UPAYA PERAWATAN KEHAMILAN DENGAN SENAM HAMIL PADA IBU HAMIL TRIMESTER III DI PUSKESMAS AMBAN MANOKWARI

2021 ◽  
Vol 2 (1) ◽  
pp. 29
Author(s):  
Yayuk Nuryanti
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Health Center ◽  
Health Problem ◽  
Risk Group ◽  
Health Problems ◽  
High Risk Group ◽  
The Body ◽  
Reducing Stress ◽  
In Pregnancy

Pregnancy is a natural and physiological process that every woman experiences. Pregnant women are a high risk group for health problems. Stress is a health problem that often occurs in pregnant women. The goals of pregnancy exercise include reducing stress and preparing physically and psychologically for pregnant women. The purpose of the activity is to increase knowledge and empower pregnant women to care for their health independently. The method used is pregnancy exercise lectures and exercises. Participants in pregnancy exercise were 20 trimester III pregnant women. Implementing activities consisted of lecturers, health center midwives and students. The results of the activity were obtained through interviews which explained that participants learned about the benefits of pregnancy exercise, pregnancy exercise can make the body comfortable, and participants are interested in pregnancy exercise. The results of this activity can be concluded that the class of pregnant women must be held at the Puskesmas with activities such as pregnancy exercise.

scholarly journals HIGH RISK PREGNANCY DETECTION USING TELEHEALTH-BASED SCREENING

2021 ◽  
Vol 1 (3) ◽  
pp. 20-31
Author(s):  
Fatmawati Fatmawati ◽  
◽  
Yulia Silvani ◽  
Mustika Dewi ◽  
Ningrum Paramita S ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Continuous Monitoring ◽  
Risk Group ◽  
High Risk Group ◽  
High Risk Pregnancy ◽  
High Rate ◽  
Risk Detection ◽  
Risk Pregnancy ◽  
In Pregnancy

High-risk pregnancy is a pregnancy that is likely to cause harm or complications to the mother and fetus. Given the high rate of disease transmission, the use of telehealth technology can be an effective and efficient way to deal with the spread of the virus. Telehealth is one solution to overcome the problem of access to health, with telehealth it can perform screening to detect high-risk pregnancies early, so that pregnant women can get continuous monitoring. Telehealth can operate as a filter that is able to expand and facilitate access to services, especially in the examination and screening of risks in pregnancy and can apply high risk detection instruments in pregnancy in applications, so as to facilitate decision making. Telehealth can detect high-risk pregnancies early, so that pregnant women can get continuous monitoring. The purpose of this activity is to conduct and determine the effectiveness of telehealth-based high-risk detection in pregnant women. The method of activity is in the form of community service through webinars and screenings which are carried out within 6 months online. The result of the activity is an increase in the knowledge of webinar respondents with an average pre-test value of 120 and post-test 157 out of a total of 200. Based on the results of screening using the SIBIDAN application, from 25 pregnant women in trimesters 1,2, and 3 who became respondents, the results were 52%, low risk group, 32% high risk group, and 16% very high-risk group. Therefore, further assistance, monitoring, and referral are needed to minimize pregnancy complications.

scholarly journals Screening for Coxiella burnetii infection during pregnancy: pros and cons according to the Wilson and Jungner criteria

2012 ◽  
Vol 17 (3) ◽  
Author(s):  
J M Munster ◽  
L M Steggerda ◽  
A C Leenders ◽  
J G Aarnoudse ◽  
E Hak
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Coxiella Burnetii ◽  
Q Fever ◽  
Risk Group ◽  
High Risk Group ◽  
Routine Screening ◽  
Maternal Complications ◽  
Clinical Consequences ◽  
Pros And Cons

In Europe the incidence of human Q fever has dramatically increased over the previous years. Untreated infections with Coxiella burnetii, the causal agent of Q fever, have been associated with both obstetric and maternal complications. The majority of pregnant women with a C. burnetii infection remain asymptomatic, hence screening could be of value to prevent unwanted outcomes in this high-risk group. We applied the updated Wilson and Jungner criteria to review the evidence for routine screening for C. burnetii infection during pregnancy. Since much uncertainty remains about the incidence, clinical consequences, diagnostics and treatment of C. burnetii infection during pregnancy, routine screening for C. burnetii infection during pregnancy should not be recommended. Rigorous studies to assess the effectiveness of C. burnetii screening are warranted.

scholarly journals Cohort profile: targeted antenatal screening for haemoglobinopathies in Basel

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e035735
Author(s):  
Gabriela Amstad Bencaiova ◽  
Franziska Geissler ◽  
Irene Hoesli
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Risk Group ◽  
Iron Status ◽  
First Trimester ◽  
High Risk Group ◽  
University Hospital ◽  
Pregnancy Cohort ◽  
Haemoglobin Variant ◽  
Adverse Pregnancy

PurposeThe pregnancy cohort was established to examine the prevalence and variety of haemoglobinopathies in a high-risk group of pregnant women.ParticipantsThe pregnancy cohort is located in the Department of Obstetrics and Antenatal Care, University Hospital of Basel. The pregnant women were recruited in the first trimester between June 2015 and May 2019. Family origin questionnaires were used to screen pregnant women for the risk of a haemoglobin variant. Based on the questionnaire, pregnant women were divided into two groups: women with a high risk and women with a low risk of a haemoglobin variant. In women with a high risk, red blood cell indices, iron status and chromatography were conducted.Findings to date1785 pregnant women were recruited. Out of the 1785 women, 929 were identified as a part of the high-risk group. Due to the missing data of 74 pregnant women with a high risk, the final analysis was conducted in the remaining 855 women. The prevalence of haemoglobinopathies in the high-risk group was 14.5% (124/855).Future plansThis cohort will be used to: (1) implement the screening in prenatal care in Basel; (2) recommend the screening among pregnant women with a high risk of a haemoglobin variant in Switzerland; (3) improve prenatal and neonatal care in patients with a haemoglobin variant; (4) examine adverse pregnancy outcomes in women with a haemoglobin variant and (5) reduce maternal and neonatal morbidity and mortality in the future.Trial registration numberClinicalTrials.gov Registry (NCT04029142).

scholarly journals Ultrasound elastography capabilities in studying uterine cerviх state in pregnant women of high-risk group in the first trimester of pregnancy

2016 ◽  
Vol 97 (4) ◽  
pp. 656-661
Author(s):  
M G Tukhbatullin ◽  
K V Yanakova
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Chromosomal Abnormality ◽  
Chromosomal Abnormalities ◽  
Ultrasound Examination ◽  
Risk Group ◽  
First Trimester ◽  
High Risk Group ◽  
Control Group ◽  
Significant Difference

Aim. To study capabilities of quantitative elastographic study to assess the elasticity of the uterine cervix in women with a fetal chromosomal abnormality in the first trimester of pregnancy.Methods. 230 pregnant women of high-risk group at 11-13.6 weeks of pregnancy (parietal-coccygeal length 45-84 mm) were included in this study. The first group consisted of 213 women without fetal pathology. The second group included 17 women, in whose fetuses different chromosomal abnormalities were detected. In ultrasound examination of pregnant women in the I trimester of pregnancy, in addition to standard methods of examination, quantitative cervical elastography was performed.Results. According to results of quantitative elastography in 14 (82.35%) out of 17 pregnant women (second group) one or another degree of the cervical tissue softening was found, and 3 (17.64%) pregnant women with fetal chromosomal pathology had stiff cervix (all 3 cases with Down syndrome). In the control group in 10 (4.7%) of 213 pregnant women relatively soft cervix was identified, and in 203 (95.3%) women cervical density was higher than the myometrial density. A statistically significant difference between the indices of SWE-Ratio in groups was revealed. Quantitative elastography, as a diagnostic test predicting the risk of miscarriage due to chromosomal abnormalities, has a high sensitivity (84.38%) and even higher specificity (95.26%) of negative predictive value 97.57%.Conclusion. Quantitative elastography reveals a significant decrease in the cervical elasticity (softening) in pregnant women with fetal chromosomal abnormality in the I trimester of pregnancy, which allows us to recommend this method of ultrasound examination as an additional marker for early diagnosis of miscarriage due to fetal chromosomal abnormality.

scholarly journals Thrombophilia in obstetric practice

2021 ◽  
Vol 99 (1) ◽  
pp. 15-20
Author(s):  
A. P. Melnikov ◽  
M. G. Kashchuk ◽  
K. N. Ahvlediani ◽  
I. N. Bokarev
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
High Probability ◽  
Risk Group ◽  
High Risk Group ◽  
Thromboembolic Complications ◽  
Spontaneous Thrombosis ◽  
Obstetric Practice ◽  
Very High

The rate of thromboembolic complications associated with thrombophilia is very high; therefore the detection of thrombophilia mutations in the high-risk group of patients is important for the prevention of morbidity, mortality and obstetric losses. The problem of thrombophilia is dealt with by doctors of various specialties: laboratory stuff, geneticists, vascular surgeons, hematologists, neurologists, cardiologists and obstetricians-gynecologists. At the same time, patients with spontaneous thrombosis are followed-up for years without proper examination for thrombophilia. Considering that pregnancy is a condition associated with a high probability of re-thrombosis, it is advisable to determine the cause and tactics of management and treatment of pregnant women as early as possible during the period of pregnancy.

Anxiety during Pregnancy at the Time of the Gulf War: Comparison of Anxiety of Israeli Women with Normal Pregnancies and Those with “At-Risk” Pregnancies

1993 ◽  
Vol 72 (2) ◽  
pp. 600-602 ◽  
Author(s):  
Deborah Lieberman ◽  
Shaul Harel
Keyword(s):  
At Risk ◽  
High Risk ◽  
Pregnant Women ◽  
Risk Group ◽  
Gulf War ◽  
High Risk Group

81 pregnant women were interviewed at the time of the Gulf War. One group was interviewed before the missile attacks began in Israel, and the second group during the period of the attacks. Of the women interviewed, 53 women had “high-risk” pregnancies and 28 had normal pregnancies. Despite the hypothesis that women with “at-risk” pregnancies would report a greater rise in anxiety during the missile attacks, it was found that the women with normal pregnancies reported a significantly greater rise in anxiety during missile attacks. It is suggested that the already-stressed “high-risk” group “shut out” the additional anxiety generated by the dangers from the missile attacks.

scholarly journals Pemantauan Kecemasan dan Lama Persalinan Kala I pada Ibu Bersalin dengan Pelaksanaan Yoga Kehamilan

2021 ◽  
Vol 2 (2) ◽  
pp. 96-101
Author(s):  
Eva Santi Hutasori ◽  
Novi Yanti ◽  
Susani Hayati ◽  
Yessi Azwar ◽  
Noviyanti Noviyanti ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Community Service ◽  
Interpersonal Relationships ◽  
The Body ◽  
Labor Pain ◽  
Maternal Anxiety ◽  
Nervous System Function ◽  
Exercise In Pregnancy ◽  
In Pregnancy

Pregnancy makes women experience a lot of changes. Changes in the body and mind can cause discomfort in pregnant women. In addition to the physical discomfort felt, psychological discomfort is also common. Problems with common prevalence include anxiety and depression in pregnancy. One intervention that can reduce anxiety can be physical exercise such as yoga. The benefits obtained from yoga include providing a sense of comfort, decreasing stress, reducing labor pain, self-efficacy in childbirth, increasing quality of life, interpersonal relationships, autonomic nervous system function, and shortening the duration of labor. The purpose of this service is to introduce to the public the benefits of pregnancy yoga in reducing maternal anxiety in dealing with labor and accelerating the first stage of labor in women giving birth in Pekanbaru city. This community service was carried out for 3 months. This service program has several activities, namely: carrying out pregnancy checks for pregnant women, carrying out yoga exercise activities in pregnancy and assessing the results of yoga exercise activities in pregnancy. This service is carried out in the work area of ​​the Payung Sekaki Health Center with a total of 30 pregnant women who are trained in yoga exercises. Participants in this training are pregnant women whose pregnancy is in the third trimester. The output of this community service is the formation of a yoga gymnastics community in the Working area of ​​the Payung Sekaki Health Center. From the results of the implementation of yoga exercise in pregnancy, it was found that yoga exercise in pregnancy can reduce the level of maternal anxiety during childbirth. And by doing yoga exercises, the mother's 1st period of time during childbirth is 6 hours.

scholarly journals A study to evaluate pregnancy with maternal heart disease: a prospective observational study at a tertiary care centre in India

2021 ◽  
Vol 10 (4) ◽  
pp. 1637
Author(s):  
Khushboo Goel ◽  
Sanjaykumar G. Tambe
Keyword(s):  
Heart Disease ◽  
High Risk ◽  
Observational Study ◽  
Maternal Mortality ◽  
Prospective Observational Study ◽  
Neonatal Outcome ◽  
Risk Group ◽  
High Risk Group ◽  
Heart Disease In Pregnancy ◽  
In Pregnancy

Background: Prevalence of heart disease in pregnancy vary from 0.3-3.5%. Normal pregnancy is associated with physiological cardiovascular changes. These changes may unmask underlying cardiac disease in normal women and increase morbidity and mortality in women with heart disease. Heart disease in pregnancy is an important cause of maternal mortality in India. The aim of this study was to evaluate the maternal and neonatal outcome of pregnancy with heart disease.Methods: A prospective observational study was conducted at Sassoon General Hospital, Pune, India. 75 patients who fulfilled the inclusion criteria were studied. Maternal and neonatal outcome were analyzed.Results: Maternal heart disease was classified into congenital (36%) and acquired (64%). In acquired variety, rheumatic heart disease was most commonly seen. In congenital, ASD was most common. We divided the cases into two groups based on their NYHA status, low risk group had 74.67% patients and high risk group had 25.33% patients. The most common antenatal complication was PROM (41.3%). There was statistically significant association between ICU admission and high-risk group. The most common neonatal complications were IUGR and prematurity. Maternal mortality rate in the study group was 6.6%.Conclusions: The perinatal outcome of heart disease in pregnancy is more dependent on the severity of symptoms rather than the duration and type of heart disease. Multidisciplinary evaluation is necessary. Suboptimal optimization of the heart condition in the antenatal period and delayed referral were the major risk factor for maternal mortality. 

scholarly journals Risk of acquiring listeriosis from consumption of chicken offal among high risk group

2020 ◽  
Vol 16 (1) ◽  
pp. 59-63
Author(s):  
Ga Yarn Wai ◽  
John Yew Huat Tang ◽  
Nadiawati Alias ◽  
Chee Hao Kuan ◽  
Sur Guat Goh ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Women Elderly ◽  
Room Temperature ◽  
Risk Group ◽  
High Risk Group ◽  
Inoculum Size ◽  
Danger Zone ◽  
Listeria Infection ◽  
Foodborne Infection

Listeria monocytogenes causes mild foodborne infection in healthy adults but serious complication in high risk group such as infant, pregnant women, immunocompromised and elderly. This study aims to estimate the probability of infection based on the survivability of L. monocytogenes in chicken offal, particularly chicken liver, gizzard and heart. A total of 20 µl of L. monocytogenes with inoculum size of 9.02 log CFU/ml was spiked on the chicken offal and stored at room temperature (28oC) for 0, 1, 3, and 6 h. This experimental design was aimed to simulate the contaminated chicken offal stored at temperature danger zone. It was found that chicken offal supported the growth of L. monocytogenes that it significantly grows at 3 and 6 h incubation. Risk assessment was performed by combining this result with the data from our previous studies as well as data from government agencies and other studies. Dose-response model was used to estimate the probability of listeria infection per year. Immunocompromised was the highest risk group, followed by pregnant women, elderly and general population with probability of infection per year estimated at 3.78 x 10-3, 1.76 x 10-4, 5.68 x 10-8 and 5.75 x 10-9, respectively. It can be concluded that high risk group requires extra caution in their food consumption in order to prevent listeriosis which can result in serious complication and death.

scholarly journals Improved gestational diabetes screening protocol

2021 ◽  
Vol 2 (1) ◽  
pp. 87-96
Author(s):  
Miguel Calero Rojas ◽  
Aurora Jurado Roger ◽  
Marta Gutiérrez Grúa ◽  
Lourdes de la Peña Carretero ◽  
Victoria Romero Sotomayor ◽  
...  
Keyword(s):  
High Risk ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Risk Group ◽  
Challenge Test ◽  
Area Under The Curve ◽  
High Risk Group ◽  
Low Risk ◽  
Oral Glucose ◽  
Diagnostic Validity

Abstract Objectives This work aimed to assess the diagnostic validity of two approaches for the screening of gestational diabetes mellitus (GDM) with less discomfort for pregnant women. Methods A prospective diagnostic validation study was conducted with 2007 pregnant women. According to risk factors for GDM, women were classified into high-risk and low-risk groups. The current diagnostic procedure, based on oral glucose overload, was followed; simultaneously HbA1c was tested and an algorithm combining both biomarkers was applied. Results In the low-risk group, the Glucose challenge test (GCT) showed a higher area under the curve (AUC 0.953; 95% CI 0.915–0.992) than the HbA1c test (0.688; 95% CI 0.541–0.834). The best GCT cut-off, 153.5 mg/dL (8.52 mmol/L), showed higher diagnostic validity than that for HbA1c, 28 mmol/mol (4.75%), and that the algorithm using both tests. In the high-risk group, the GCT showed better diagnostic performance than the HbA1c and the algorithm; the optimal GCT cut-offs were higher than those recommended in current protocols. 13th week: GCT AUC 0.882 (95% CI 0.843–0.921), HbA1c AUC 0.624 (95% CI 0.562–0.686), GCT cut-off 140.5 mg/dL (7.8 mmol/L), HbA1c cut-off 33 mmol/mol (5.15%). 24th week: GCT AUC 0.944 (95% CI 0.925–0.962), HbA1c AUC 0.642 (95% CI 0.575–0.709), GCT cut-off, 145.5 mg/dL (8.08 mmol/L), HbA1c cut-off 29 mmol/mol (4.85%). Conclusions The GDM diagnostic approach using as the first step the GCT with higher cut-offs showed the best diagnostic validity. Applying these thresholds, 55.6 and 13.7% of 100 g. Oral glucose overloads would have been avoided in low-risk and high-risk pregnant women.

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