scholarly journals The Implementation of Healthy Food Diet for High-Risk Pregnant Woman (Amaris) Class on The Level of Knowledge and Attitude of Pregnant Woman

2020 ◽  
Vol 16 (2) ◽  
pp. 182-191
Author(s):  
Diyah Alva Rina ◽  
Linda Meliati

High-risk pregnant women is a period where pregnant women can experience a variety of risks that are influenced by various factors. If a pregnant woman has more knowledge about the high risk of pregnancy then it is likely that mothers will think of overcoming the problem of risk of pregnancy. High-risk pregnant class mothers with a Healthy Food Diet High Risk Pregnant Women (AMARIS). is one of the means to increase mothers' knowledge and attitudes about pregnancy care. The purpose of this study was to determine the effect of high-risk classes of pregnant women on the level of knowledge and attitudes of mothers about pregnancy care. This study used a pre-experimental research design with one group pretest-posttest, with a total sample of 30 people. The results of the study showed an increase in the average score of knowledge and attitudes after being given a class of resting pregnant women. The average knowledge score before resti pregnant women class was 71.77, while thereafter increased to 88.22. The average score before resting pregnant women for attitude was 72.66, while after that it increased to 77.83. There is an influence of AMARIS class on the level of knowledge and attitudes of high risk pregnant women with p value = 0,000. There is an influence of the Amaris class on the level of knowledge and attitudes of high-risk pregnant women.

2020 ◽  
Vol 8 (01) ◽  
pp. 34-51
Author(s):  
Mariani Mariani ◽  
Shinta Wahyusari ◽  
Nova Hikmawati

Introduction: The prevalence of high-risk pregnancies in Indonesia is still quite high. Mothers who suffer from illness and pregnancy complications can influence the outcome of the pregnancy, which risks the occurrence of maternal and fetal morbidity and mortality. The psychological effects of high-risk pregnancies are anxiety, stress, and the mother experiences a crisis that can affect the relationship between mother and fetus. These conditions can continue in the relationship between mother and baby after birth. Therefore there needs to be an effort to increase the attachment of the mother and fetus, one of which can be done by providing education. This study aims to determine the effect of prenatal attachment education on maternal and fetal attachment in high-risk pregnant women in Paiton Subdistrict, Probolinggo Regency. Method: The study was conducted in Paiton Subdistrict, Probolinggo Regency in Mei-Juni 2019. The research method used was quasy experiment using pre-post test design. The population in this study were all high risk pregnant women in Dringu Subdistrict, Probolinggo Regency. The sampling technique used in this study was purposive sampling by determining the sample in accordance with the inclusion criteria. The number of samples to be used was 20 respondents. Data collection techniques using a questionnaire. Data were analyzed using Wilcoxon using SPSS. Results and Analysis: The results obtained showed the average score of attachment of the mother and fetus before the intervention was 52.15 and after the intervention was 60.50. There was a significant difference in the attachment of the mother and fetus before and after the intervention with a p value of 0,000 (p <0,000). Discussion: Prenatal care education needs to be included in the prenatal classroom program and started being given to pregnant women since the first trimester.   Keywords: attachment, prenatal attachment, high risk pregnant women


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.


2021 ◽  
Vol 6 (4) ◽  
pp. 526-533
Author(s):  
Lestari Sudaryanti ◽  
Amellia Mardhika ◽  
Arina Qona’ah ◽  
Anestasia Pangestu Mei Tyas ◽  
Muhammad Ardian Cahya Laksana

COVID-19 has been declared by WHO as a global pandemic. COVID-19 affects various lines of human life, especially the health aspect. East Java has ranked second in the COVID-19 cases in Indonesia. One of the efforts made to reduce the spread of COVID-19 is through clean and healthy activities and behaviors stay at home causes people to be limited in their activities except for very important purposes, especially activities for pregnant women. Pregnant women must and should carry out regular antenatal care checks. COVID-19 causes anxiety problems and worries for pregnant women to leave the house, including having pregnancy checks. But the mother is also worried about the condition and development of the fetus. This will increase the risk of maternal and infant mortality and the SDGs target in the third objective will not be met. This community service aims to provide knowledge related to antenatal care to high-risk using Poedji Rochyati Score Card (score 6-10) and very high-risk pregnant women (score 12) during the COVID-19 period. The method used in the implementation of this community service is material from resource persons, implementation of health education, and evaluation. The pregnant women were very enthusiastic about participating in this event, it was seen from the questions given to the team and vice versa. The results of the questionnaire show that there are differences in the level of knowledge of pregnant women for pre-test and post-test.


2021 ◽  
Vol 4 (2) ◽  
pp. 71-74
Author(s):  
Ratih Mega Septiasari ◽  
Nurya Viandika

AbstrakWanita hamil adalah salah satu kelompok khusus yang berisiko tinggi tertular virus Covid-19.Faktor risiko terbesar untuk mengalami berbagai tekanan psikologis adalah perempuan dan tenaga kesehatan serta populasi rentan seperti ibu hamil. Ketakutan dan kekhawatiran muncul dari bahaya yang memang ada, tetapi banyak juga yang muncul dari kurangnya pengetahuan dan informasi yang salah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan Covid-19 dengan kecemasan ibu hamil pada saat pandemi Covid-19 di Malang Jawa Timur Indonesia. Penelitian dilakukan pada bulan November hingga Desember 2020 dan merupakan penelitian desain cross-sectional dengan menggunakan kuesioner  yang diberikan kepada 52 ibu hamil. Berdasarkan tabel 4 didapatkan p-value 0,029 (sig<0,05) yang menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil selama pandemi Covid-19. Sehingga dapat disimpulkan bahwa pengetahuan merupakan factor penting bagi ibu hamil karena dapat mempengaruhi perilaku ibu selama hamil. Sehingga diharapkan edukasi yang optimal dari petugas kesehatan bagi para ibu agar dapat menjalani kehamilan sejahtera serta ibu dan janin tetap sehat selama pandemi Covid-19. Kata kunci: pengetahuan, kecemasan, kehamilan, pandemi covid-19  AbstractPregnant women are one of the special groups that are at high risk for the Covid-19 virus. The biggest risk factors for experiencing various psychological distresses are women and health workers as well as vulnerable populations such as pregnant women. Fear and worry arise from dangers that do exist, but many also arise from lack of knowledge and misinformation. The purpose of this study was to determine the correlation between Covid-19 knowledge and anxiety of pregnant women during the Covid-19 pandemic at Malang, East Java Indonesia. The study was conducted from November to December 2020 and is a cross-sectional design study using a questionnaire given to 52 of pregnant women. Based on the table 4, the p-value is 0.029 (sig <0.05), which indicates that there is a significant correlation between the knowledge and the anxiety of pregnant women during the Covid-19 pandemic. So it can be concluded that knowledge is an important factor for pregnant women because it can affect the behavior of the mother during pregnancy. So it is hoped that optimal education from health workers for mothers to be able to undergo a prosperous pregnancy so that mothers and fetuses remain healthy during the Covid-19 pandemic. Keywords: knowledge, anxiety, pregnancy, covid-19 pandemic


2021 ◽  
Vol 7 (1) ◽  
pp. 139-144
Author(s):  
Widiyanti Sarimunadi ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: SEFT THERAPY (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) FOR ANXIETY IN DEALING WITH LABORBackground: If the concern and anxiety of pregnant women is not handled seriously, it will have an impact and influence on physical and psychological aspects, both on the mother and the fetus. Pregnant women who experience anxiety in the face of labor are afraid of being operated on, afraid of spending a lot of money, fear of not being able to care for their babies properly, fear of their baby dying, fear of pain during delivery. One of the techniques for dealing with anxiety is SEFT therapy.Objective: to determine the effect of Spiritual Emotional Freedom Technique (SEFT) on anxiety in dealing with labor process.Methodology: this research is a quasi-experimental design with pre and post-test with control group design. The sample in this study was 25 trimester III pregnant women. The sampling technique was using purposive sampling technique. The research instrument used the DASS 42 questionnaire. The results of the data normality test were normally distributed so that the data were analyzed using the paired t-test.Results: The results showed that the average score of maternal anxiety before therapy was 13.48 (moderate) while after therapy was 7.88 (normal). The bivariate test results obtained p value 0,000.Conclusions: Spiritual Emotional Freedom Technique (SEFT) can overcome the anxiety of pregnant women in facing labor.Suggestions: It is hoped that this therapy can be applied in the practice of midwifery to care for pregnant women, especially pregnant women who experience trauma or have anxiety in their pregnancy. Keywords: anxiety, pregnant women, spiritual emotional freedom technique. ABSTRAK Latar Belakang: Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Ibu hamil yang mengalami kecemasan dalam menghadapi persalinan disebabkan karena ibu takut dioperasi, takut akan mengeluarkan biaya yang banyak, takut tidak bisa merawat bayinya dengan baik, takut bayinya meninggal, takut kesakitan saat persalinan. Salah satu teknik untuk menghadapi kecemasan adalah denga terapi SEFT.Tujuan: Mengetahui pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan dalam menghadapi persalinan.Metodologi penelitian: Penelitian ini merupakan quasi-experimental dengan rancangan pre and post test with control group design. Sampel dalam penelitian ini berjumlah 25 ibu hamil trimester III. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner DASS 42. Hasil uji normalitas data berdistribusi normal sehingga dianalisis data menggunakan uji paired t-test.Hasil Penelitian: Hasil penelitian menunjukan bahwa skor rata-rata kecemasan ibu sebelum terapi 13,48 (Sedang) sedangkan sesudah terapi menjadi 7,88 (normal). Hasil uji bivariate didapatkan p value 0,000.Kesimpulan: Terapi Spiritual Emotional Freedom Technique (SEFT) mampu mengatasi kecemasan ibu hamil dalam menghadapi persalinan.Saran: Diharapkan terapi ini dapat diaplikasikan dalam praktik kebidanan perawatan ibu hamil khususnya ibu hamil yang mengalami trauma atau mempunyai kecemasan dalam kehamilannya. Kata kunci: Kecemasan, ibu hamil, Terapi Spiritual Emotional Freedom Technique


Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 3687-3687
Author(s):  
Elvira M. Guerra-Shinohara ◽  
Patricia R. Barbosa ◽  
Luiz F. Sampaio-Neto ◽  
Rosario D. Hirata ◽  
Mario H. Hirata ◽  
...  

Abstract In the homocysteine metabolic pathway, several key enzymes, including methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR), have been implicated in abnormal homocysteine accumulation in the presence of rare alleles. In previous study, we showed that lower maternal Cbl levels were associated with higher tHcy and lower S-adenosylmethionine/S-adenosylhomocysteine ratio in pregnant women and their neonates.The aim of this study is to investigate whether MTHFR and MTRR polymorphisms are involved in the risk for elevated total homocysteine (tHcy) and its interaction with low cobalamin (Cbl) or serum folate (SF) levels. Genotypes for polymorphisms MTHFR C677T and MTRR A66G were determined by PCR-FLRP. The serum levels of Cbl, SF and tHcy were determined in 377 pregnant women (37–42 weeks of gestational age), and cutoff values for Cbl and SF were considered the first quartile (low values). Four models of univariate logistic regression analyses were used (Table 1). Pregnant women with MTHFR 677T allele have high risk for elevated tHcy that is increased when 677T allele is associated with low Cbl. Increased risk for elevated tHcy is also met when MTRR 66G allele and low Cbl levels were associated. Women with low SF and common MTHFR and MTRR alleles have high risk for elevated tHcy, that is increased when in association with 677T allele or with 66G allele. Interaction between MTHFR C677T and MTRR A66G polymorphisms and vitamins levels in pregnant women Dependent variables Comparation levels (N) P value Odd Ratios 95% CI P for trend: (a) P<0.001; (b) P<0.001; (c) P=0.067; (d) P<0.001 tHcy>8.3μmol/L MTHFR 677CC genotype and Cbl> 115.8 pmol/L (ref) (136) a 1.00 MTHFR 677CC genotype and≤Cbl 115.8 pmol/L (45) 0.298 1.57 0.67 – 3.63 MTHFR 677CT and 677TT genotypes and Cbl>115.8 pmol/L (145) 0.015 2.09 1.16 – 3.77 MTHFR 677CT and 677TT genotypes and≤Cbl 115.8 pmol/L (48) 0.001 4.63 2.22 – 9.65 tHcy>8.3μmol/L MTHFR 677CC genotype and SF > 10.9 nmol/L (ref) (148) b 1.00 MTHFR 677CC genotype and≤SF 10.9 nmol/L (33) 0.008 3.20 1.35 – 7.59 MTHFR 677CT and 677TT genotypes and SF > 10.9 nmol/L (133) 0.035 1.95 1.05 – 3.61 MTHFR 677CT and 677TT genotypes and≤SF 10.9 nmol/L (59) 0.001 6.62 3.31 – 13.26 tHcy>8.3μmol/L MTRR 66AA genotype and Cbl> 115.8 pmol/L (ref) (96) c 1.00 MTRR 66AA genotype and ≤Cbl 115.8 pmol/L (23) 0.222 1.90 0.68 – 5.29 MTRR 66AG and 66GG genotypes and Cbl>115.8 pmol/L (183) 0.418 1.29 0.70 – 2.39 MTRR 66AG and 66GG genotypes and ≤Cbl 115.8 pmol/L (69) 0.013 2.46 1.21 – 5.01 tHcy>8.3μmol/L MTRR 66AA genotype and SF > 10.9 nmol/L (ref) (92) d 1.00 MTRR 66AA genotype and ≤SF 10.9 nmol/L (27) 0.006 3.83 1.47 – 9.96 MTRR 66AG and 66GG genotypes and SF > 10.9 nmol/L (186) 0.399 1.34 0.68 – 2.63 MTRR 66AG and 66GG genotypes and≤SF 10.9 nmol/L (65) 0.001 4.78 2.26 – 10.10 In conclusion, the interaction between MTHFR and MTRR polymorphisms and low folate and cobalamin serum levels may explain the increased risk for elevated tHcy found in pregnant women.


Author(s):  
Rahayu Kusuma Wardani

Hyperemesis Gravidarum Is a excessive navsea in pregnant woman it disturb the daily activity of the women. Cane and ginger are the nause. Cane contains glucose that can reduce acid emphasis. Ginger constans gingerol that ccin smooth the blood. The aim of this research is to know Effectiveness Consumes Water Of The Can Cambinated With Water Of Ginger Against Hiperemesis Gravidarum In the Puskesmas area Rawat Inap Sidomulyo Pekanbaru. Design of this research is used quasy eksperimen with design one grup pretest and posttest. Sample of the research is pregnant women who liave hyperemesis gravidarum level 1 there are 15 respondences for inetervensi. The time of the research conducted in December 2017 until April 2018. Data collection on this research is used obervation sheet. The data analysis is used T Dependent test. Result of this research show us that the water of cane cambination with the water of ginger in reduce the nausea in the women pregnant in the Puskesmas area Rawat Inap Sidomulyo Pekanbaru with the value p-value (α=0.05). Recomended nausea one of them is consume water of cane combination with water of ginger to reduce the use of nonfarmakologi’s drugs.


2020 ◽  
Vol 1 (1) ◽  
pp. 14-18
Author(s):  
Miftachul Jannah ◽  
Swasti Artanti

Community service program with the topic "Counseling Pregnant Women with Fe Tablets, Nutrition for Pregnant Women and Dangerous Signs of Pregnant Women in Jenggot, Pekalongan City" is aimed at Trimester II and III pregnant women to provide about pregnant women's knowledge about the benefits of Fe tablets , nutritional needs during pregnancy and pregnancy danger signs in the area of Jenggot, Pekalongan city. It is important to educate pregnant women about the benefits of Fe tablets during pregnancy because hemoglobin is needed for the body of pregnant women. During pregnancy, a pregnant woman needs to have high nutritious food and is sufficient for herself and her fetus. If a pregnant woman lacks nutrition and iron during pregnancy, it will cause problems, both for the mother and the fetus. Family and environmental factors will greatly affect pregnant women. Hopefully, pregnant women will have no abstinence to eat. This activity can be sustainable and encourage pregnant women to care during pregnancy whether to take Fe tablets, eat nutritious foods and understand the danger signs during pregnancy. In addition, a Pre Test and Post Test were conducted to determine the level of knowledge before and after counseling. The results obtained are that there is a significant increase in pregnant women in Jenggot, Pekalongan after counseling about Fe tablets, nutrition of pregnant women and pregnancy danger signs.


2018 ◽  
Vol 2 (1) ◽  
pp. 45-53
Author(s):  
Milya Novera ◽  
Diana Arianti ◽  
Dela Septianingsih

Abstract Adolescence is one of the stages in an individual's life to reach adulthood. The problem of sexuality is very visible among teenagers. Based ond SKRRI 2012 survei,  between 51-75% students in Padang City done devation of sexsual behavior. The purpose of this study is to determine the influence of counseling on the level of knowledge and attitudes of teens about premarital sex. This research is a quantitative research method that is pre-experimental design with one group of pretest-posttest design. The populations of this study are 589 students from XI grade of  SMK, used cluster random sampling  technique with the number of samples are 58 female students. This study was conducted at SMKN 8 Padang in 2017. The analysis was using dependent T-test. The result showed an increase in knowledge and attitudes of teens about premarital sex before and after getting the counseling with p value = 0,000 from it was 70.7% of adolescents had low level became 8.6%, 22,4% of adolescents had low medium level became 13,8% and also 6,6% of adolescents had high knowledge became 77,6% after being given the counseling, and The adolescent attitudes was 44,8% negative and was 55,2% positive before giving counseling became decreased became was 34.5% negative and was 65,5% positive after being given counseling. It can be concluded that there is an influence of counseling to level of knowledge and attitude of adolescents before and after getting the counseling about premarital sex. It is expected that the school for provide information and counseling program for youth through cooperation with local health agencies that health center care to increase knowledge and attitudes of adolescents about health  specially the premarital sex that activities such as counseling at school for every month a specially since the beginning of the school orientation. Keywords:  Knowledge, Attitude, Premarital ,sex, Adolescence ABSTRAK Remaja merupakan salah satu tahap dalam kehidupan individu untuk mencapai dewasa. Survei SKRRI 2012,  siswa/i SMAN di Kota Padang melakukan penyimpangan perilaku seksual. Tujuan penelitian untuk mengetahui pengaruh penyuluhan terhadap tingkat pengetahuan dan sikap remaja tentang seks pranikah. Penelitian ini kuantitatif dengan menggunakan metode pre-eksperimental desaign dengan rancangan one group pretest-posttest design. Populasi penelitian siswa kelas XI SMK Negeri 8 Padang, teknik pengambilan sampel cluster random sampling dengan jumlah sampel 58 siswa. Penelitian dilaksanakan di SMK Negeri 8 Padang pada bulan Januari s/d Juli tahun 2017. Analisa secara univariat dan bivariat menggunakan uji T- test dependen. Hasil penelitian terdapat perbedaan pengetahuan dan sikap remaja tentang seks pranikah sebelum dan sesudah penyuluhan dengan p=0,0007,7% tingkat pengetahuan rendah menjadi 8,6%, 22,4% tingkat pengetahuan sedang menjadi  13,8% dan 6,9% tingkat pengetahuan tinggi menjadi 77,6% setelah diberikan penyuluhan. Sikap remaja 44,8% negatif dan positif 55,2% sebelum penyuluhan mengalami penurunan menjadi 34,5% bersikap negatif dan 65,5% bersikap positif sesudah diberikan penyuluhan. Dapat disimpulkan, ada pengaruh penyuluhan terhadap tingkat pengetahuan dan sikap remaja sebelum dan sesudah dilakukan penyuluhan tentang seks pranikah. Disarankan pihak sekolah untuk memberikan informasi atau penyuluhan  lebih lanjut melalui kerjasama dengan instansi kesehatan setempat seperti puskesmas dan klinik swasta tentang kesehatan khususnya pencegahan seks pranikah sejak awal orientasi sekolah dan menjadi kegiatan rutin setiap bulan.


2017 ◽  
Vol 7 (3) ◽  
pp. 35-41
Author(s):  
Kopila Shrestha ◽  
Shanti Awale

Background: Adolescent reproductive health is one of the component of the reproductive health. It is most important issue in the world. Reproductive capability is taking place at an earlier age and adolescents are indulging in risk taking behaviors day by day. The objective of this study is to assess knowledge regarding sexual and reproductive health among adolescents. Methods: A descriptive cross-sectional study was conducted in Kathmandu valley to assess the knowledge regarding sexual and reproductive health among adolescents. Total of 200 respondents were selected through non-probability purposive sampling technique. Self-administered written questionnaire was used for data collection. The collected data were analyzed by using descriptive statistics such as frequency, percentage, mean, standard deviation and inferential statistics such as Chi-square test. Results: The findings revealed that most of the respondents had knowledge regarding transmission and protection of HIV/AIDS and STIs but still some respondents had misconception regarding it. The statistical analysis revealed that the total mean knowledge score with standard deviation was 45.02±8.674. Nearly half of the respondents (49.5%) had moderate level of knowledge, followed by inadequate level of knowledge 29.5% and adequate level of knowledge 21.0% regarding sexual and reproductive health. There was statistically significant association of level of knowledge with area of residence (p-value 0.002). Conclusion: Nearly half of the respondents possess some knowledge about sexual and reproductive health but still effective educational intervention is required to increase their knowledge.


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