was assessed, i.e., ≥5 major food groups consumed within the past 24 h. Median, Q1, Q3 intakes (without LNS) of energy, macronutrients, 12 micronutrients, and phytate were examined. The “at risk” prevalence of inadequate intakes were based on international guidelines for pregnant women. Results: Dietary patterns varied widely among sites, with adequate DD reported: 20% (Pakistan), 25% (DRC), 50% (Guatemala), and 70% (India). Significantly higher intakes of most key nutrients were observed in participants with adequate DD. More than 80% of women in all sites had inadequate intakes of folate, vitamin B12, and choline, and >80% of women in India and DRC also had inadequate intakes of calcium, thiamine, riboflavin, and vitamin B6. Conclusions: Our data highlight the likely need for micronutrient supplementation in pregnancy, specifically multi-micronutrient interventions, and support the value of increasing DD as part of sustainable long-term nutrition programs for women of reproductive age in these poor rural settings in LMIC.

Hubungan Indeks Prestasi Kumulatif Mahasiswa Dengan Keterampilan Mahasiswa Dalam Melakukan Tindakan Heacting Di Stikes Ngudia Husada Madura

Emesis is the most common complaints found in the 1st trimester pregnant women, if allowed to continue then allow the emergence of problems in pregnancy such as hyperemesis, anemia aims perdarahan.Penelitian even know emesis gravidarum relationship with the incidence of anemia in pregnant women first trimester.This type of research is analytic survey with cross sectional design. Emesis gravidarum independent variables and the dependent variable is used anemia.Populasi is first trimester pregnant women as many as 34 people, with the technique of sampling probabilitysampling taking a simple random sample of 31 people sampling.Besar. Collecting data using guided interviews and examination of hemoglobin levels with Sahli method. Results obtained data processing first trimester pregnant women who experienced emesis by 83.9%, 70.9% mild anemia. So that mothers who experienced emesis with mild anemia of 80.8%. Chi-Square test results obtained probability value is smaller than the degree of error (0.000 &lt;0.05) so that Ha is accepted Ho is rejected, it can be inferred the existence of a relationship between emesis gravidarum with anemia in pregnant women first trimester. To prevent and deal with any incidence of emesis in pregnant women it does adequately handling to prevent anemia arising from the signs and symptoms of anemia is present emesis.Bila periodically anemia screening, counseling, information and education about anemia and emesis in pregnant women