scholarly journals Perbedaan Lama dan Jenis Persalinan pada Ibu Bekerja Berdasarkan Keikutsertaan Senam Hamil

2018 ◽  
Vol 6 (2) ◽  
pp. 154
Author(s):  
Hermin Yulianti ◽  
Fariani Syahrul

Working during pregnancy has negative effect for the health status of pregnant women. Exercises during pregnancy is one of the ways to improve the health status of pregnant women. The aim of research was to analyze the differences of duration and type of childbirth based on the exercises during pregnancy on working mother. This research was an observational analytic study with retrospective cohort design. The exposed population was third trimester of pregnant women who worked and participated in pregnancy exercises > 180 minutes. The non-exposed population was third trimester of pregnant women who worked and participated in pregnancy exercises ≤ 180 minutes. Sample for the exposed group was 30 pregnant women and the non-exposed group was 60 pregnant women. The research analysis was to find the RR value with 95% Confidence Interval (CI). Pregnant women who participated in pregnancy exercises have a short or normal childbirth period 1.543 times than non-participated women. Pregnant women who participated in pregnancy exercises have a normal type of childbirth 1.256 times than non-participated women. There were differences of duration and type of childbirth based on the pregnancy exercises on working mother.

2021 ◽  
Vol 45 (6) ◽  
pp. 956-970
Author(s):  
Bethany Barone Gibbs ◽  
Melissa A. Jones ◽  
Kara M. Whitaker ◽  
Sharon Taverno Ross ◽  
Kelliann K. Davis

Objective: Our objective was to develop, validate, and describe findings from an instrument to measure barriers, attitudes, and outcome expectations of sitting less in pregnant women. Methods: This validation (sub-study 1) and descriptive study (sub-study 2) evaluated a new questionnaire measuring sedentary time in pregnant women (N=131) in each trimester. Results: In sub-study 1, construct validity was supported by associations between device-measured sedentary time and questionnaire scores. An optimized questionnaire removed infrequently reported and non-correlated items. The original and optimized questionnaires with scoring instructions are provided. In sub-study 2, physical symptoms and work were most commonly reported as major reasons for sitting in pregnancy, followed by leisure, family, and social activities. Some women reported limiting sitting due to boredom/restlessness, to improve energy or health, and to control weight. In the third trimester, some women reported sitting more/less due to pain and encouragement from family, friends, and co-workers. Few women reported household chores or pregnancy risks as reasons to sit, felt sitting was healthy or necessary during pregnancy, or were encouraged to sit by healthcare providers. Conclusions: The developed questionnaire demonstrated validity and identified barriers to and expectations of sitting less during pregnancy. Prenatal interventions to reduce sitting should address general and pregnancy-specific barriers.


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Selfesina Sikoway ◽  
Yanti Mewo ◽  
Youla Assa

Abstract: Hemoglobin (Hb) is a parameter used to determine anemia prevalence. The average level of normal Hb at the end of pregnancy is around 12.5 g/dL, meanwhile, aproximately 5% of pregnant women have Hb level less than 11.0 g/dL. To date, Hb level below 11.0 g/dL especially at the end of pregnancy should be considered as an abnormal phenomenon and is usually caused by iron deficiency and not by hypervolemia which is commonly found in pregnancy. This study was aimed to determine the hemoglobin level of third semester pregnant women in Robert Wolter Mongisidi Hospital Manado. This was a descriptive study with a cross sectional design. Subjects were 39 third semester pregnant women who visited the Obstetric Department of Robert Wolter Mongisidi Hospital and fulfilled the inclusion criteria. The results showed that 25 subjects (64.1%) had low hemoglobin levels and 14 subjects (35.9%) had normal level of hemoglobin. In conclusion, most third semester pregnant women had low hemoglobin levels.Keywords: hemoglobin rate, third trimester pregnant women, anemia Abstrak: Hemoglobin (Hb) darah merupakan parameter yang digunakan untuk menetapkan prevalensi anemia. Nilai normal Hb pada akhir kehamilan rata-rata 12,5 g/dL, dan sekitar 5% wanita hamil konsentrasinya kurang dari 11,0 g/dL. Nilai Hb dibawah 11,0 g/dL terutama pada akhir kehamilan perlu dianggap abnormal dan biasanya disebabkan oleh defisiensi besi dan bukan karena hipervolemia yang umumnya ditemukan pada kehamilan. Penelitian ini bertujuan untuk mengetahui kadar hemoglobin pada ibu hamil trimester III di Rumah Sakit Robert Wolter Mongisidi Manado. Jenis penelitian ialah deskriptif dengan menggunakan desain potong lintang. Subyek penelitian ialah 39 ibu hamil trimester III yang berkunjung di Poliklinik Kebidanan di Rumah Sakit Robert Wolter Mongisidi Manado yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan 25 subyek (64,1%) memiliki kadar hemoglobin rendah dan 14 subyek (35,9%) memiliki kadar hemoglobin normal. Simpulan penelitian ini ialah sebagian besar ibu hamil trimester III memiliki kadar hemoglobin rendah.Kata kunci: kadar hemoglobin, ibu hamil trimester III, anemia


2018 ◽  
Vol 6 (2) ◽  
pp. 16
Author(s):  
Mezzi Wulandari Arenza ◽  
Ni Wayan Tianing ◽  
I Putu Adiartha Griadhi

ABSTRACTSleep disturbance in the third trimester pregnant women is caused by discomfort, an increasingly largeabdominal condition, back pain, frequent urination, fetal movement, heartburn, cramps in the legs, tiredness, difficultygetting started, and physiological changes. Sleep disorders result in decreased quality of sleep. Pregnant women whohave poor sleep quality are at risk of longer labor, cesarean delivery, premature birth, and even infant mortality. The aimof this research is to know the difference of pregnant exercise combination and back massage in improving the sleepquality of third trimester pregnant women. This research use experiment method with quasi experiment approach andresearch design is pre and post test with control design. Sample are 18 people, divided into 2 groups, 9 people intreatment groups given pregnancy exercise and back massage and 9 people in control group is given only pregnantexercise. Intervention is given 8 times. Pittsburgh Sleep Quality Index (PSQI) questionnaire used for measured of sleepquality. The result of different test of unpaired group, in the treatment group got difference of average 4,556 and controlgroup got difference mean 2,333 with p=0,004 (p<0,05). These results showed that there was a significant differencebetween the treatment group and the control group in improving the sleep quality of the third trimester pregnant women.In conclusion, there are differences in the addition of back massage combination in pregnancy exercise intervention inimproving sleep quality of third trimester pregnant women.Keyword : Pregnancy Exercise, Back Massage, Sleep Quality, Third Trimester.


Author(s):  
Tri Ratnaningsih ◽  
Budi Mulyono ◽  
Sutaryo Sutaryo ◽  
Iwan Dwiprahasto

Entering the second trimester of pregnancy, more iron is required due to the increase in erythrocyte mass, plasma volume andthe development of fetus as well as chorion. Iron is needed the most in the third trimester. The existing hematological iron stageparameters can only detect iron deficiency in the latest stage. The aim of this study was to know the assessment validity of Ret-Heexamination as a new parameter to diagnose iron deficiency in pregnant women with anemia, as well as a screening tool for those interm pregnancy without anemia. The research design was cross sectional. The subjects were women in term pregnancy, gathered fromPKU Muhammadiyah Hospital, Bantul Yogyakarta from May to November 2013. A seven (7) mL blood sample was taken from thecubital vein of the subjects. Two mL of the sample was tested for routine hematological examination using an EDTA tube, while theRet-He was assessed using an automatic hematological instrument Sysmex XT-2000-i (Symex Corporation, Kobe, Japan). The serumof the remaining five (5) mL was used to check the serum iron and TIBC to obtain the saturation value (Tsat) using Cobas analyzerC501 (Roche Diagnostics, Germany), while the serum ferritin (SF) was examined using Minividas. The subjects were classified into two(2) groups based on the Hb levels, namely: anemia (Hb<11 g/dL) and those who did not (Hb≥11 g/dL). Furthermore, they were alsoclassified into two (2) groups based on transferrin saturation values: iron deficient (Tsat <9%) and normal (Tsat ≥9%). From 291subjects, 59 (20.3%) were found to have anemia and 232 (79.7%) did not. The cut off value of Ret-He to diagnose iron deficiency inpregnant women with anemia was 29.8 pg (82% sensitivity and 72% specificity). Meanwhile, the cut-off value of Ret-He for irondeficiency screening in pregnant women without anemia was 29.8 pg, with a sensitivity and specificity of 92% and 87% respectively.The Ret-He holds a good diagnostic validity to detect iron deficiency in pregnancy, with or without anemia.


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Niken Tri Sukeksi ◽  
Gita Kostania ◽  
Emy Suryani

Abstract: Acupressure, Back Pain, Pregnancy. Acupressure is effective to relieve back pain in Meridian point. Acupressure technique is done to help pregnant women in relieving complaints in pregnancy such as nausea and vomiting. In labour process, this technique can be an induction of labor, and can reduce anxiety. The purpose is to know the influence of acupressure technique to relieve back pain for pregnant women in Puskesmas Jogonalan I area of Klaten. Research is pre experimental design with one group pretest posttest approach. The population is all pregnant women in Puskesmas Jogonalan I area of Klaten. The population target is all third trimester of pregnant women in Puskesmas Jogonalan I area of Klaten. Technique sampling is purposive sampling with 30 peopole, ang using t-test data analysis. The characteristics of respondents showed that most of them are 20-35 years old, their gestational age are 3137 weeks, their occupation are housewives, and most of them have 2-3 children. Degree of back pain in pregnant women before acupressure as many as 21 people (70%) are in severe pain. Degree of back pain in pregnant women after given acupressure as many as 24 people (80%) are in mild pain. There is influence of acupressure technique to relieve back pain for pregnant women in Puskesmas Jogonalan I area of Klaten (t =9,893; p=0,001<0,05).


2020 ◽  
Vol 2 (2) ◽  
pp. 84
Author(s):  
Shinta Kristianti ◽  
Suwoyo Suwoyo ◽  
Ika Yuni Pratiwi

Kehamilan pertama bagi seorang ibu (primigravida) merupakan salah satu periode krisis dalam kehidupannya. Pada trimester ketiga sering disebut sebagai periode penantian dengan penuh kewaspadaan. Rasa cemas dan takut terhadap proses persalinan akan dapat meningkat. Kecemasan mempunyai efek negatif bagi ibu hamil (khususnya hamil pertama), dengan adanya kecemasan akan meningkatkan kadar katekolamin sehingga dapat mengganggu kemajuan persalinan yang berakibat pada kejadian partus lama. Kecemasan terjadi pada ibu dengan pengetahuan yang rendah mengenai proses persalinan. Hal ini dikarenakan kurangnya informasi yang diperoleh, tidak adanya gambaran bagaimana persalinan yang akan dilaluinya. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan yang diberikan melalui pemberian video tentang persalinan pada ibu primigravida trimester III terhadap kecemasan menghadapi persalinan. Desain penelitian ni merupakan adalah praeksperimen dengan rancangan One Group Pretest Posttest. Populasi penelitian sejumlah 15 ibu hamil, dengan  simple random samplingdidapatkan sampel 14 responden. Instrumen penelitian yang digunakan adalah kuesioner DASS, dianalisis denganWilcoxon Match Pairs Test menggunakan taraf kesalahan 0.05 maka Ztabel (1.645) < Zhitung (3.295). Hasil penelitian menunjukkan ada pengaruh pendidikan kesehatan pada ibu primigravida trimester III tentang persalinan dengan media video terhadap kecemasan menghadapi persalinan di wilayah kerja Puskesmas Blabak Kediri. Media edukasi tentang persalinan dapat divariasikan sehingga akan menambah tingkat pemahaman dan berpengaruh pada kecemasan ibu hamil treimester tiga yang akan melalui proses persalinan.The first pregnancy for a mother (primigravida) is one of the crisis periods in her life. The third trimester is often referred to as the period of vigilance. You can increase your anxiety and fear about labor. Anxiety has a negative effect on pregnant women (especially first pregnancies), with anxiety it will increase catecholamine levels so that it can interfere with the progress of labor which results in prolonged labor. Anxiety occurs in mothers with low knowledge of the birthing process. This is due to the lack of information obtained, no description of how the delivery will go. This study aims to determine the effect of health education provided through video delivery of third trimester primigravida mothers on anxiety facing childbirth. This research design is a pre-experiment with the One Group Pretest Posttest design. The study population was 15 pregnant women, with simple random sampling obtained a sample of 14 respondents. The research instrument used was the DASS questionnaire, analyzed with the Wilcoxon Match Pairs Test using an error level of 0.05, then Ztable (1.645) <Zhitung (3.295). The results showed that there was an effect of health education on third trimester primigravida mothers about childbirth with video media on anxiety facing childbirth in the working area of Puskesmas Blabak Kediri. Educational media about childbirth can be varied so that it will increase the level of understanding and affect the anxiety of third trimester pregnant women who are going through the labor process.


2018 ◽  
Vol 35 (6) ◽  
pp. 5-9
Author(s):  
T. A. Melnikova ◽  
M. M. Padrul ◽  
E. S. Gorovits ◽  
G. I. Rabotnikova

Aim. To study the characteristic features of newborn status depending on the level of parturient genital colonization with Ur. urealyticum. Materials and methods. The characteristic features of newborns’ status were studied in 112 puerperas, who by the results of repeated microbiological examination for ureaplasmosis, in the period of 30–34 weeks of pregnancy were divided into 3 groups: group I included 38 persons with negative results of PCR and bacteriology; group II (risk) joined 39 women, infected with Ur. urealyticum to 104 CFU/ml and PCR 5·104 DNA copies per ml; and group III – 35 pregnant women with bacterial inoculation less than 104 CFU/ml. The comparison group – 40 pregnant women, uninfected with ureaplasmas when examined for the first time. Results. In newborn children from puerperas of risk group, Apgar scores at 1 and 5 minutes were statistically significantly lower, than in children, born from mothers of the other groups. In this group, birth of premature newborns and those with hypotrophy as well as newborns with fetal development retardation syndrome were registered significantly more often. Perinatal encephalopathy was detected in 50.0 % of newborns. When discharged from maternal home, nearly a half of infants from this group had no the initially required body mass, but in the other groups there were 2–2.5 times more such newborns. Conclusions. Newborns from mothers infected with Ur. Urealyticum in high, etiologically significant titers, are characterized by decrease in adaptive responses that is proved by Apgar scores and by retarded body mass growth after birth. High level of parturient genital colonization with Ur. urealyticum has a negative effect on the newborns’ health status. Low, etiologically insignificant Ur. urealyticum titers in mothers practically don’t influence the newborns’ health status.


2020 ◽  
Vol 6 (1) ◽  
pp. 68-74
Author(s):  
Melly Damayanti

  ABSTRACT Anemia in pregnancy is a condition in pregnant women with hemoglobin levels less than 11gr% during pregnancy. An increased of anemia often occurs in the third trimester of pregnancy. Pregnant women needs to be supported with nutritional patterns which contain some necessary intermediate in the synthesis of hemoglobin, which  is seaweed. Seaweed type Euchoma sp contains iron, a mixture of which is needed in the synthesis of hemoglobin, has a high bioavailability of substances and is able to stabilize the number of red blood cells, white blood cells, and hemoglobin. The purpose of the study was to determine the status of anemia before and after the study. The study design is the pre-post test design. The population of the study was 30 third trimester pregnant women in the Tanjung Pinang City Primary Health Care Work Area. Respondents were given seaweed as much as 200 gram for 7 days and the 8th day repeated hemoglobin levels were measured. After being given an intervention, there was an increase in hemoglobin levels in pregnant women by 1.2gr% and there were no more respondents suffering anemia.   Keywords : consumption of seaweed, anemia in pregnancy


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
C. Amezcua-Prieto ◽  
M. Naveiro-Fuentes ◽  
N. Arco-Jiménez ◽  
R. Olmedo-Requena ◽  
R. Barrios-Rodríguez ◽  
...  

Abstract Background Previous studies in pregnancy have not focused in evaluating the effect of walking during pregnancy and prevention of insomnia. Our general objective is to determine the effect of a walking program in preventing the appearance of insomnia in the third trimester of pregnancy, increasing sleep quality and improving quality of life throughout pregnancy. Methods Randomized Controlled trial in parallel in healthy sedentary pregnant women (n = 265), Walking_Preg Project (WPP), from university hospital in Granada, Spain. At 12th gestational week (GW), they will be invited to participate and randomly assigned to one of the three arms of study: the intervention group I1 (pedometer, goal of 11,000 steps/day), intervention group I2 (pedometer, no goal) and control (no pedometer). Duration of intervention: 13–32 GW. At 12th, 19th and 31st GW the average steps/day will be measured in groups I1 and I2. At 13th, 20th and 32nd GW, Athens Insomnia Scale (AIS), Pittsburgh Sleep Quality Index (PSQI), Adherence to Mediterranean Diet (AMD), physical activity (short IPAQ), quality of life (PSI), and consumption of toxic substances (caffeine, illegal drugs, alcohol and tobacco) will be collected. Student t test or Mann-Whitney U will be used to compare 19th and 31st GW mean of daily steps between I1 and I2 groups. To compare differences between groups in terms of frequency of insomnia/quality of life for each trimester of pregnancy, Pearson’s Chi-square test or Fisher’s exact test will be used. To determine differences in hours of sleep and quality of sleep throughout each trimester of pregnancy, analysis of variance or Friedman test will be used. McNemar-Bowker test will be used to assess differences in life quality in pre-post analyses in the 3 arms. We will use Stata 15 statistical software. Discussion promoting walking in second half of pregnancy through use of pedometer and health pre-registration of a goal to be achieved –'10,000–11,000 steps a day’– should prevent appearance of insomnia in third trimester, will increase sleep quality and quality of life in pregnant women. Trial registration ClinicalTrials.gov Identifier: NCT03735381. Registered 8th November, 2018.


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