Women In Third Trimester Of Pregnancy Research Articles

Prenatal Attachment Relationship with Pregnant Women’s Compliance in Carrying Out Antenatal Care Visits

Yogyakarta's 2022 health profile shows that MMR in 2021 is 580.34 from 2757 live births. Data from Basic Health Research (Riskesdas) conducted by the Ministry of Health of the Republic of Indonesia shows that 2017 K4 coverage nationally was 74.1%. This figure shows that mothers who receive the first visit do not continue the ANC according to the minimum standard of four visits. Antenatal care visits are an effort to reduce maternal and infant mortality. High maternal prenatal attachment is believed to be able to make a close emotional connection and encourage mothers to do positive things to improve their health. This study analyzed the relationship between prenatal attachment and pregnant women's compliance in the third-trimester antenatal care visit at Puskesmas Kasihan 1. The method used in this study is quantitative research with a cross-sectional approach. The sample used was 45 third-trimester pregnant women with uses purposive sampling technique. Data analysis using the Chi-Square Test. Chi-Square Test results obtain a p-value of 0.003 <0.05. This means that there is a significant relationship between prenatal attachment and the compliance of pregnant women with carrying out antenatal care. It can be concluded that there is a significant relationship between prenatal attachment and antenatal care compliance in pregnant women. A high level of prenatal attachment between mother and baby will affect the mother's compliance with antenatal care visits. The results of this study are expected to provide additional information to pregnant women about the importance of prenatal attachment in dealing with pregnancy.

Effect of Red Spinach Juice + Fe Tablets on Increased Hemoglobin Levels in Pregnant Women

Anemia during pregnancy is one of the most common abnormalities in pregnant women in Indonesia. The prevalence of anemia in pregnant women in Indonesia is 48.9%. The iron supplementation program is an effort that has been made by the Indonesian government to prevent anemia. To determine the effect of giving red spinach juice on increasing hemoglobin levels in third-trimester pregnant women. This type of research uses quantitative methods with quasi-experimental research with the two-group approach. The experimental group consumed red spinach juice + Fe tablets and the control group only drank Fe tablets. The results showed that there was an effect of giving red spinach juice + Fe tablets to increasing hemoglobin levels and there was a difference in increasing hemoglobin levels in the group given red spinach juice + Fe tablets and Fe tablets only. There is a relationship between parity and an increase in hemoglobin levels, but there is no relationship between age and education and an increase in hemoglobin levels. Intervention and parity variables were the most influential variables in increasing the hemoglobin level of pregnant women in PMB Bengkulu City. Results: There is an effect of giving red spinach juice + Fe tablets to the increase in hemoglobin levels of pregnant women.

The Effectiveness of Prenatal Yoga on Back Pain Intensity of Third Trimester Pregnant Women in Surakarta

The third trimester is the period of pregnancy in the last three months of pregnancy. The adaptation process that occurs during pregnancy often causes discomfort for pregnant women, so it is necessary to do several things from prevention to treatment. The most common discomfort for pregnant women is back pain. Pregnant women can experience back pain due to increased weight and spine. overcome back pain by massaging the back but it is not effective and prenatal yoga has never been done to treat back pain in the interviewed third-trimester pregnant women. The purpose of this study was to assess the effectiveness of prenatal yoga on back pain in third-trimester pregnant women. This study was a quasi-experimental design with a pre-post test control group design. The sampling technique in this study was purposive. In the implementation of this research respondents obtained as many as 30 respondents. after prenatal yoga in the third-trimester pregnant women is 2.07 with a standard deviation of 0.799. The results showed that there was an effect of prenatal yoga on the level of back pain in the intervention group before and after prenatal yoga was performed in the third trimester of pregnant women in Surakarta City in 2022 with a p-value of 0.001 (p > 0.05). The reduction in back pain was highest in the intervention group because the intervention group was given prenatal yoga. Prenatal yoga affected decreasing the level of back pain in third-trimester pregnant women. Researchers recommend prenatal yoga as physical exercise for pregnant women

Education for Pregnant Women and Cadres as an Effort to Optimize the Achievement of Exclusive Breastfeeding in Stunting Prevention

Exclusive breastfeeding for the first six months of a baby's life is the gold standard in infant and child feeding recommended by WHO and UNICEF. Breast milk contains the complete nutrition that babies need. Only breastfeeding for infants aged 0-6 months is sufficient for all the nutritional needs of infants. This program aimed to increase mothers' understanding of the importance of exclusive breastfeeding, increase mothers' self-efficacy for breastfeeding, and mothers' readiness to face the breastfeeding process. The program is carried out by providing education, demonstrations, and breastfeeding assistance, as well as evaluation monitoring. The activity was attended by nine third-trimester pregnant women and 11 cadres, all of whom were unemployed. Providing education and training about the importance of breastfeeding for reducing can increase knowledge about exclusive breastfeeding. Breastfeeding self-efficacy was also measured and obtained an average score of 34 out of a total score of 56. The variation in breastfeeding self-efficacy was 4,153, with a minimum score of 34 and a maximum of 39. The results of breastfeeding assistance and evaluation showed that mothers can breastfeed well and only give breast milk to the baby. This program is expected to contribute to increasing breastfeeding coverage to reduce stunting in children.

Nutritional Status and Compliance with Blood Supplemental Tablets as a Cause of Anemia in Pregnant Women

Health issues that might arise during pregnancy include anemia. Pregnant women who have good nutritional status do not experience anemia. Conversely, pregnant women with poor nutritional status can cause anemia if blood-supplemented tablets that are not consumed regularly can result in pregnant women experiencing iron deficiency which is closely related to the incidence of anemia. This study aims to determine the relationship between nutritional status and adherence in consuming blood supplement tablets with anemia in third-trimester pregnant women. This research is a form of analytic survey research with a cross-sectional analytical design research approach. This research was conducted from March to April 2023. The sample in this study were all third-trimester pregnant women at the Sikumana Health Center, 50 people using a total sampling technique. There was no significant relationship between nutritional status and anemia in third-trimester pregnant women with a p-value (0.050), while there was a significant relationship with anemia adherence with a p-value (of 0.000). Based on the results of the study, it was concluded that there was no statistically significant relationship between nutritional status and the incidence of anemia in third-trimester pregnant women. In the analysis of compliance with anemia, there was a statistically significant relationship between adherence to consuming blood supplement tablets and the incidence of anemia in third-trimester pregnant women.

Back Pain In The Third Trimester Of Pregnant Women Assessed From The Level Of Stress And Physical Activity In Lambangan Village, Pagimana District

During pregnancy, women will experience changes both anatomical, physiological and psychological, causing discomfort during pregnancy. One of the discomforts that pregnant women often experience is back pain. Back pain is pain felt in the vertebral area, mainly arising from excessive bending, lifting heavy loads, or previous experiences of back pain. Back pain can be mild to severe, disrupting the activities of pregnant women. The aim of this study was to analyze the relationship between back pain in third trimester pregnant women in terms of stress levels and physical activity in Lambangan Village, Pagimana District..
 This research uses designCorrelational Analytics And Time approachCross sectional. The samples in this study were some pregnant women in the third trimesterLambangan Village, Pagimana District by a total of 30 respondents. The sampling method in this research uses the technique Accidental Sampling. Data collection using questionnaires. The results of data analysis to see the relationship between the independent variable and the dependent variable using statistical testsUji Spearman Rank with a significant level of α = 0.05.
 The research results showed that of the 30 respondents, the majority of respondents had normal stress levels, by total of 19 respondents (63.3%), half of the respondents had light physical activity, by total of 15 respondents (50.0%), half of the respondents experienced back pain. mild, by a total of 15 respondents (50.0%). Results of data analysis using statistical testsSpearman Rank obtained a P value < α 0.05 (0.000 < 0.05), then H0 is rejected and H1 is accepted, which means that there is a relationship between stress levels and back pain in third trimester pregnant women and there is a relationship between physical activity with back pain in third trimester pregnant women in Lambangan Village, Pagimana District with valuesP value < α 0,05 (0.000 < 0,05)
 Normal stress levels and activity The mild physical condition of pregnant women can influence the occurrence of mild back pain.

The Analysis of Maternal Characteristics and Regulation of Antenatal Care on Pregnancy Risk Status Based on The Independent Family Health Evaluation (IFHE)

Background: High-risk pregnancy is a serious problem and needs to be detected early. Pregnant women with risk categories have a direct impact on the fetus. This study aimed to analyze maternal characteristics and the consistency of antenatal care visits in relation to the pregnancy risk status of pregnant women using the Independent Family Health Evaluation (IFHE) Methods: This study used a cross-sectional study with a correlational design. The sample was the third-trimester pregnant women who have a maternal and child health record booklet, with a total sample of 128 respondents. The instrument used was a questionnaire adopted from the identification of family health in the IFHE application system. Data analysis was carried out using multiple logistics regression. Results: The results showed that age (p = 0.004), height (p = 0.027), number of pregnancies (p = 0.0001), history of pregnancy (p = 0.0001), history of childbirth (p = 0.001), having children under 2 years of age (p = 0.001), pregnancy complications (p = 0.0001), and history of regular antenatal care (p = 0.0001) had a significant effect on pregnancy risk status. While history of tetanus toxoid immunization showed no relationship with pregnancy risk (p = 0.332). The final modelling of multiple logistic regression showed that the influential variables were age, the number of pregnancies and consistency of antenatal care. The number of pregnancies was the variable that had the strongest influence on pregnancy risk status (OR= 40.192). Conclusion: This research contributes valuable insights into the factors influencing pregnancy risk, providing a foundation for more effective antenatal care and ultimately better health for expectant mothers and their infants. Healthcare providers can use this information to identify pregnant women at higher risk and implement targeted interventions, thereby improving maternal and fetal outcomes.

Prenatal Gentle Yoga Teknik Savasana Berpengaruh Terhadap Kecemasan Ibu Hamil Trimester III

The pregnancy journey often brings about anxiety or stress due to significant transitions in a woman's life. Managing this anxiety involves both pharmacological and non-pharmacological approaches. One non-pharmacological method to alleviate anxiety in pregnant women during the third trimester is the Prenatal Gentle Yoga Savasana Technique. This study aimed to analyze the impact of Prenatal Gentle Yoga Savasana Technique on anxiety among third-trimester pregnant women in the Rejoso Community Health Center area in Pasuruan Regency. The research used a one-group pretest-posttest design approach. The population comprised all third-trimester pregnant women in the Rejoso Community Health Center area, totaling 15 pregnant women. The sample was selected using total sampling. Research instruments included a Standard Operating Procedure (SOP) for the independent variable and a questionnaire for the dependent variable. Data were analyzed using the Independent Sample t-test. The analysis results showed a p-value 0.05, indicating that the Prenatal Gentle Yoga Savasana Technique had an impact on anxiety among third-trimester pregnant women in the Rejoso Community Health Center area in Pasuruan Regency. The conclusion drawn from the research is that engaging in physical activity through prenatal yoga can reduce anxiety in pregnant women. Future research might delve deeper into the causes of anxiety and the unpreparedness of pregnant women in facing the childbirth process. Additionally, exploring other interventions to reduce anxiety in pregnant women and enhancing their knowledge in preparing for childbirth could be valuable areas for further study.

The Relationship between Parity and Maternal Age with the Incidence of Anemia in Pregnant Women in the Third Trimester at the Novi Lintas Timur Midwife Clinic, Panyabungan District, Mandailing Regency, Natal 2022

Similar to the intricate flow of a river creating diverse habitats, this study delves into understanding the correlation between parity, maternal age, and the prevalence of anemia among third-trimester pregnant women attending the Novi Lintas Timur Midwife Clinic in Panyabungan District, Mandailing Natal Regency, in 2022. With a cohort of 150 pregnant women as the focal point, this research highlights how the dynamic currents shaped by parity significantly influence the likelihood of experiencing anemia during the final stage of pregnancy. Conversely, the presence of maternal age factors seems to have a negligible impact on this journey. These findings are like a compass for midwives and health researchers to navigate the challenging waters of pregnancy. By understanding the dynamics of parity, they can find more effective intervention strategies in minimizing the risk of anemia in pregnant women. As a reflection of natural harmony, the involvement of health practitioners in monitoring and providing appropriate care to pregnant women with high parity becomes increasingly important to create a healthy and strong flow of life.

Relationship Between Participation in Maternity Classes and Knowledge About Pregnancy and Childbirth

The participation of pregnant women in pregnant women's classes increases mothers' knowledge about the danger signs of pregnancy. Classes for pregnant women at the Krui Health Center run according to a predetermined schedule. However, after evaluating the K4 visit, it was found that the K4 achievement was still below the target of 95%. This study aimed to determine the relationship between maternal participation in pregnant women classes and knowledge about pregnancy and childbirth in the Working Area of ​​the Krui Health Center, Pesisir Barat Regency, in 2023. This type of research is quantitative with a cross-sectional design. The population in this study were all third-trimester pregnant women with gestational age > 36 weeks in the Working Area of ​​the Krui Health Center with a total of 51 people. The sampling technique used is total sampling. Data collection instruments used questionnaires and the MCH book. Data analysis in this study used univariate and bivariate (chi-square). The results of this study indicate that 29 (56.9%) respondents actively attended classes for pregnant women, and 28 (54.9%) respondents had good knowledge. The data analysis results show a relationship between mothers' participation in pregnant women's classes and learning about pregnancy and childbirth in the Working Area of ​​the Krui Health Center, Pesisir Barat Regency, in 2023, with a p-value of 0.042. Pregnant women are expected to actively participate in classes for pregnant women to increase their knowledge about matters in pregnancy and childbirth.

PENGARUH SENAM PILATES TERHADAP INTENSITAS NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI PUSKESMAS DELITUA KABUPATEN DELI SERDANG TAHUN 2023

Low back pain (LBP) is a common musculoskeletal problem that can affect approximately two-thirds of pregnant women, with a frequency of up to 76%, and is a major cause of disability. during the second and third trimesters of pregnancy. The pain can be very severe, leading to difficulty with activities of daily living, higher rates of functional disability, increased sick leave and poor maternal health as well as depression, anxiety and insomnia ( Yiridin, et al, 2023). Therefore, based on this data, researchers are encouraged to conduct a study on the effects of Pilates exercise on back pain in third-trimester pregnant women at Delitua Medical Center. This study aimed to determine the effect of Pilates exercise in reducing back pain in pregnant women in the third trimester. This study uses quantitative research data with a quasi-experimental method and a group pre-post test design, specifically groups of subjects are observed before implementing the intervention. This study, using paired t-test, obtained a significant number or p-value (value = 0..000), much lower than the standard significance level of 0..05 or indicating an effect negative in the third year precious is significant (p < a). ​​​​​​​​Therefore, H0 is rejected and Ha is accepted, which means it can be concluded that Pilates training has an effect Significant effect on back pain in pregnant women during this period third trimester of pregnancy at Deli Tua Community Health Center in 2023.

Analysis of influence factors gentle birth labor preparedness self-efficacy in the third-trimester pregnant women

Background: Gentle birth is one way to prepare mothers to give birth naturally by utilizing all the natural elements (body, mind, and soul), which is expected to minimize both physical and psychological trauma and provide a positive experience from the labor process, a mother must have self-efficacy or belief in herself that the mother can do it. The purpose of this research is to analyze the factors that influence self-efficacy in readiness for Gentle birth. Method: This research is an explanatory analytical study that analyzes the factors that affect the self-efficacy of Gentle Birth labor. The sample size is 64 pregnant women in the third trimester. Sampling using a simple random sampling technique. The dependent variable is the mother's self-efficacy, and the independent variables are physical condition, experience, social modeling, verbal persuasion, family support and health workers. The instrument used a questionnaire about self-efficacy factors and General Self Efficacy (GSE). Analysis with multivariate logistic regression test with a significance value <0.05. Result: Based on the statistical test, the results obtained that verbal persuasion affects self-efficacy with p = 0.005, social modeling affects Self Efficacy with p = 0.012, experience affects self-efficacy with p = 0.02, and physical and emotional conditions affect Self Efficacy with p = 0.036 while the characteristics mother has an effect on self-efficacy with p = 0.042. Conclusion: Verbal persuasion is the most influential role in the mother's self-efficacy in preparing for a gentle birth. Therefore it is important to give verbal persuasion, positive affirmations and suggestions to the mother to increase self-efficacy.

The Relationship Between Energy, Protein, and Fat Intake in Pregnant Women with Infant Weight and Length

The 2018 Basic Health Research (Riskesdas) data highlights the prevalent issue of Chronic Energy Deficiency (KEK) among pregnant women. This prospective cohort study investigates the correlation between energy, protein, and fat intake in pregnant women and their infants' birth weight and length. Utilizing purposive sampling, third-trimester pregnant women were interviewed through questionnaires and food recall tables. Data processing involved editing, entering, and tabulating, with correlation analysis revealing that inadequate energy intake (61%) and protein intake (51.2%) were typical. Fat intake, predominantly sufficient (87.8%), exhibited minimal inadequacy (5%). Although energy intake influenced body weight, it did not impact birth length. Protein intake affected body length but not body weight, while fat intake influenced body weight without affecting birth length. Notably, most infants exhibited average birth weight (95.1%) and regular body length (95.1%).

Pengaruh Prenatal Gentle Yoga Terhadap Penurunan Nyeri Pinggang Bawah Pada Ibu Hamil Trimester III di PMB Bidan Aida Nospita S.Keb Kecamatan Labuhan Deli Kabupaten Deli Serdang Tahun 2023

Prenatal gentle yoga (yoga during pregnancy) is a type of modification of hatha yoga which is adapted to the conditions of pregnant women. Some discomforts in the third trimester in pregnant women include frequent urination 50%, vaginal discharge 15%, constipation 40%, flatulence 30%, swelling in the legs 20%, cramps in the legs 10%, headaches 20%, striae gravidarum 50%, hemorrhoids 60%, shortness of breath 60% and back pain 70%. The aim of the research was to see whether there was an effect of Prenatal Gentle Yoga on reducing complaints of lower back pain in third trimester pregnant women. The conclusion of the Wilcoxon test results shows that 0.000 < 0.05, meaning that there is an acceptable effect of prenatal gentle yoga on lower back pain in third trimester pregnant women. It is hoped that pregnant women will take part in prenatal gentle yoga classes with prenatal gentle yoga facilitators who have undergone training and received certificates so that they can apply prenatal gentle yoga which is useful for reducing maternal complaints during pregnancy, including lower back pain.

Perbedaan Karakteristik Demografi dan Klinis Ibu Hamil Overweight dan Obesitas Tipe I


 
 
 
 Indonesia is also experiencing a nutritional transition, namely increased overweight and obesity. This trend has a big impact on both mothers and the babies born. There has been no research that reveals differences in the demographic and clinical characteristics of overweight and obese pregnant women, so appropriate management cannot be carried out according to the characteristics of pregnant women. The aim of this study is to explain the differences in demographic and clinical characteristics of overweight and obese type 1 pregnant woman in Kediri City.. This research uses a comparative analytical design. The research was conducted at nine Kediri City health centers, namely Campurejo, Banjarmlati, Pesantren I, Pesantren II, North Region City, South Region City, Ngletih, and Mrican health centers, from June to August 2023. The research population in June was composed of third-trimester pregnant women (102 pregnant women). Determining the sample using a simple random sampling technique, 86 pregnant women were obtained and divided into groups, namely overweight (n = 59) and type 1 obesity (n = 27). The research inclusion criteria include willingness to be a respondent, age 20–35 years, having ANC at least once in the first trimester and once in the second trimester, LILA > 23.5 cm, BMI > 25, and the exclusion criteria is pregnancy with comorbidities. Data analysis in this study used the Mann-Whitney, Fisher Exact, and Chi-Square tests with a significance value of 0.05 using SPSS 26. The research results showed that in the demographic characteristics of the overweight group compared to obesity type I, there were differences in age (p < 0.001), family history of obesity (p = 0.007), and there were no differences in education level (p = 0.0617), employment status (p = 0.096), income level (0.0353), and family support score (p = 0.587). Data on clinical characteristics in the overweight group compared to obesity type I showed differences in the history of hormonal contraceptive use (p = 0.049) and diet (p = 0.035), but there were no differences in gestational age (p = 0.157) or parity (p = 0.530). The differences in demographic and clinical characteristics between the two groups can be used as a reference for service providers so that pregnant women can control weight gain according to their body mass index.
 
 
 
 

The Effect of Classic Music Therapy and Lavender Aromatherapy Candles on Anxiety Levels of Trimester III Pregnant Women

High levels of anxiety or depression during pregnancy can pose risks such as stunted fetal growth and premature birth. Music is believed to be used for relaxation, stress relief and anxiety reduction because music is an organized auditory stimulus consisting of melody, rhythm, harmony, shape and style. Aromatherapy is also a non-pharmacological treatment that uses essential oils and stimulates the olfactory system to reduce stress and create a sense of calm. The aim of this study was to determine the effect of classical music therapy and aromatherapy candles on the anxiety level of third trimester pregnant women. This research method is a pre-experimental quantitative type. The design used in this study was one group pretest posttest, the population in this study were third trimester pregnant women in the Karangan Health Center area. The sampling technique was simple random sampling of 44 third trimester pregnant women. Data were analyzed using the Wilcoxon test. The results showed that the level of anxiety before the intervention experienced by most of the respondents was moderate anxiety in the number of 21 respondents (47.7%) and the level of anxiety after the intervention was mostly with mild anxiety in the number of 20 respondents (45.5%). The results of the bivariate analysis showed that there was an effect of classical music therapy and lavender aromatherapy candles on reducing the anxiety level of third-trimester pregnant women with a result (p=0.000) smaller than (<0.05). The anxiety level score in the pre-test measurement is higher than the post-test measurement, indicated by the mean value in the pretest (23.57) higher than the posttest (19.16) which means there is a decrease in the anxiety level score in the respondents before and after intervention.

Effect of Prenatal Gentle Yoga On Anxiety Levels Of Trimester Pregnant Women III In Clinic Pratama Cahaya 2 Lubuk Pakam

Pregnancy is a condition where women experience different physiological changes and stress and are accompanied by unique physical and psychological demands. These changes can cause discomfort in pregnant women such as dyspnea, insomnia, gingivitis and epulis, frequent urination, perineal pressure and discomfort, back pain, constipation, varicose veins, fatigue, Braxton hicks contractions, leg cramps, ankle edema, and changes in mood and increased anxiety. Anxiety and depression in pregnancy is a problem with a fairly high prevalence, which is around (12.5-42%) and it is even estimated that this disorder will become the second biggest cause of illness in 2020 (Putri, 2019). To find out "The Effect of Prenatal Gentle Yoga on the Anxiety of Third Trimester Pregnant Women at the Pratama Cahaya Clinic 2 Lubuk Pakam". This type of research uses a quasy experiment with a one group pretest posttest research design with a sampling technique that is purposive sampling. The results of the study using the simple paired t-test showed that the p-value of the effect of prenatal gentle yoga on the anxiety of third-trimester pregnant women was 0.00 <0.05. There is an Effect of Prenatal Gentle Yoga on the Anxiety of Third Trimester Pregnant Women at the Clicic Pratama Cahaya 2 in Lubuk Pakam.

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.
 
 Keywords: Pregnancy, Warm Compresses, Low Back Pain

CONCENTRATIONS OF D-DIMER, FOLIC ACID AND HOMOCYSTEIN IN PREGNANT WOMEN WITH POST-COVID SYNDROME

Introduction. The problem of decreasing birth rate is becoming the main medical and social problem of modern Ukraine. Therefore, the preservation of each pregnancy is the main task of obstetrics. The outbreak of a global pandemic caused by the SARS-CoV-2 virus, war, population migration abroad and within the country have created unprecedented medical and economic problems. The aim of the study was to investigate the relationship between D-dimer, folic acid (vitamin B9) and homocysteine levels and major pregnancy complications in the third trimester in pregnant women with post- COVID syndrome.Material and methods. 60 pregnant women (the main group) with SARS-CoV-2, positive Ig A, M or G to SARS-CoV-2 participatedin the study. The control group consisted of 25 women with normal pregnancies. The test system used for the determination of folic acid was from Monobind Inc. (USA) and Axis- Shield Diagnostics LTD (UK) for homocysteine. D-dimer studies were performed on a Coag Chrom 3003 analyzer. Statistical analysis of the study results was performed using the Statistica.10 program package for Windows. The study was approved by the Ethics Committee of the Ternopil National Medical University named after I. Ya. Gorbachevskii (protocol No. 61 dated November 13, 2020).Quantitative results for normally distributed data are presented as arithmetic mean (M) ± root mean square deviation (m). Results of qualitative measurements were presented as number (n) and percentage (%). Statistical analysis of the research results was performed using the Statistica.10 statistical package for Windows.The study was conducted within the framework of the National Development Program “Improvement of Diagnosis and Treatment of Pregnant Women with Burdened Somatic History” of the Department of Obstetrics and Gynecology, Faculty of Postgraduate Education, Ternopil State Medical University named after I. Ya. Gorbachevsky (state registration number N 0121U100153, performance period 2021-2023).Results. According to our research, patients of both groups did not diff er from each other in terms of age, body mass index (BMI), erythrocyte and hemoglobin levels (p>0.05). Among the pregnant women in the main group, 25 pregnant women (41.7%) had a mild form of coronavirus disease, 14 (23.3%) pregnant women had pneumonia and were hospitalized, and 21 (35.0%) pregnant women had pneumonia and required oxygen support. The SARS-CoV-2 virus upsets the coagulation homeostasis system of pregnant women. The average value of D-dimer in healthy pregnant women was 0.56±0.16 μgFEO/ml, while in the main group this indicator was 16.48±4.25 μgFEO/ml (р<0.001). In our study, the folate level in the control group was 5.88±0.08 μg/L, while in the main group this indicator signifi cantly decreased and was 2.56±0.09 μg/l (р<0.05), compared with indicators in women with a physiological pregnancy, which can be considered a risk factor for the development of complications during pregnancy against the background of post- COVID syndrome. The average level of homocysteine in the control group was 7.8±2.28 μmol/l. The SARS-CoV-2 virus had a negative eff ect on homocysteine metabolism and caused moderate hyperhomocysteinemia (47.8±4.36 μmol/l, р<0.05) in pregnant women in the 3rd trimester.Conclusions. Therefore, SARS-CoV-2 virus during pregnancy has a negative eff ect on the course of pregnancy and upsets thecoagulation system of homeostasis. Hyperhomocysteinemia and a decrease in folate levels can be considered a promising marker for assessing the risk of complications during pregnancy against the background of post- COVID syndrome.

The Effect of Lullaby Music Therapy on the CTG Rhythm of Pregnant Women in the Third Trimester

Introduction: CTG is a tool used to monitor fetal activity and heart rate, as well as uterine contractions while the baby is in the womb. Through this examination, the doctor can evaluate whether the fetus is healthy before delivery. Objective: To determine the effect of lullaby music therapy on CTG rhythm in third-trimester pregnant women. Method: The design used in this research is pre-experimental. This research was conducted at Bina Husada Hospital with a research period of December 2021-January 2022. The population in this study was 15 third-trimester pregnant women who underwent CTG. The sample in the research consisted of 15 respondents. The instrument used is an observation sheet. Statistical testing with Paired Sample Test. Results: The results of statistical tests show that the p-value is 0.036, meaning P<0.05. Conclusion: There is an influence of lullaby music therapy on CTG rhythm in third-trimester pregnant women.