Women In Trimester Of Pregnancy Research Articles

Pengaruh Pemberian Kompres Jahe untuk Mengurangi Nyeri Punggung pada Ibu Hamiltrimester III di Kota Malang

The purpose of the study was to determine the effect of giving ginger compresses to reduce back pain in third trimester pregnant women at PMB Bd. Sumariyah Str. Keb. Cemoro Kandang Kedungkandamg Malang City. This type of research is quantitative research. This study used a one group pretest posttest design approach. Using an experimental method with the type of research used preexperimentally, using the Numeric Rating Scale (NRS) pain scale and the instruments used are SOP for Ginger Compress and Questionnaire Sheet. This research was conducted at PMB Bd. Sumariyah S.Tr. Keb Cemorokandang. PMB Bd.Sumariyah S.Tr. Cemorokandang District, Kendungkandang District, Malang City, East Java. The results of the analysis showed a significant difference between before and after the Red Ginger Compress action, with a p-value of 0.002. In conclusion, Red Ginger Compress can effectively reduce back pain in third trimester pregnant women at PMB Sumariyah S.Tr.Keb Cemorokandang Kedungkandang Malang City.

Courses of pregnancy in women witha uterine scar after conservative myomectomy

Introduction. Uterine fibroids are the most common disease of the female reproductive system. If indicated, the main organpreserving method of treatment is myomectomy. However, according to many researchers, women who have undergone conservative myomectomy are at a higher risk of developing complications during pregnancy such as placenta previa, placental disorders, and uterine scar failure.Aim. To identify the features of the course of pregnancy, childbirth and perinatal outcome in women with a uterine scar after conservative myomectomy who received pregravid preparation.Materials and methods. A retrospective study included an analysis of 159 outpatient histories of women planning pregnancy after conservative myomectomy, including the birth histories of 109 pregnant women aged 29–40 years who delivered at the Perinatal Center of the Regional Clinical Hospital in Khanty-Mansiysk from 2011 to 2021 in order to study the characteristics of the course of pregnancy in women with a scar on the uterus after conservative myomectomy.Results. When analyzing the data, the following statistically significant differences between the groups were revealed: the first trimester of pregnancy in women with a uterine scar compared with the control group was more often complicated by chorion presentation, threatened miscarriage, urinary tract infection and early toxicosis (p < 0.05); in the second trimester of pregnancy in group 1, there were more often threatening preterm labor and placental disorders (p < 0.05), the majority of women with a scar on the uterus after myomectomy (77.8%) were delivered by caesarean section, in contrast to the control group (9.7%) (p < 0.05).Conclusion. The data we obtained on the course of pregnancy, childbirth and perinatal outcomes after myomectomy reflected the need and effectiveness of preconception preparation in this contingent of women.

Comparison Of The Effectiveness Of Moringa And Spinach Leaf Capsules In Increasing Hemoglobin Levels Among Anemic Pregnant Women In The Third

Background Data from the Bandar Lampung City Health Office in 2022 shows the proportion of anemia in pregnant women is 37.25%, namely pregnant women with Hemoglobin levels < 8 gr%/dl is 2.41%, Hb is 8-11gr%/dl is 36.3%. Anemia occurs in pregnant women due to insufficient production of red blood cells by the consumption of nutrients, especially iron. Iron can be obtained by consuming Moringa leaves. Another vegetable that is believed to contain a lot of iron is spinach, especially green spinach. The Purpose of the study was to find out the comparison of the effectiveness of moringa and spinach leaf capsules in increasing Hb levels in third trimester pregnant women with anemia in the Working Area of the Panjang Community Health Center, Bandar Lampung City, in 2023.Methods This study uses a type of quantitative research, with a quasi-experimental design. The population in this study were all pregnant women with their third trimester of gestation who made ANC visits at the Panjang Community Health Center in Bandar Lampung City and experienced anemia with a total of 47 people. A sample of 36 respondents. The data collection technique uses a questionnaire sheet and the data analysis used is the independent t-test.The results showed that the average hemoglobin level in third trimester pregnant women before consuming moringa leaf capsules was 10.46 gr/dl, and in the spinach leaf group was 10.37 gr/dl. The average hemoglobin level in third trimester pregnant women after consuming moringa leaf capsules was 11.87 gr/dl, and in the spinach leaf group was 11.24 gr/dl. Conclusion There is a difference in the effectiveness of moringa and spinach leaf capsules in increasing Hb levels in TM III pregnant women with anemia in the Working Area of the Panjang Community Health Center, Bandar Lampung City, 2023 (p value 0.000). Suggestion It is hoped that health workers can optimize counseling regarding the consumption of moringa leaf capsules to increase hemoglobin levels in third trimester pregnant women with anemia. Keywords: Moringa leaf capsules, spinach leaves, Hb levels

The Effect of Prenatal Yoga on Emesis Gravidarum in the First Trimester Pregnant Women

Background: Increased levels of progesterone, estrogen, and HCG (chorionic gonadotropin hormone) during the first trimester of pregnancy can produce morning sickness, also known as emesis gravidarum (nausea and vomiting). To lessen the release of hormones that induce anxiety, severe nausea, and vomiting, prenatal yoga practitioners can block the stimulation of sympathetic nerves by practicing muscle relaxation. This study aims to ascertain how prenatal yoga affects first-trimester emesis gravidarum. Method: This study used a pre-experimental design with a pretest-posttest design in one group, involving 16 mothers who had emesis gravidarum at PMB Fatimah Bandung Rejosari, Sukun, Malang. Data collection was done using the questionnaire. Results: The result was that two prenatal yoga sessions over two weeks demonstrated significant benefits. Prenatal yoga affects emesis gravidarum in the first trimester of pregnancy, as indicated by the independent t-test technique (2-tailed) of 0.000 <0.005. Discussion: Steroid hormones can slow down stomach emptying, which causes emesis gravidarum. Excessive or low cortisol levels can be brought back to normal with yoga. Yoga offers numerous mental and physical health advantages. Conclusion We can conclude that the course of treatment impacts the severity of emesis gravidarum, or nausea and vomiting, during the first trimester of pregnancy.

Aromatherapy blended lemon and lavender has an effect on nausea and vomiting in first trimester pregnant women at PMB Entin Hartini

<p><strong><em>Introduction:</em></strong><em> Nausea and vomiting are common complaints in the first trimester of pregnancy. One treatment to reduce nausea and vomiting is non-pharmacological therapy by providing a mixture of lemon and lavender aromatherapy. In this study, there was only one group, namely the intervention group, which received blended lemon and lavender aromatherapy. Before carrying out the intervention, pregnant women in the first trimester are given a pre-test to find out how often pregnant women feel nauseous and vomit. Then the pregnant mother is taught how to use aromatherapy blended lemon and Lavender with Roll On which will be done in the morning and evening for 6 consecutive days. -continuously. Next, another post-test was carried out to determine the effectiveness of providing aromatherapy.</em></p><p><strong><em>Objectives:</em></strong><em> The aim of this study was to determine the effectiveness of giving a mixture of lemon and lavender aromatherapy against nausea and vomiting in first trimester pregnant women at PMB (Independent Midwife Practice) Entin Hartini, A.Md. Keb Mrebet District, Purbalingga Regency.</em></p><p><strong><em>Methods:</em></strong><em> The type of research used in this research is pre-experimental with a One Group Pre-Test and Post-Test design.</em></p><p><strong><em>Results:</em></strong><em> The Wilcoxon test results were obtained by Asymp. signature. 0.00 that there is an effect of giving a mixture of lemon and lavender aromatherapy in reducing nausea and vomiting (</em><em>𝜌</em><em>- value = 0.00).</em></p><strong><em>Conclusions:</em></strong><em> There is effectiveness of giving a mixture of lemon and lavender aromatherapy for nausea and vomiting in first trimester pregnant women at PMB Entin Hartini, A.Md.Keb.</em>

Body image perception and social support as predictors of psychological distress among third trimester pregnant women in Nigeria

BackgroundBody image perception and social support during pregnancy can impact the psychological distress levels experienced by pregnant women. As a result, the purpose of this study was to examine the relationship between various components of social support and body image perception on psychological distress levels among pregnant women in their third trimester in Nigeria.MethodA cross-sectional study was conducted among 246 pregnant women who were in the third trimester and attending selected health care facilities in Ogbomoso, a semiurban city in Oyo State, Nigeria. Body image perception, social support, and psychological distress scales were used to collect the data. Data were analyzed and summarized using descriptive and inferential statistics (ANOVA and multiple regression), with significance set at p < 0.05.ResultsRegression analysis showed that 44% of the variation in psychological distress among pregnant women was explained by the background variables, marital status, body image perception, appraisal support, tangible support, belonging support, interaction between body image perception and appraisal support, belong support and tangible support.ConclusionIntervention programs focusing on bolstering tangible support, belonging support and appraisal support are recommended at reducing the psychological distress due to body image perception among pregnant women at third trimester.

Comparison of Hemopoietic Biochemical Parameters in the First, Second, and Third Trimester of Pregnant Females Attending a Tertiary Care Hospital of Western Rajasthan.

Pregnant women constitute a high-risk group for nutrient deficiency anemia which may be associated with detrimental effects on maternal and infant health. This study aimed to assess and compare hematological and biochemical changes across trimesters in pregnant women, considering parameters such as hemoglobin, serum iron, unsaturated iron-binding capacity (UIBC), total iron-binding capacity (TIBC), ferritin, vitamin B12, and folic acid. The research sought to identify mean value differences, correlations, and potential implications for maternal healthcare practices. A hospital-based prospective observational study was conducted, involving 60 primigravida women with singleton pregnancies. The subjects were assessed during the first, second, and third trimesters. Biochemical parameters were assessed using standard methods, and statistical analysis was performed to identify significance and correlations. The study revealed a significant decline in hemoglobin, serum iron, ferritin, vitamin B12, and folic acid as pregnancy advanced. Hemoglobin levels decreased from 11.40 g/dl (first trimester) to 10.43 g/dl (third trimester). Serum iron exhibited a decline from 109.73 µg/dl (first trimester) to 94.03 µg/dl (third trimester). Serum ferritin decreased from 24.93 ng/ml (first trimester) to 18.21 ng/ml (third trimester). Vitamin B12 levels dropped from 255.92 pg/ml (first trimester) to 92.13 pg/ml (third trimester). Folic acid levels decreased from 13.82 ng/ml (first trimester) to 11.77 ng/ml (third trimester). UIBC and TIBC concentrations increased progressively across trimesters. Statistical evaluations confirmed the significance of these trends. The coefficient of correlation indicated positive relationships between hemoglobinand serum iron, ferritin, folic acid, and vitamin B12.Positive correlation between serum iron and ferritin, vitamin B12, and negative with folic acid. Serum ferritin negatively correlated with vitamin B12 and folic acid. Serum folic acid and vitamin B12 are positively correlated. The findings emphasize the dynamic nature of hematological and biochemical changes during pregnancy. The observed trends have profound implications for maternal healthcare practices, urging targeted interventions, early monitoring, and supportive supplementation. Recognizing these variations contributes to the optimization of health outcomes for both mother and child.

Relationship between toxoplasma IgG avidity levels and abortion risk

Abortion is still a problem that receives special attention because based on data from the World Health Organization (WHO), abortion accounts for 15-50% of the causes of maternal death in the world. One of the risk factors for abortion is infection during pregnancy, including toxoplasmosis. The aim of this study was to analyze whether there was a relationship between toxoplasma IgG avidity levels and the risk of abortion. The research uses a literature review study to identify, analyze, and evaluate scientific papers through MDPI, PubMed, and ScienceDirect data sources. 60 articles were produced from the four data sources, there were 7 articles that passed the inclusion criteria which are summarized in the PRISMA diagram. The results in one article mentioned two abortions and the other article mentioned 17 abortions, both in first trimester pregnant women with low toxoplasma IgG avidity levels. Both articles show the results that women who have low toxoplasma IgG avidity levels experience more abortions in the early trimester than women who have medium or high toxoplasma IgG avidity levels. The conclusion of this study was that there was a relationship between toxoplasma IgG avidity levels and the risk of abortion.

Description of Mother's Age and Parity with The Incident of Chronic Energy Deficiency in The 1st Trimester at Kramatwatu Health Center for The Period of October-December

The most common nutritional intake disorder in pregnant women in the first trimester is Chronic Energy Deficiency (CED). CED in pregnant women is a condition where the mother lacks energy and protein intake during pregnancy which can result in health problems for the mother and fetus. A preliminary survey conducted by researchers at the Kramatwatu Community Health Center for the October-December 2022 period included 106 pregnant women in the first trimester. The aim of this research is to determine the description of maternal age and parity with the incidence of chronic energy deficiency in the first trimester at the Kramatwatu Community Health Center for the period October-December 2022. The research method used is descriptive research. The study population was all 106 first trimester pregnant women. Sample on this study included all 106 pregnant women in the first trimester. The sampling technique used in this research was a total sampling technique (non-probability sampling). The data source for this research is secondary data. The results of the research on the incidence of chronic energy deficiency in pregnant women in the first trimester were 35 people (33%). In the age category, a higher proportion was found in the &lt;20 years and &gt;35 years age group, namely 40 people (38%). For parity in the primipara and grandemultipara groups there were 35 people (33%). The incidence of chronic energy deficiency in the first trimester occurred in a higher proportion in the group of mothers aged &lt;20 years and &gt;35 years at 18 (45%). The incidence of chronic energy deficiency in the first trimester was higher in the primipara and grandemultipara groups at 19 people (54.3%). Research Suggestions Health workers at the Kramatwatu Community Health Center can maintain quality health services and provide counseling education to all pregnant women who experience Chronic Energy Deficiency.

Correlation between antenatal care (ANC) visits and caffeine beverage consumption habits with the incidence of anemia in third trimester pregnant women in Health Centers, Bantul Region

&lt;p&gt;&lt;em&gt;mother and baby. Efforts made by health workers to reduce the occurrence of anemia by conducting Antenatal Care (ANC) visits, and providing Communication, Information, and Motivation (KIM) and administering Fe tablets. Consumption of Fe tablets is better consumed using plain water because if Fe tablets are taken together with tea and coffee it can inhibit iron absorption.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Objectives: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;Determine the relationship between Antenatal Care (ANC) visits and consumption habits of caffeinated drinks with the incidence of anemia in third trimester pregnant women at the Health Center in Bantul.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Methods: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;This type of research uses quantitative research with a cross sectional approach. Sampling using simple random sampling and quota sampling with the number of respondents 180 pregnant women using predetermined characteristics. The research instrument used a questionnaire on the variable ANC visits and consumption habits of caffeinated drinks and used the KIA handbook on the variable incidence of anemia in pregnant women. The bivariate analysis technique uses the Kendal Tau test.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Results: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;In the ANC visit variable, a p value = 0.029 (p &amp;lt;0.05) was obtained, indicating that there is a relationship between Antenatal Care (ANC) visits and the incidence of anemia in third trimester pregnant women. In the habitual variable of caffeine consumption, the p-value = 0.004 (p &amp;lt;0.05), indicating that there is a relationship between the habit of consuming caffeinated drinks and the incidence of anemia in third trimester pregnant women.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Conclusions : &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;There is a relationship between Antenatal Care (ANC) visits and the incidence of anemia and there is a relationship between the habit of consuming caffeinated drinks and the incidence of anemia in third trimester pregnant women at the Health Center in Bantul.&lt;/em&gt;&lt;/p&gt;

Small group classes with pregnancy cadres (kekasih) can improve knowledge and attitudes about exclusive breastfeeding among third-trimester pregnant women on the remote Island of Enggano, Bengkulu Province

&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: One of the government programs that focuses on the first 1000 days of life is exclusive breastfeeding for infants aged 0-6 months, but there is often a failure of exclusive breastfeeding at the age of 0-3 days due to pre-lactal feeding, so education during pregnancy is needed to improve the knowledge and attitudes of pregnant women through KEKASIH (Small Group of Cadres with Pregnant Women) classes. &lt;/em&gt;&lt;strong&gt;&lt;em&gt;Objectives&lt;/em&gt;&lt;/strong&gt;&lt;strong&gt;&lt;em&gt;:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; This study aims to determine the effectiveness of KEKASIH classes on knowledge and attitudes of pregnant women trimester III in remote areas of Enggano Island, Bengkulu Province in 2023.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Methods:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; Quasi-experimental research design with pre- and post-test and control group. Intervention in the form of KEKASIH class, which is a modified class for pregnant women divided into small groups with cadres as facilitators. Independent variables were KEKASIH class, dependent variables were knowledge and attitude. External variables are age, parity, education, distance of pregnancy, employment. The sample was trimester III pregnant women a total of 50 people consisting of the treatrimesterent group is pregnant women in KEKASIH class, the control group is pregnant women who receive conventional health promotion.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Results:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The results of the study showed that there was a difference in the mean knowledge score before and after exclusive breastfeeding education through KEKASIH class from 27.36 to 49.04, p=0.00. There is no difference in the mean attitude score before and after exclusive breastfeeding education in the control group from 28.16 to 28.96 p=0.00.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Conclusions:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; KEKASIH Class is more effective in improving mothers' knowledge and attitudes about exclusive breastfeeding with a value of p=00. Educational factors affect mothers' knowledge, but gestational distance and parity affect mothers' attitudes about exclusive breastfeeding.&lt;/em&gt;&lt;/p&gt;

Evaluation of changes in exhausted T lymphocytes and miRNAs expression in the different trimesters of pregnancy in pregnant women.

Throughout the three trimesters of a typical pregnancy, we looked at changes in the expression of miRNAs and exhausted T lymphocytes for this study. Fifty healthy subjects were included in this study. The frequency of exhausted T lymphocytes was measured in isolated PBMCs using flow cytometry. PD-1, TIM-3, and related miRNAs gene expression were assessed using qRT-PCR. The analyses revealed a significant decline in PD-1 and Tim-3 expression in PBMCs from RPL women (p = 0.0003 and p = 0.001, respectively). In addition, PD-1 and TIM-3 expression increased significantly in the 2nd trimester compared with the 1st trimester of healthy pregnant women (p < 0.0001 and p = 0.0002, respectively). PD-1 and TIM-3 expression was down-regulated in the 3rd trimester compared with the 1st and 2nd trimesters. In the present study, we demonstrated that TIM-3+/CD4+, TIM-3+/CD8+, PD-1+/CD4+, and PD-1+/CD8 + exhausted T lymphocytes increased in the circulation of women in the 2nd trimester compared to the 1st and 3rd trimester. In the 3rd trimester, the expression of miR-16-5p increased significantly (p < 0.0001). miR-125a-3p expression was down and upregulated in 2nd (p < 0.0001) and 3rd (p = 0.0007) trimesters compared to 1st trimester, respectively. This study showed a significant elevation of miR-15a-5p in 3rd trimester compared to 1st trimester of pregnant women (p = 0.0002). Expression pattern of PD-1 and TIM3 in exhausted T lymphocytes is different not only between normal pregnant and RPL women but also in different trimesters of pregnancy. So, our results showed the role of these markers in the modulation lymphocytes activity in different stages of pregnancy.

Fetal and Maternal Health Implications by Pregnancy Trimesters in Gestational Diabetes

Introduction: Gestational diabetes (GD) is defined as intolerance to glucose or the presence of high levels of glycemia during pregnancy. Its incidence in Europe reaches 3-5% of all pregnancies, but in some Mediterranean countries it goes up to 7%. 1,2(This includes our country). GD usually disappears after birth.3 Its importance is not only important as a pathology of women's health but also because of the risk factors that lead to the development of the fetus. Occasionally new research and studies on the correlates of diabetes in pregnancy, glycemic values that affect maternal or fetal health, or changes in baseline parameters depending on external and internal factors affecting pregnancy. An indication of the latter is the prediabetes group or IGM. Our aim: To study intrauterine complications or fetal consequences by trimesters in diabetic pregnant women attending Regional Hospital Durres. Maternal health close observation of GD complications. Methodology: Following the primary processing of patient data, individuals at risk were separated, and categorized according to trimester of pregnancy. The data were worked out on crostabulary statistical tables, where a selected number of participants with prediabetes or gestational diabetes were associated with a risk factor to analyze the correlational correlation in our population. Results. Reported to the gynecology services, for first-trimester pathology, 1954 women, of which 1176 have had one of the diagnoses: missed abortion, blighest ovum or recurrent abortion. Reported to the Pathology Pregnancy Pathology Service about 3268 of which were monitored and resulted based in examinations in 163 cases with prediabetes and diabetes in pregnancy. We have grouped and extracted the results based on correlations of baseline glycemic index to diagnose DG and the onset of complications in the fetus and in pregnancy.&#x0D; &#x0D; Received: 19 February 2024 / Accepted: 15 March 2024 / Published: 23 March 2024

Evaluation of Fetal Breathing-Related Nasal Fluid Flow Doppler in the Third Trimester in Pregnant Women with Fetal Growth Restriction: Preliminary Observations.

To investigate the fetal breathing-related nasal fluid flow Doppler waveforms as an indicator of fetal respiratory function in fetuses diagnosed with fetal growth restriction (FGR) in the third trimester. This prospective, non-interventional case-control study was conducted on 96 pregnant women, including 23 pregnant women diagnosed with FGR in the third trimester as the FGR group and 73 healthy pregnant women with fetuses appropriate for gestational age (AGA) as the control group. Fetal breathing-related nasal fluid flow Doppler was examined in the fetuses of the participants. Inspiration and expiration duration, inspiration and expiration peak velocity, total breathing duration, and number of fetal breaths per minute were calculated. Both groups were similar in terms of the duration of inspiration, duration of expiration, and total breathing duration (p=0.463, p=0.711, p=0.520, respectively). Peak inspiratory velocity and peak expiratory velocity were significantly lower in the FGR group than in the control group, and the number of fetal breaths per minute was similar in both groups (p=0.027, p=0.012, p=0.768, respectively). When participants were regrouped into those whose newborn was admitted to the neonatal intensive care unit (NICU) after birth and those who were not, all fetal nasal fluid flow Doppler parameters were similar in both groups. Although the number of participants was too small to draw a definitive conclusion, FGR appears to be associated with a decrease in peak inspiratory and expiratory velocity. The clinical significance of changes in fetal breathing-related nasal fluid flow Doppler parameters in FGR is as yet unclear, and their use in clinical follow-up and predicting unfavorable perinatal outcomes are the subjects of future research.

Midwifery Care on Pregnancy Exercise Support for Mrs. I in the Third Trimester to Reduce Lower Back Pain

Background:Discomfort that usually occurs in third trimester pregnant women is frequent urination, soreness or pain, constipation, leg cramps, respiratory problems and edema. Low back pain is one of the discomforts that pregnant women often experience in the third trimester. The growth of the uterus causes the body's center of gravity to shift forward. Therefore, pregnant women need to adjust their standing position. This means that expectant mothers must rely on their muscle strength, deal with weight gain, changes in joint relaxation, fatigue, and also pay attention to their pre-pregnancy posture. The need for pregnancy exercise is very important in strengthening and maintaining the elasticity of the abdominal wall muscles, ligaments and pelvic floor muscles associated with the birthing process. Pregnancy exercise can also help relieve low back pain which is often experienced by pregnant women because it involves movements that strengthen the abdominal muscles. Method: A case study report with descriptive method, location at Mrs. I Pekaja Village Rt 02/03 Kalibagor District Banyumas Regency. The subject of the case study is Mrs. I is 33 years old G2P1A036 weeks gestation with low back pain. The case study time is January 19, 2023. Data analysis from interviews was conducted to collect primary data, and documentation and literature studies were conducted to collect secondary data. Results: In general, Mrs. I was a normal pregnancy, and Mrs. I is a normal thing to happen in the third trimester of pregnancy. Conclusion:Doing pregnancy exercises at least twice a week can reduce pain in the lower back.

Effects of osteopathic manipulative treatment on maternal-fetal hemodynamics in third trimester pregnant women: A prospective study.

To evaluate the maternal-fetal hemodynamic effects after osteopathic manipulative treatment by measuring vital signs and Doppler velocimetry in third-trimester pregnant women. This is a prospective study with pregnant women undergoing outpatient follow-up and hospitalized in a ward at Instituto Fernandes Figueira/Fiocruz, between August 2021 to August 2022, during the SARS-CoV-2 pandemic. This study was registered in REBEC under Register Number RBR-9q7kvg and approved by the ethics committee under number 32216620.0.0000.5269. The study population was composed of 51 pregnant women between 28 and 40 weeks of gestation, over 18 years of age, allocated in a single group. Pregnancies with multiple fetuses, malformations, premature rupture of the membrane, and active labor were excluded. The procedures evaluated maternal-fetal hemodynamics using three consecutive measures of ultrasound examination with Doppler velocimetry, and three maternal vital signs measured by an electronic blood pressure monitor. Most vital signs changed after osteopathic treatment. However, only the systolic blood pressure (109.92 ±14.42 to 110.71±12.8, p = 0.033), diastolic blood pressure (79.8±11.54 to 77.57±9.44, p = 0.018) and heart rate (87.59±11.93 to 81.12±10.26, p = 0.000) in the sitting position, systolic blood pressure (110.75±13.26 to 108.59±13.07; p = 0.034) in the supine, and heart rate (83.22±11.29 to 80.39±11.0; p = 0.013) in left lateral decubitus reached statistical significance. The oximetry measures (98.55±0.64 to 98.67±0.68; p = 0.098) stayed stable during all three positions. All artery values remained stable after treatment, and no statistically significant difference was recorded in the artery results. Responses to osteopathic treatment in women in the third trimester of pregnancy did not affect uteroplacental and fetoplacental circulation. However, some maternal vital signs had statistically significant results, with a decrease in diastolic blood pressure and heart rate, and an increase in systolic blood pressure in the sitting position, a decrease of heart rate in the left lateral decubitus position, and systolic blood pressure in the supine position. All the results observed were maintained in the normal parameters. The study responses attest to the safety of using the osteopathic manipulative treatment for the fetus and for pregnant women with comorbidities.

Exploration of Information Needs for 3rd Trimester Pregnant Women with Severe Preeclampsia at Banyumas Hospital

Background: Preeclampsia is a munciton characterized by high blood pressure during pregnancy, with symploms such as body weling, especially in the face and hands, a sudden increase in blood pressure, and high protein levels in the une, several rise factors can increase the Molhood of developing preeclampsia/eclampsia at an individual level including a history of chronic hypertension, obesity, and severe anemia. Liteacy of the pregnant women can influence their behavior toward preventing severe preeclampsis Providing information is expected to enhance knowledge and reduce anxiety among pregnant woment. Methods: This study aims to explore the information needs of tri-mester pregnant women with severe preeclampsia at Banyumas Hospital. This qualitative exploratory study used interview methods. The subjects were 10 pregnant women with severe preeclampsia at Banyumas Hospital, selected through purposive sampling. The data analysis involved qualitative techniques, including data reduction prosentation, and conclusion. Results: The research results show that most informants (8 women) are adults (aged 26-45). Their educational level is primarily high school (SMA), with 8 individuals Moat are housewives (fi individuals), and 9 have more than one child or are mutparous. Conclutions: Overall, all informants require information to support their pregnancy up to the delivery process, such as education on understanding severe preeclampsia, managing atuty and fear of preeclampsia risks, and being aware of matomal health.

Therapeutic Drug Monitoring of Levetiracetam in Different Trimesters of Pregnant Women with Epilepsy in a Tertiary Care Center: A Prospective Study.

Levetiracetam is the most commonly used antiepileptic drug in pregnant women due to its low teratogenic risk profile, favorable pharmacokinetic characteristics, and safety profile. Serum levels of levetiracetam vary in epilepsy during pregnancy. Therefore, the aim of the study was to evaluate the serum levels of levetiracetam during different trimesters of pregnancy by using therapeutic drug monitoring (TDM). This was a single-center, prospective study. Pregnant women with epilepsy on levetiracetam were enrolled after getting written informed consent from them. Serum trough levels of levetiracetam were estimated at all trimesters by high-performance liquid chromatography (HPLC). The study included 16 participants with mean ± standard deviation (SD) age of 27.75 ± 4 years. There were nine (56.2%) participants with generalized seizure disorder and seven (43.8%) participants of focal seizure disorder. Among 16 patients, 10 (62.5%) participants were on levetiracetam alone and six (37.5%) participants were on levetiracetam combined with other antiepileptic drugs. In a total of 48 trough samples, 45 sample concentrations were below the therapeutic range of 12-46 mg/l and three sample concentrations were within the therapeutic range. There was a statistically significant difference in the concentration-dose ratio (CDR) of levetiracetam between the third and first trimesters (P-value 0.018). There was a statistically significant difference in serum levetiracetam concentration between the third and first trimesters. A well-conducted, intensive pharmacokinetic sampling study in PWWE with a control group is needed in future to evaluate the whole pharmacokinetic profile of levetiracetam and to correlate the clinical outcome.

Smart Card Stunting Media Influences Knowledge and Attitudes of Pregnant Women about Stunting Prevention

Stunting is a condition when a child's height is less than the standard height for his age and is a problem of chronic malnutrition caused by insufficient nutritional intake for quite a long time. If pregnant women do not know the causes of stunting, especially nutritional adequacy in early pregnancy, it will have an impact on the attitude of pregnant women who do not apply good nutritional patterns during pregnancy. This can happen because when a child is stunted it disrupts his physical growth, immunity, and cognitive function. The purpose of this study was to determine the effect of education using the stunting smart card media on the knowledge and attitudes of pregnant women regarding stunting prevention in the work area of the Telaga Dewa Health Center, Bengkulu City. This research is a quantitative type of Pre-Experiment design with a one-group pre-test and post-test design. The sampling technique in this study was purposive sampling. The number of samples to be examined in this study were 30 first trimester pregnant women. The results showed that the average attitude score before intervention was negative, namely 28.63 and after education using a stunting smart card, a positive attitude was 37.70. The p value was obtained = 0.000 ≤ 0.05 using a confidence level of 95%, which means that there is an effect of the stunting smart card media on the knowledge and attitudes of pregnant women about stunting prevention in the work area of the Telaga Dewa Health Center, Bengkulu city.

Enhancing Maternal Health: IT Solutions for Monitoring Anemia in Pregnancy

Background: Anemia is a condition in which a deficiencyof red blood cells (erythrocytes) in the blood cycle or mass of hemoglobin is so unable to fulfill its function as a carrier of oxygen in the entire tissue. Handling to increase hemoglobin levels by using pharmacological and non-pharmacological management, one of the non-pharmacological management is by giving vitamin C so that the process of absorption and formation of hemoglobin is faster such as consuming red guava juice every day 2 x 1 together with Fe. the study was to determine the effect of giving Fe tablets and red guava juice on increasing hemoglobin levels in third trimester pregnant women. This pre-post experimental research design uses a design pretest-posttest whit control group design. The sampel in this study 36 respondents consisting of 18 experimental respondents and 18 control respondents with purposive sampling technique. The research instrument used the measuremets tool HB Family Dr. Test Strip and observation for 2 weeks. Data were analyzed using paired t-test to determine changes before and after and independent T-Test to determine the difference between the experimental group and the control group. The results of the pre-post study in the experimental group were p values of 0,000(p &lt;0.05) and in the control group were 0.01(p &lt;0,05). The results of the pre-post study in the experimental and control group p value 0,000. There is an effect of giving red guava juice and Fe tablets to increase hemoglobin levels of pregnant women in the third trimester who have mild anemia. Therefore, it is hoped that PMB (Praktek Mandiri Midwives) can pay attention to the handling of anemia in pregnant women in Kedaung, Pamulang, Tangerang. South with outreach programs and supplementation such as giving red guava juice.