Pregnant Women In 3rd Trimester Research Articles

Implementation Of Complementary Pelvic Rocking Care To Reduce Lower Back Pain In 3rd Trimester Pregnant Women

Implementation Of Complementary Pelvic Rocking Care To Reduce Lower Back Pain In 3rd Trimester Pregnant Women

The Frequency and Associated Factors of Restless Leg Syndrome among Pregnant Women in 3rd Trimester

Background: Restless leg syndrome (RLS), also known as Willis-Ekbom disease, is characterized by an uncomfortable sensation in the legs, often occurring at the onset of sleep, which triggers an irrepressible urge to move the legs. This condition is particularly prevalent among pregnant women, with symptoms typically worsening during the third trimester. Despite its impact, many pregnant women are unaware of RLS, attributing their discomfort to normal pregnancy symptoms. Objective: To assess the frequency and associated factors of RLS in pregnant females during the third trimester and to evaluate its impact on their quality of life. Methods: A cross-sectional study was conducted involving 250 pregnant females in their third trimester, recruited from Shalimar Hospital, Nawaz Sharif Hospital, Zahida Welfare Trust, Alshad Clinic, Ali Hospital, Ahsan Hospital, Nargis Clinic, Manawa Government Hospital, and Sultan Medical Center. Participants aged 15-45 years were included, while those with rheumatoid arthritis, diabetes mellitus, neurological disorders, preeclampsia, and gestational diabetes mellitus were excluded. Data were collected using structured questionnaires incorporating the International Restless Legs Syndrome Study Group (IRLSSG) criteria and the Pittsburgh Sleep Quality Index (PSQI). Ethical approval was obtained, and the study adhered to the Declaration of Helsinki principles. Statistical analysis was performed using SPSS version 25, with descriptive statistics, frequencies, and graphical representations employed to summarize and analyze the data. Results: The mean age of participants was 26.32 years (SD = 5.08). The prevalence of RLS in the third trimester was found to be 89.2%. The age group most affected was 18-23 years. Factors associated with RLS included inadequate calcium intake (40.4%), insufficient daily water intake (40.4%), poor food intake (48%), mood disturbances (89.2%), lack of movement or light exercise (78%), caffeine consumption (16%), disturbances in sexual activities (48%), and disruption in daily activities (45.2%). Conclusion: RLS is highly prevalent among pregnant women, particularly in the third trimester, significantly impacting their quality of life. Despite its prevalence, many women remain unaware of RLS, mistaking it for typical pregnancy discomfort. Raising awareness and implementing screening and management strategies during prenatal care could improve the quality of life for affected women.

Health effects of exposure to urban ambient particulate matter: A spatial-statistical study on 3rd-trimester pregnant women

Pregnant women are highly vulnerable to environmental stressors such as ambient particulate matter (PM). Particularly during their 3rd trimester, their bodies undergo significant oxidative stresses. To further consolidate this dialogue into practice, the current study evaluated healthy pregnant women (n = 150 housewives; 18–40 years old; gestation age >36 weeks) from the highly polluted city of Yazd, Iran, from September to November 2021. The aerosol optical depth (AOD) data retrieved from the Moderate Resolution Imaging Spectroradiometer (MODIS) were employed as influencing variables and validated using field-collected PM10 data (r = 0.62, p-value <0.01). The links between blood platelet count, enzymes (SGOT, SGPT, LDH, bilirubin), metabolic products (urea and acid uric) and different combinations of AOD data were assessed using the Generalized Additive Model. The results showed a high temporal variability in AOD (0.94 ± 0.51) but a spatially stable distribution pattern. The mean AOD during the 3rd trimester, followed by that of the three-month peak, were identified as the most significant non-linear predictors, while the mean AOD during the 1st trimester and throughout the entire pregnancy showed no significant associations with any of the biomarkers. Considering the associations found between AOD variables and maternal oxidative stresses, urgent planning is required to improve the urban air quality for sensitive subpopulations.

CORRELATION ANALYSIS OF ECONOMIC FACTORS AND HUSBAND SUPPORT TO PREGNANT WOMEN'S COMPLIANCE IN ANTENATAL CARE (ANC)

Midwifery care services in pregnancy are carried out to prepare optimal health for pregnant women and their babies, both physical, social and mental health. Antenatal care plays an important role in providing quality midwifery services, including several important service components such as health promotion, early detection of complications, diagnosis and prevention of disease. There was an increase in K4 coverage in Indonesia from 84.6% in 2020 to 88.8% in 2021. Based on the results of reporting data from Local Area Monitoring (PWS) Maternal and Child Health (KIA) in South Sumatra in 2021, the number of first visits K4 pregnancies reached 90.1%, decreasing from the K4 achievement in 2020, which was 90.9%, while for K6 coverage in South Sumatra in 2021 it reached 72.9% above the Indonesian K6 average of 63%. The purpose of this study was to find out whether economic factors, and husband's support factors correlated with obedience of pregnant women in carrying out Antenatal Care (ANC) at Lismarini Palembang's Independent Midwife Practice (PMB). This type of research is a quantitative research using an analytic survey method with a cross sectional approach. The population of this study was all 3rd trimester pregnant women who had ANC visits at BPM Lismarini Palembang, while the sample was a portion of 3rd trimester pregnant women who had ANC visits at BPM Lismarini Palembang. The sampling technique in this study was carried out by accidental sampling technique. The data analysis used was univariate analysis followed by bivariate analysis. The results of statistical tests showed that there was a relationship between economic factors and husband's support with p values of 0.029 and 0.035. From the results of the study it can be concluded that economic variables and husband's support are related to respondents' adherence to antenatal care visits at BPM Lismarini Palembang.

Влияние новой коронавирусной инфекции на течение беременности и родов у женщин

Currently, there are contradictory views of scientists on the impact of a novel coronavirus infection on the health of women of reproductive age, pregnancy and labor, in particular, against the background of changes in the homeostasis system. This issue requires the study and analysis of clinical observations of patients who have undergone COVID-19 in the unified system of mother-placenta-fetus-newborn for timely correction of the detected disorders and optimization of medical care. Objective. To determine the possible risks of complications of pregnancy and delivery in pregnant women who had a new coronavirus infection before and during pregnancy. Patients and Methods. We examined 485 women, 156 of whom had SARS-CoV-2-associated viral infection during pregnancy, 139 women before the onset of pregnancy, and 190 pregnant women without COVID-19. Data on the somatic health of the patients, the course of pregnancy and labor were obtained from the individual medical records of pregnant and postpartum women (Form No 111/u-20 and No 096/1u-20). The duration of follow-up ranged from 4 to 8 months. Pregnant women were examined within the decreed time frame, according to the Clinical Recommendations of the Russian Society of Obstetricians and Gynecologists supported by the Scientific and Practical Council of the Ministry of Health of the Russian Federation 2020–2023, with informed consent. The results of the study were processed using the application program package TIBCO STATISTICA (USA) for personal computer. When analyzing conjugation tables, Pearson's χ2 test was used to assess the statistical significance of differences between two relative indices. Data in groups were considered statistically significant at p &lt; 0.05 or statistically highly significant at p &lt; 0.001. Results. Iron deficiency, allergic diseases, and gastrointestinal pathology were the most frequent in the observed women, with statistically significantly fewer COVID-19-uninfected women. Pregnant women with new coronavirus infection in the 3rd trimester had a high incidence of pre-eclampsia, threatened abortion, and prescription of hormonal medications (p &lt; 0.001). Pregnant women who underwent COVID-19 in the 2nd trimester had fetal growth retardation and threatened abortion (p &lt; 0.05). The frequency of high D-dimer values in 3rd trimester pregnant women who had a new coronavirus infection was statistically significantly different compared to uninfected women (p &lt; 0.05). Conclusion. The development of a complex of pregravidar preparation, including timely diagnosis of different strains of this infection in non-pregnant and pregnant women, dynamic observation for timely correction of detected homeostasis disorders and optimization of care in the unified system of mother-placenta-fetus-newborn. Key words: pregnant women, novel coronavirus infection, COVID-19

Gambaran Pengetahuan Ibu Tentang Imunisasi Hb-0 di TPMB “L” Kabupaten Ciamis

Data from the Ministry of Health of the Republic of Indonesia shows that as many as 7.1% or 18 million Indonesians are infected with Hepatitis B-0. Of these, 50% are at risk of becoming chronic and 900,000 can become liver cancer. Even Hepatitis B-0 is the top 4 cause of death in Indonesia, with an estimated annual death of 51,100 deaths. HB-0 immunization coverage at TPMB "L" in May 2023 is 35% of the target of 100%. The purpose of this study: To determine the picture of maternal knowledge about HB-0 immunization in newborns in TPMB "L". This research method is a descriptive study, sampling using the Accidental sampling method, with a total of 25 respondents of 3rd-trimester pregnant women in TPMB "L" using questionnaires. The results of the study: Pregnant women with quite a lot of knowledge categories are 20 people (80%) and pregnant women with knowledge of approximately 5 people (20%). Conclusion: The level of knowledge about HB-0 immunization in TPMB "L" with sufficient category is 20 respondents (80%). It is expected that health workers, especially midwives, will further increase knowledge of 3rd-trimester pregnant women about HB-0 immunization by providing education through counselling about HB-0 immunization or distributing brochures about the HB-0 immunization program.

Providing Warm Compresses for Back Pain in 3rd Trimester Pregnant Women

This study aims to determine the effect of warm compresses on Low Back Pain in pregnant women in Trimester III at the Bunda Sehat Clinic, Cijantung, Jakarta. The method used in this research is quasi-experimental with pre and post-test design with the control group. The research results show that the average Low Back Pain in Trimester III pregnant women before being given warm compresses was 6.1 (moderate pain), and after being given warm compresses was 2.9 (mild pain). There is an effect of warm compresses on Low Back Pain in pregnant women in the third trimester at the Bunda Sehat Clinic, Cijantung, Jakarta, with a p-value of 0.000. ConclusionkWarm compresses affect reducing Low Back Pain for third-trimester pregnant women at the Bunda Sehat Clinic, Cijantung, Jakarta.&#x0D; &#x0D; Keywords: Pregnancy, Warm Compresses, Low Back Pain

Effects of self-affirmation and positive visualization therapy for anxiety in 3rd-trimester pregnant women during the pandemic

Introduction: Adaption is required in responding to changes that can overcome the community's physical and mental health concerns, particularly adaption of pregnant women in preparation for childbirth during COVID-19 to minimize maternal mortality in Indonesia. Pregnancy during a pandemic like this may increase the risk of anxiety disorders in pregnant women. As a result, every individual must have a positive affirmation. Method: The purpose of this study is to learn more about the impact of self-affirmation and self-positive imagery on anxiety disorders in pregnant women during the COVID-19 pandemic. A quasi-experimental design was adopted in this investigation, comprising pre- and post-test groups. There are 52 people in the population. Sampling employs the Probability sampling approach in conjunction with simple random sampling. The intervention was performed four times. The respondent's degree of anxiety was assessed using the perinatal anxiety screening scale (PASS) questionnaire. Result: According to the findings, the average anxiety level prior to the intervention was 35.59, and the average anxiety level after the session was 18.72. Implementing self-affirmation and positive visualization has a significant (p = 0.000) effect on anxiety. Conclusion: During the pandemic, self-affirmation and positive imagery should be supplemented by a commitment to increasing positive thinking before to childbirth.

Examining implications of the developmental timing of maternal trauma for prenatal and newborn outcomes

Separate literatures have demonstrated that mothers’ experiences with trauma during childhood or pregnancy are associated with maternal prenatal health risks, adverse childbirth outcomes, and offspring internalizing and externalizing disorders. These literatures largely align with the intergenerational transmission or fetal programming frameworks, respectively. However, few studies have tested the effects of maternal childhood and prenatal trauma simultaneously on mothers’ and infants’ health outcomes, and no studies have examined these effects on newborn neurobehavioral outcomes. Thus, in the present study, we examined how the developmental timing of pregnant women’s traumatic life experiences associated with their physical health and psychopathology (Aim 1) as well as their newborns’ birth and neurodevelopmental outcomes (Aim 2; for pre-registered aims and hypotheses, see https://osf.io/ygnre/?view_only=cbe17d0ac7f24af5a4d3e37e24eebead). One hundred and fifty-two 3rd trimester pregnant women (Mage = 29 years; 17.1% Hispanic/Latina) completed measures of trauma history and psychopathology. Then, 24–48 h after birth, trained clinicians conducted newborn neurobehavioral exams (n = 118 newborns; 52.6% female). Results indicated that lifetime traumatic experiences associated with multiple prenatal maternal health outcomes, including depression, anxiety, emotion dysregulation, and pregnancy complications. Pregnant women’s experiences with childhood trauma, but not adulthood or prenatal trauma, predicted higher neurobehavioral attention scores among female newborns. Our discussion highlights the importance of considering the developmental timing of maternal trauma on perinatal outcomes and contextualizes our findings within the intergenerational transmission and fetal programming literatures. Data AvailabilityData pertaining to R01MH119070 (MPIs Crowell & Conradt) and that support these findings are uploaded to the NIMH repository.

The Effectiveness Of Using Coconut Oil, Aloe Vera And Sirih Kapur To Prevent Striae Gravidarum In Third Trimester Pregnant Women In The Working Area Of The Cilograng Health Center In 2022

Background : The prevalence of pregnant women with Striae Gravidarum generally ranges from 50-90%. Striae Gravidarum gives itchiness, heat, and dryness, as well as emotional disturbances, causing serious self-confidence problems (Sharon, Salter M, Alexa B, Kimball M, 2006 in Lubis research, Thaufik Wydiawati Suhartono. 2015) Based on research conducted by Uddin SS and Asimas on 80 samples of pregnant women in Pakistan in 2015, various physiologic skin changes were found during pregnancy, the majority of which were changes in pigmentation (70%), linea nigra (54.3%), and striae gravidarum (51.9%). The etiology of Striae Gravidarum is unknown, predispositions include hormonal, skin elasticity, and mechanical stretching. This is why there is no effective method to protect or treat Striae Gravidarum.Writing purpose : This study aims to determine the Effectiveness of the Use of Coconut Oil, Aloe Vera and Kapur Sirih to Prevent Striae Gravidarum in the Work Area of the Cilograng Health Center in 2022.Research methods : This research was carried out because the number of pregnant women who experienced striae gravidarum was 40 people, of the 3rd trimester pregnant women there were 65 people. This research will be conducted at the Cilograng Health Center, Lebak Regency. The subjects to be studied are mothers at the Cilograng Health Center, Lebak Regency. This research was carried out by Quasi Experiment with the Nonequivalent Control Group Design having two groups. Research result : It shows that from 10 respondents, the results of the analysis were obtained after the Strae Gravidae intervention using coconut oil, aloe vera, and whiting was 10.667 with a standard deviation of 714 and a standard error of 292. And the interval estimation results can be concluded that it is believed to be 95%.Conclusions and recommendations : It can be concluded that the effectiveness of coconut oil, aloe vera and whiting has an effect on striaee gravidarum. It is hoped that this research will provide socialization about the prevention of striae gravidarum in third trimester pregnant women so that the prevention of striae gravidarum can be resolved quickly and does not cause striaee gravidarum to become more severe in the Cilograng Health Center Work Area.

PENGARUH PIJAT ENDORPHIN TERHADAP PENURUNAN RASA NYERI PUNGGUNG IBU HAMIL

The most common complaint in third trimester pregnant women is back pain. If not treated immediately, it can lead to chronic pain. One way to deal with back pain is to use a gentle massage technique called Endorphin massage to release endorphins which are natural pain relievers in the body. The initial survey conducted by researchers found that most pregnant women experienced severe pain. The purpose of this study was to determine the effect of endorphin massage on reducing the intensity of back pain in third trimester pregnant women. The design used was pre-experimental with a one-group pretest posttest design approach. Samples were taken from the population that met the inclusion criteria at BPS Ny. Khusnul Imarwatin from April to May 2016 as many as 28 respondents with consecutive sampling. The independent variable is Endorphin massage technique while the dependent variable is back pain. The instrument uses the SOP for Endorphin massage techniques and the Bourbanis Scale observation sheet. The results showed that before Endorphin massage was done, most of the 3rd trimester pregnant women experienced severe pain and after Endorphin massage was done it reduced to moderate pain. The results of the Wilcoxon sign rank test with = 0.05 showed p = 0.000 so that p &lt;0.05 means that there is an effect of Endorphin massage on reducing the intensity of back pain. Endorphin massage is one of the non-pharmacological alternatives to treat pain, so it is recommended that midwives provide health education and teach pregnant women couples Endorphin massage to relieve back pain symptoms.

ANXIETY AND READINESS DIFFERENCES BETWEEN PRIMIGRAVIDA AND MULTIGRAVIDA MOTHERS TOWARDS CHILDBIRTH IN THE COVID-19 PANDEMIC

Background and Purpose : Corona Virus Disease 2019 (COVID-19) has now become a global pandemic, even in Indonesia. Pregnant women feel more and more anxious during the current COVID-19 pandemic, especially for 3rd trimester pregnant women who will give birth soon. Parity is one of the factors that can affect the level of anxiety of pregnant women in addition to the factors of the epidemic situation that can increase maternal anxiety. Childbirth readiness is one of the benchmarks for the success of the delivery process and this can indirectly contribute to the increase in MMR in Indonesia. Objective: Analyzing the differences in the level of anxiety and readiness towards childbirth in the COVID-19 pandemic between primigravida and multigravida mothers in their third trimester of pregnancy at the Duren Sawit District Health Center. Methods : This type of research is an observational study with a cross sectional design. Sampling was done by proportional random sampling method. The research instrument is a questionnaire. The method used in data analysis is the Mann-Whitney U test with the help of SPSS. Result : The sample of this study was 99 pregnant women in their third trimester of pregnancy. The level of anxiety in primigravida mothers is Severe level of anxiety (80.9%). Meanwhile, multigravida mothers have a Moderate level of anxiety (56.1%). The level of readiness of primigravida mothers is in the Inadequate category (57.1%). Meanwhile, multigravida mothers have a Good level of readiness (63.3%). The results of the Mann Whitney test showed that there was a significant difference between primigravida and multigravida mothers on the level of anxiety and readiness towards childbirth in the COVID-19 pandemic with a p value (0.000). Conclusion : There is a significant difference in the level of anxiety and readiness towards childbirth in the COVID-19 pandemic between primigravida and multigravida mothers in their third trimester of pregnancy at the Duren Sawit District Health Center.

The Relationship Between Trimester 3 Anemia Status and Chronic Energy Deficiency In Pregnant Women with Low Birth Weight Incidence

Background Low birth weight (LBW) is a newborn whose birth weight is &lt; 2500 grams. There are several factors that can influence the occurrence of LBW, among others, 3rd trimester anemia, chronic energy deficiency (CED), and those who experience 3rd trimester anemia and CED, and the characteristics of pregnant women.&#x0D; Objective This study aims to analyze the relationship between pregnant women with 3rd trimester anemia, CED and pregnant women with 3rd trimester anemia and KEK with the incidence of LBW.&#x0D; Methods This study uses a descriptive quantitative design. The sample of this research was taken by purposive sampling. Then in univariate analysis, bivariate analysis using Chi Square test and multivariate analysis using multiple logistic regression.&#x0D; Results In this study, it was found that there was a relationship between anemia in the 3rd trimester and the incidence of LBW with a p value of 0.000, there was a significant relationship between pregnant women who experienced CED and the incidence of LBW with a p value of 0.000. However, there is no relationship between pregnant women who experience third trimester anemia and CED simultaneously with the incidence of LBW. From the characteristics of pregnant women, there is a relationship between the age of pregnant women with the incidence of LBW with a p value of 0.043 and the gestational age with the incidence of LBW with a p value of 0.01&#x0D; Conclusion From this study, it was concluded that there are 4 factors that influence the occurrence of LBW, which are third trimester anemia, CED, maternal age and gestational age.&#x0D; &#x0D; Key words : Anemia, Chronic Energy Deficiency, low birth weight, Pregnant mother

EFEKTIFITAS PENYULUHAN METODE CERAMAH DAN BOOKLET TERHADAP PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG IMD DAN ASI EKSLUSIF

&lt;p&gt;&lt;strong&gt;&lt;em&gt;Exclusive breastfeeding coverage at the Lubuk Repeat Aling health center is at 73.8% with the implementation of IMD being at 79.1% IMD plays an important role in reducing infant mortality and increasing the success of exclusive breastfeeding. This study aims to determine the effectiveness of counseling on improving the behavior of pregnant women about IMD and exclusive breastfeeding in the working area of the Labukulang Aling Health Center in 2021. This type of research is a Quast Experiment with a Pre-test and Post-test group design. The population is all 3rd trimester pregnant women in the working area of the Lubuk Repeat Aling Health Center as many as 45 mothers. The sample is 45 people. Analysis of the results was carried out using the independent Sample T Test. The results showed that the average knowledge before was 7.98, knowledge after intervention was 13.09, the mean difference was 5.111. From 45 respondents, the average attitude before the intervention was 28.49, the attitude after the intervention was 32.58, and the mean difference was 4.089. The results of the statistical test obtained p value 0.000, it can be concluded that there is an Effectiveness of Lecture and Booklet Method Counseling on the Knowledge and Attitudes of Pregnant Women About IMD and Exclusive Breastfeeding in the Working Area of the Lubuk Repeat Aling Solok Selatan Health Center in 2021. Knowledge and Attitudes of Pregnant Women About IMD and Exclusive Breastfeeding in the Work Area of the Lubuk Repeat Aling Solok Selatan Health Center in 2021. It is recommended that health services provide health education to pregnant women about IMD and exclusive breastfeeding so as to increase knowledge and attitudes of pregnant women.&lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Reference :22 (2008-2021)&lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Keywords: Counseling, Behavior, IMD, Exclusive Breastfeeding&lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;

PENGARUH PENERAPAN APLIKASI KOPIKu ¨KONTRSEPSI PILIHANKU¨ TERHADAP PENGETAHUAN IBU HAMIL TRIMESTER 3 TENTANG KONTRASEPSI IUD

Healthy pregnancy preparation and pregnancy planning are important factors in preventing maternal and infant mortality rates, many programs have been launched by the government including the 1000 HPK program and family planning programs to regulate pregnancy. The low knowledge and level of education of women of childbearing age leads to low coverage of long-term contraceptives. ¨KOPIKu ̈ application is an android-based application that contains various contraceptive methods that are divided according to needs. The purpose of this study was to determine the effect of the application of ¨KOPIKu ̈ application on the knowledge of pregnant women in the 3rd trimester about IUD contraception. The subjects of the study were 3rd trimester pregnant women who had never used an IUD in the work area of the Karanganyar Health Center in Tasikmalaya City as many as 35 people. The research design used was a pre-post test design without control with influence analysis using a T-test. The results of the analysis of the average knowledge of respondents before being given the application were 52.63 while the average knowledge after being given the application was 84.40 and the results of the T test obtained a p value of &lt;0.05. The application of the ̈KOPIKu ̈ application affects the knowledge of pregnant women in the 3rd trimester about IUD contraception.

Evaluation Of Integrated Antenatal Care Implementation With Cipp Model In The Work Area

Antenatal care is health services which is given by professional health workers to increase the health status of pregnant women and their fetus that doing according to the standard of antenatal care which can detect earlier the deviation and the risk whichmight be occured in pregnancy in order that could be overcomed fast and appropriately. Puskesmas Bagan Batu is not appropriate with standard of antenatal care lack of the knowledge and obedience of midwives, instruments and infrastructure. The purpose of the research was to evaluate the implementation of integrated antenatal care by CIPP model in the work area of Puskesmas Bagan Batu. The research used qualitative method, by in-depth interviews, conducting observation, and document study with 8 informan that consisted of Head of Puskesmas, doctor of program holder KIA, coordinator midwive, 3 midwives in poli KIA, 3rd trimester pregnant women with complete inspection in Puskesmas Bagan Batu, and 3rd trimester pregnant woman with incomplete inspection in Puskesmas Bagan Batu. The result of the research showed that only 2 of the midwives got antenatal care training, instrument and infrastructure can improve more better, midwives had not knowledge and obedience to use the new standard of antenatal care services optimally. So, the process which include the implementation of antenatal care was not according by the standard. The coverage of antenatal care has decreased in the last three years. While coverage of tablet Fe has increased significantly, and the coverage of tetanus toxoid imunization has not increased at all and very far below the standard. It was recommended that public regional of Puskesmas Bagan Batu increase some aspects of input iclude of personal quality, midwives obedience, instrument and infrastructure. And then the aspect of process for the implementation of antenatal care according to the standard to achieve the best result for the quality of antenatal care.

THE EFFECT OF COUNSELING USING LABOR PREPARATION MODULE ON INCREASING KNOWLEDGE AND ATTITUDE OF PREGNANT MOTHERS

Background: The birth of a baby is the most impressive, enjoyable, and even life-changing life experience for a woman. Every woman wants every birth plan according to her hopes and desires. Birth planning is a simple, clear statement of a woman's preferences for childbirth. The current weakness is that providers often plan births according to their wishes. But less in support as desired by every mother. One alternative in preparing for childbirth is to provide counseling through the provision of modules. The delivery preparation module contains information about a fun delivery guide, it is hoped that every mother can develop a coveted birth plan&#x0D; The purpose of the study was to determine the effect of counseling using the delivery preparation module on the knowledge and attitudes of pregnant women in the third trimester of childbirth.&#x0D; Methods: Quantitative research, quasi-experimental type with pre-test-post-test control group design. The subjects of this study were 3rd trimester pregnant women. Sampling was done by randomized assignment method, the treatment group was in the Pasar Rebo Health Center area and the control group was at the Ciracas District Health Center. Data were analyzed using Wilcoxon test, independent t test and Mann Whitney test.&#x0D; Results: there was a significant difference in the mean score of knowledge (p= 0.0001) and attitude (p= 0.0001) of third trimester pregnant women in post-test-pre-test measurements between the treatment group and the control group. There is a higher difference in scores for the knowledge and attitudes of third trimester mothers who are given intensive counseling using the delivery preparation module in readiness for childbirth&#x0D; Conclusion: the knowledge and attitudes scores of mothers who were given intensive counseling using the delivery preparation module were significantly higher than those who were not given intensive counseling.

FREQUENCY OF KINESIOPHOBIA IN PREGNANCY RELATED LOW BACK PAIN

Background: For a small but significant group, pregnancy-related lumbopelvic pain may become persistent. While multiple factors may lead to post-partum disabilities’ such as kinesiphobia sleep disturbance, body perception or mindfulness. Objective: To explore the frequency of kinesiophobia in pregnancy related low back pain. Methodology: The Cross sectional study was conducted on n=97 pregnant women in 3rd trimester presenting to gynaecology outpatient department of Ghurki Trust and Teaching hospital from August 2016 to January 2017 were included in the study through non probability convenient sampling technique. All women were experiencing low back pain in their third trimester of pregnancy. Numeric Pain Rating Scale (NPRS) was used to determine pain whereas; the kinesiophobia was assessed by using Tampa scale of kinesiophobia (TSK). The mean ± standard deviation, frequency and percentages were used for description of result. SPSS Ver. 20 was used for data analysis. Results: The mean age of n=97 pregnant women having low back pain was 29.45±5.87 years Results showed that, n=18(18.6%) patients represented high level of kinesiophobia while n=52 (53.6%) and n=27 (27.8%) had moderate and low levels of kinesiophobia respectively. The result also showed strong positive correlation between pain and level of kinesiophobia (rs=0.708, p&lt;0.001). Conclusion: The study concluded that all women those having low back pain in 3rd trimester also has kinesiophobia. The level of LBP highly contributes in kinesiophobia. Keywords: Kinesiophobia, lumbo pelvic pain, pregnant women, postpartum depression.

Edukasi tentang Pelaksanaan Senam Hamil Trimester III di Desa Langa Kecamatan Syamtalira Bayu Kabupaten Aceh Utara

Pregnancy exercise is a fitness program for pregnant women. Therefore, pregnancy exercise has a special movement principle that is adapted to the condition of pregnant women. Pregnancy exercise is very important for pregnant women 22 weeks after pregnancy so that it can reduce the incidence of low birth weight and premature birth. The purpose of pregnancy exercise is to maintain the condition of the muscles and joints that play a role in the birth mechanism, improve physical health and self-confidence, and support childbirth and the mother's physiological response. The problem-solving method used is educating through presentations on pregnancy exercise, demonstrating and redemo- ting pregnancy exercise movements, and distributing pamphlets containing the physical activities of pregnant women and their benefits. At the time of conducting community service activities the participants who attended were 3rd trimester pregnant women, 1 Village Midwife, 1 cadre. The pretest value of the knowledge of the target audience before participating in the counseling activity was in the good category only 25% but after attending the counseling their knowledge increased to good, namely 87.5% and had good skills (75%) in doing pregnancy exercise. Participants were enthusiastic about the education delivered, none of the participants left the counseling center and took part in the pregnancy exercise red demonstration. This proves that the participants paid attention to the counseling and demonstration materials presented. Pregnancy exercise education is very important for mothers considering the benefits for pregnant women to improve health and well-being.

Effect of Gravidity on Biochemical Parameters in Normotensive and Hypertensive 3rd Trimester Pregnant Women

Background: Pregnancy is a period in which a woman carries one or more foetus in her uterus. It is typically divided into three trimesters based on gestational age which is measured in weeks and months. Gravidity is referred to the number of times a woman has been pregnant. Pregnancy comes with several changes in metabolism, resulting to changes biochemical markers in pregnant women, some of which to certain extent may pose health risks in those with existing health conditions such as high blood pressure. The study of these changes becomes necessary to determine and arrest the risks should they exist during pregnancy.&#x0D; Aim: The study was aimed at evaluating the effects of gravidity on biochemical markers in normotensive and hypertensive 3rd trimester pregnant women.&#x0D; Materials and Methods: At Rivers State University Teaching Hospital, a cross-sectional study was conducted on 100 women. The consenting patients who met the inclusion criteria were randomly assigned to one of two groups: normotensive (50 normotensive pregnant women at their third trimester) or hypertensive (50 hypertensive pregnant women at their third trimester) (HPW2T). The subjects in each group were subsequently split into three categories depending on gravidity: primigravida (one pregnancy), multigravida (two or more), and grand multigravida (five or more).&#x0D; For the assessment of TC, TG, HDL, and LDL, fasting blood samples were taken using the venepuncture technique.&#x0D; AIP, CR-I, CR-II, AC, and APoB/APoA1) biochemical indices were computed quantitatively. At a p&lt;0.05, the data were examined using ANOVA and the Tukey comparison test.&#x0D; Result: There was no significant difference in the mean levels of the biochemical parameters among the gravidity groups in the normotensive group except for LDL and APoB levels that was significantly higher, p&lt;0.05. The hypertensive group had no significant difference in the mean levels of all studied parameters among the gravidity group, p&gt;0.05..&#x0D; Conclusion: In this study conducted at Rivers State University Teaching Hospital, gravidity had no impact on most biochemical markers in normotensive and hypertensive pregnant women at their third trimester.