Trimester Pregnant Woman Research Articles

ASUHAN KEBIDANAN PADA IBU HAMIL ANEMIA DENGAN PEMBERIAN BAYAM DAN MADU UNTUK MENINGKATKAN KADAR HEMOGLOBIN

WHO states the prevalence of anemia in various regions of the world is around 40-88%. In 2018 the prevalence of anemia, meanwhile in 2018 it increased to 48.9%. One alternative to meeting iron needs can be done by consuming green vegetables, one of which is spinach, combined with honey, because honey helps the formation of blood. Research objective Provide midwifery care to mildly anemic pregnant women by administering spinach and honey to increase hemoglobin levels. The type of research used in the preparation of practice reports is descriptive research using the case study method. The research was conducted at the Tanjung Balai Karimun Health Center in January 2023. The subject used in this study was a third trimester pregnant woman with mild anemia. Midwifery care for pregnant women with mild anemia by administering spinach and honey has been carried out. After conducting the study to the case evaluation, there was no gap between theory and practice in the field. Based on the results of midwifery care, it was found that the consumption of spinach and honey can be an alternative treatment for mild anemia in pregnant women because it can help increase hemoglobin levels

Effectiveness of combination of benson relaxation and lavender aromatherapy relaxation towards changes in anxiety in the third trimester pregnant woman

Introduction: Anxiety is one of the complaints that affect the psychological health of pregnant women. Long-lasting anxiety will negatively affect the mother and fetus, so it must be treated as soon as possible. The only option is non-pharmacological therapy, which involves using a combination of Benson relaxation and aromatherapy to relax so that it suppresses body tension feelings. This study aims to analyze the effectiveness of the combination of Benson relaxation and lavender aromatherapy relaxation on changes in anxiety in third trimester pregnant women. Methods: The design of this study used a quasi-experimental design with a one group pretest posttest design using a Consecutive sampling technique. This research was conducted on the third trimester pregnant women in the Wonokromo, Surabaya as many as 52 third trimester pregnant women. In the combination treatment of Benson relaxation and lavender aromatherapy relaxation, it was carried out 2 times a day for 1 week. Anxiety level data were collected using a HARS (Hamilton Anxiety Rating Scale) questionnaire according to the level of anxiety. Data analysis used the Wilcoxon rank test. Results: According to the analysis of this study's data, there is a combination of Benson relaxation and aromatherapy relaxation given to pregnant women in the third trimester (p < 0.05, p value = 0.000). Conclusion: Pregnant women who feel anxiety can utilize the combined therapy of Benson relaxation and lavender aromatherapy relaxation to lower their anxiety levels. This alternative therapy is simple to administer and has few negative effects.

The Effect of Peppermint Aromatherapy on the Degree of Nausea and Vomiting in Pregnant Women in the First Trimester at the Independent Practice of Midwife (TPMB) Yusnita Purwasari, Karawang Regency, Indonesia

Pregnancy is a physiological condition that can be followed by pathological processes that will threaten the condition of the mother and fetus. During pregnancy, problems can occur that a mother does not want. Nausea and vomiting are complaints that are often experienced by pregnant women in the first trimester due to an increase in HCG in the pregnant woman's body. If this situation continues, it will have an impact on the pregnancy and fetal growth process. This study aimed to identify the effect of peppermint aromatherapy on reducing nausea and vomiting in pregnant women. The design of this research is experimental research pre-test and post-test one group. Sampling technique with purposive sampling where every first trimester pregnant woman who underwent a pregnancy check-up who met the inclusion criteria was included in this study. The results showed that there was a decrease in the degree of nausea and vomiting in research subjects before and after being given the intervention (2.12 ± 0.11 Vs 1.11 ± 0.13), p < 0.05. In conclusion, there is influence giving aromatherapy peppermint in reducing the degree of nausea and vomiting in first trimester pregnant patients at TPMB Yusnita Purwasari, Karawang Regency, Indonesia.

Penerapan Rendam Air Kencur Hangat Pada Kaki Untuk Mengurangi Edema Fisiologis Pada Asuhan Keperawatan Ibu hamil Di Puskesmas Kayamanya

Introduction : Pregnancy is the period that starts from conception to the birth of the fetus. During the pregnancy process, physical changes occur in pregnant women, one of which is physiological leg edema. So that one of the interventions that needs to be done in reducing physiological edema is by doing warm kencur water immersion therapy. The purpose of this study was to describe nursing care for pregnant women by applying warm kencur water immersion to reduce physiological edema at the Kayamanya Health Center. Method : The research method is using a descriptive research method with a case study approach of 1 third trimester pregnant woman patient with a characteristic of experiencing physiological leg edema and no pregnancy complications. Result : Research results Mrs. J complained of swelling in both legs, Mrs. J said that his legs often felt cramps, he often urinated and felt pain in his back area. Mrs. J often feels tired especially if he stands for too long. Mrs. J said he wanted to have a normal delivery, Mrs. J also always received support, motivation from her husband and family in facing childbirth. Nursing problems of discomfort, fatigue, and readiness for childbirth. The interventions were foot bath therapy, positioning, relaxation therapy, pregnancy care education, energy management, activity/rest education, and childbirth education. Implementation carried out for 5 days. Evaluation after implementation that the application of warm kencur water immersion can reduce physiological leg edema in third trimester pregnant women with decreased edema results, the patient appears more relaxed and comfortable, the patient is able to adapt to fatigue, the patient already understands about the delivery that will be faced. Conculsion : The conclusion that the application of warm kencur water soak is very effective in reducing leg edema. Suggestions that patients can do warm kencur water soak therapy independently according to what is taught by researchers

Genomic Characterization of a Clinical Listeria monocytogenes ST1 Isolate Recovered from the Blood Sample of a Woman with Third Trimester Stillbirth

BackgroundListeria monocytogenes is a foodborne gram-positive bacterium which causes adverse pregnancy outcomes. Here, the genomic and phylogenetic characteristics of a L. monocytogenes isolate obtained from blood sample of a third trimester pregnant woman with stillbirth are investigated.MethodsWhole genome DNA of L. monocytogenes ST1 was sequenced with HiSeq X Ten platform. The NCBI Prokaryotic Genome Annotation Pipeline was used to annotate the genome sequence. The sequence type (ST) and antimicrobial resistance genes were then identified. The core genome multilocus sequence typing (cgMLST) analysis with other closely related L. monocytogenes stored in the NCBI GenBank database was performed using BacWGSTdb 2.0.ResultsThe complete genome sequence of L. monocytogenes ST1 is made up of 20 contigs totaling 2,914,725 bp, with 2886 protein-coding sequences and a GC content of 37.9%. Fosfomycin [fosX], Lincosamide antibiotic [lin] and peptide antibiotic [mprF] were discovered as antimicrobial resistance genes. In silico serogroup typing prediction revealed that L. monocytogenes ST1 belonged to serotype IVb. The closest relative of L. monocytogenes ST1, obtained from Poland in 2015, differs by only 15 cgMLST alleles.ConclusionWe identified a L. monocytogenes ST1 strain from blood sample of a woman with third trimester stillbirth in China. These discoveries would aid in our understanding of the genomic characteristics, mechanisms of antimicrobial resistance, and epidemiological features of this pathogen.

EP26.20: Unusual case of Trisomy 18 presented with concominant omphalocele and ancephaly in first trimester pregnant woman

EP26.20: Unusual case of Trisomy 18 presented with concominant omphalocele and ancephaly in first trimester pregnant woman

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.

Peran Suami dalam Penurunan Kecemasan Ibu Hamil Trimester III di Indonesia: Literature Review

Background: This study aimed to determined the influence of the husband's role on the level of anxiety of pregnant women in the III trimester in the face of childbirth. Method: This type of study used was the Traditional Literature Review. This type of design is a review that usually adopts a critical approach, such as assessing the theory or hypothesis of the previous researcher, examining the methods and results of a single primary study with an emphasis on background and contextual materials, not using a scientific method approach (depending on the wishes of the researcher) so that it can contain biases, cannot be replicated because the synthesis is carried out narratively. Result: The results of this study show that there is an influence of husband support on wives who experience anxiety in the third trimester of pregnancy where the group of pregnant women who do not live with their husbands has a high-moderate anxiety category compared to third trimester pregnant women who live with their husbands on average fall into the category of medium-low anxiety. had a moderate level of anxiety of 12 people (40%) and 18 people (60%) had a low level of anxiety. High anxiety levels of 19 people (63%) and 11 people (37%) had moderate levels of anxiety. Implication: It is hoped that it can be a reference to the husband that the importance of the husband's role in reducing the anxiety of pregnant women in childbirth. It is recommended to the husband to provide support and support to the mother in order to reduce the anxiety of the third trimester pregnant woman so that the delivery that will be faced can run well

First trimester pregnant woman's complaint during COVID-19 pandemic

First trimester pregnant women will adapt to various things of discomfort, one of which is morning sickness. If not given a virginity intervention, then this pregnant woman could experience nutritional deficit. The aim of this case study is to provide an overview of how pregnant women in their first trimester cope with their complications during the COVID-19 pandemic. This research method uses in-depth interviews and observations of pregnant women in their first trimester at home. The results obtained were that there were three problems described by Mrs. L, namely; physical discomfort such as dizziness, nausea and fatigue, which can be dealt by taking a warm bath, or smelling some aromatherapy oil such as mint, disturbance of nutritional fulfilment which can be overcome by consuming fresh food, ginger water in a small portion yet frequently and the risk of stress which can be overcome by praying five times a day and gardening, cleaning up the house, discussing with other pregnant friends in whatsapp group. This study can serve as a guide for nurses in providing nursing interventions to pregnant women in the first trimester during the COVID-19 pandemic.

KECEMASAN IBU HAMIL TRIMESTER III SETELAH MENONTON VIDEO PERSALINAN NORMAL DAN DIBERIKAN TEKNIK HYPNOBIRTHING

Abstract : In terms of psychological, anxiety in pregnant women can affect the process of delivery and quality of babies to be born, so if not treated can cause various complications. The best way to overcome that problem is by watching normal birth videos and hypnobirthing techniques. The aim of this research is to know the difference of anxiety of trimester pregnant woman after watching normal delivery video and given hypnobirthing technique. This type of research is quasi experiment with nonequivalent time sample design method. The population used were all primigravida trimester III mothers as many as 30 respondents who divided as many as 15 respondents in Puskesmas Kandang and 15 respondents in working area of Padang Serai Public Health Center. Sampling technique in this study was taken in total sampling. Univariate analysis results obtained the average anxiety before and after watching the birth video is 31.87 and 15.73. The average anxiety before and after given hypnobirthing technique is 32,07 and 26,33. The result of bivariate analysis shows that p-value = 0,000 <0,05, meaning that there is a significant difference on the average anxiety of pregnant mother of trimester III after watching normal delivery video with hypnobirthing technique. Multivariate results obtained p-value> 0.05 means confounding factors in the form of age, education, and work does not affect the anxiety of pregnant women third trimester. It is expected that the puskesmas can work together with health agencies to be able to provide intervention in the form of watching the birth video in order to reduce the anxiety of primigravida mother in preparation for childbirth later.Keywords : Anxiety, Childbirth Video, Hypnobirthing Technique

Maternal Betamethasone for Prevention of Respiratory Distress Syndrome in Neonates: Population Pharmacokinetic and Pharmacodynamic Approach.

Despite antenatal corticosteroids therapy, respiratory distress syndrome (RDS) is still a leading cause of neonatal morbidity and mortality in premature newborns. To date, the relationship between in utero fetal drug exposure and occurrence of RDS remains poorly evaluated. This study aims to describe the pharmacokinetics of betamethasone in pregnant women and to evaluate the transplacental drug transfer and administration scheme for the prevention of RDS. Pregnant women >27weeks' gestation and who received at least a single dose of betamethasone for prevention of RDS were enrolled. Maternal, cord blood, and amniotic fluid betamethasone time-courses were analyzed using the Monolix software. A total of 220 maternal blood, 56 cord blood, and 26 amniotic fluid samples were described by a two-compartment model with two effect compartments linked by rate transfer constants. Apparent clearances and volumes of distribution parameters were allometrically scaled for a 70kg third trimester pregnant woman. The impact of a twin pregnancy was found to increase maternal clearance by 28%. Using a fetal-to-mother exposure ratio, the median (95% confidence interval (CI)) transplacental transfer of betamethasone was estimated to 35% (95% CI 0.11-0.67). After adjustment for gestational age and twin pregnancy, RDS was found to be associated to the time spent in utero below quantifiable concentrations (i.e., <1ng/mL): odds ratio of 1.10 (95% CI 1.01-1.19) per day increase (P<0.05). Trying to take into account both efficacy and safety, we simulated different dosing schemes in order to maintain a maximum of fetuses above 1ng/mL without exceeding the total standard dose.

Acute Intestinal Ischemia and Mesenteric Vein Thrombosis with Mortality During Pregnancy

Objective: We present a case of acute intestinal ischemia and mesenteric venosus thrombosis in a first trimester pregnant woman with surgical treatment. Case presentation and intervention: Our case was a 23-year-old multigravid woman at 8 weeks gestation. She presented to Ataturk University Research Hospital with complaints of abdominal distention, nausea, vomiting and constipation. The first day after admission, complained of more intense vomiting, abdominal distenrion and pain. An emergency laparotomy was performed. The part of jejenum, entire ileum, part of the ascending colon were necrosis, and thrombosis was discovered in the mesenteric venosus. The necrotic intestine was resected and a end-to-end colo-jejunal anostomosis was perormed. Postoperative, the patient was started on anticoagulants and antibiotherapy in intensive care. Unfortunately, the patient died on the second day after the operation. Conclusion: Mesenteric ischemia and MVT in pregnancy is a rare, but important cause of intestinal ischemia. When a pregnant patient presents with an acute abdomen, mesenteric ischemia and MVT should be included in the differential diagnosis.

Effectiveness of Giving Dangke Crackers on Improving Hemoglobin Levels in Trimester Pregnant Woman II with Anemia

Effectiveness of Giving Dangke Crackers on Improving Hemoglobin Levels in Trimester Pregnant Woman II with Anemia

KONSUMSI TABLET FE DAN PENGETAHUAN BERHUBUNGAN DENGAN ANEMIA PADA IBU HAMIL TRIMESTER III

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) &lt;11 gr% in the first and third trimesters while in the second trimester hemoglobin level &lt;10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p &lt;0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.

Hubungan Antara Paritas, Penyakit Infeksi Dan Status Gizi Dengan Status Anemia Pada Ibu Hamil Trimester III

World Health Organization (WHO) data in 2010 noted 40% of maternal deaths in developing countries are associated with pregnancy anemia. Anemia anemia in pregnancy caused by iron deficiency and acute bleeding, even distance mutually interact with each other. Anemia in pregnancy is a major health problem in developing countries with high morbidity in pregnant women. The average pregnancy with anemia in Asia is estimated at 72.6%. The high prevalence of anemia in pregnant women is a problem that is being exposed to the government of Indonesia. Preliminary study results conducted by researchers through physical examination of pregnant women in third trimester, seen from signs of symptoms, as many as 10 people, there are 6 people (60%) who have anemia and 4 people (40%) were not anemic, of 6 people with anemia there were 3 (50%) unsafe parities, 1 person (16.7%) had infectious diseases, and 2 (33.3%) malnourished. The purpose of this study was to determine the relationship of parity, infectious diseases, and nutritional status with anemia status in third trimester pregnant women in the work area of ​​PuskesmasPasalingHulu Sungai Selatan in 2017. The method used was analytical with cross sectional approach. The result of this research are most of respondents who suffer from anemia that is as many as 33 people (67,3%), unsafe parity that is 29 people (59,2%), not enter as many as 34 people (69,4%), as many as 28 people (57.1%). there is a proven to have relationship of parity, nutritional status with anemia status in third trimester pregnant women in work area of ​​Puskesmas PasungkanHulu Sungai Selatan 2017, not proven to have relation of disease with anemia status in third trimester pregnant woman in working area of ​​Puskesmas PasungkanHuluSungai Selatan 2017&#x0D; Keywords: Status of anemia, parity, infectious diseases, nutritional status

Aromatherapy Cajuput Oil for Emesis Gravidarum

Emesis Gravidarum can be very disturbing activity and impact on the maternal and fetal maternal obstacles. The incidence of emesis gravidarum in the world is 70-80% of the number of pregnant women, one non-pharmacological method that can reduce the intensity of nausea vomiting by cajuput oil. This research purposes to determine whether there is an influence of aromatherapy cajuput oil on emesis gravidarum in the first trimester pregnant women. This research used cross sectional approach. Population in this research is the first trimester pregnant woman which amounted to 17 pregnant women taken by using total sampling. The data were analyzed by univariate analysis with independent variable frequency distribution and dependent and bivariate analysis using Wilcoxon sign rank test. P-value value: 0.000 and alpha 0.005 Statistical test results show that cajuput oil has a significant effect on emesis gravidarum intensity. It can be concluded that there is an effect of Aromatherapy cajuput oil on emesisgravidarum in the first trimester pregnant woman, so it is expected that cajuput oil can be one of alternative non pharmacological method that can help to reduce the intensity of emesis gravidarum.&#x0D; &#x0D; Keywords: Pregnancy, Emesis gravidarum, Cajuput oil

Pengukuran Konsumsi Makanan Ibu Hamil Trimester III di Pukesmas Kenjeran Kota Surabaya

Caloric needs in third trimester pregnant woman will increase for fetal growth and placenta. The older age of the pregnancy so the more energy are needed. Third trimester pregnant women require an additional 300kcal of energy from the recommended amount of sufficiency for Indonesians (Permenkes, 2013). Data in Indonesia showed only 14.0% of pregnant women with sufficiency energy level ≥100% Energy sufficiency rate (AKE) both in urban and rural (Kemenkes RI, 2014). This study aims to describe the level of food consumption in pregnant women trimester three at Kenjeran Primary Health Care. This research used descriptive approach with population of pregnant mother of trimester III as manya as 35 people and sample as many as 30 respondents with simple random sampling technique. The survey method used is a repeated 24-hour recall and food frequency questionnaires. Result : The results showed that 66.7% of respondents with deficit status of energy consumption and only 10% of respondents have good energy consumption status. Recommendations can be given in this study were health workers should be willing to provide nutrition education to pregnant women. Define guidelines for adequate food for pregnant women so they can be used by pregnant women as a reference in determining the ingredients of food consumption appropriately. Keyword: Pregnant woman, Measurement of Food Consumption, repeated 24-hour recall, food frequency questionnaires.

Successful laparoscopic management of adnexal torsion in a third trimester pregnant woman: a case report

Successful laparoscopic management of adnexal torsion in a third trimester pregnant woman: a case report

RELATIONSHIP OF PREGNANT WOMEN CLASSROOM WITH LEVEL OF ANXIETY WITH LABOR TO PREGNANT WOMAN TRIMESTER III IN JOGONALAN II PUBLIC HEALTH CENTER AREA

Anxiety is an unclear worried and widespread related to uncertain and helpless feelings. Anxiety before birth was questioning and wondering whether she could giving birth normally, how to push, whether something could happen during childbirth, and pain during labor. Anxiety in the third trimester of pregnant women can have an impact inhibiting the labor. Antenatal class is one form of counseling as an effort to overcome anxiety to face labour for third trimester pregnant mother. The aims of this study is to determine the relation of class participation of pregnant mother with the anxiety to face labour among third trimester pregnant woman. This was an observational analytic study with cross sectional design. The sample were the third trimester pregnant woman in Jogonalan II Klaten public health center area totalling 36 people using purposive sampling. The study instrument used was questionnaire of pregnant women's class participation and an anxiety rating scale (HARS) of the Hamilton Anxiety Rating Scale. Data analysis was performed using Spearman test. The results of this study shown that most of respondent age was 20-35 years which is 91.7%, high school education accounted for 52.8%, unemployed accounted for 69.4% and multigravida accounted for 63.9%. Antenatal class participation rate was 52.8% and mother who did not experience anxiety accouted for 63,9%. The result of statistical test obtained ρ = 0,001. There was an association between antenatal class participation with anxiety level in facing childbirth in third trimester pregnant women. Keywords: Antenatal class participation, anxiety of third trimester pregnant mother in facing childbirth

KADAR KALSIUM DARAH DAN TEKANAN DARAH PADA IBU HAMIL

Hypertension in pregnancy is a complication of 5- 0% of pregnancies and can lead to serious complications of illness and death. Imbalances of calcium in the body have an important role to increase blood pressure. The purpose of this study was to determine the relationship of blood calcium levels with blood pressure in pregnant women with analytic correlation research design using cohort approach. Population in this research is second trimester pregnant woman counted 36 responden. The sampling technique used is Simple Random Sampling with a sample of 32 respondents. Through statistical test of Product Moment correlation with level of significance 0,05. R calculated = 0.633 greater than rtable = 0.361, then Ho is rejected which means there is a relationship between blood calcium levels with blood pressure in pregnant women Keywords: total calcium level, blood tension, pregnant mother in trimester II