scholarly journals GAMBARAN GINGIVITIS PADA IBU HAMIL DI PUSKESMAS TUMINTING KECAMATAN TUMINTING KOTA MANADO

e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Hendro Yoto

Gingivitis during pregnancy due to increased concentrations of the hormones estrogen and progesterone . This situation is characterized by the interdental papillae are red, swollen , easily bleeding accompanied by pain causes gingival be particularly sensitive to the toxin and irritants such as plaque and calculus that resulted in inflamed gingiva . This study aims to describe gingivitis in pregnant women in health centers Tuminting based on age , gestational age , educational level , and income level.Type of research is descriptive research by sampling the sampling Accident pregnant women who come checkups at health centers and pregnant women who are subject to the criteria that are in trimester II and III trimester .The results showed the distribution by age 21-30 years ( 51 % ) , gingival status based on gestational age at second and third trimester with mild inflammation ( 60 % ) , gingival status by finishing primary education level inflamsi mild ( 62.5 % ) and in graduated from college reached ( 100 % ) , gingival status by income level > 1 million per month ( 65.78 % ) and income pernulan 1-5 million ( 47.05 % ) . Conclusion gingival status by measuring gingival index , gingival normal 14 ( 25.4 % ) , 33 mild inflammation ( 60 % ) , moderate inflammation 6 ( 11 % ) , and 2 severe inflammation ( 3.6 % ) . Need for cooperation between gynecologists and dentists in dealing with oral and dental problems in pregnant women.Keywords : Pregnancy , GingivitisAbstrakGingivitis pada saat kehamilan disebabkan oleh peningkatan konsentrasi hormon estrogen dan progesteron. Keadaan ini ditandai dengan papila interdental yang memerah, bengkak, mudah berdarah disertai rasa sakit menyebabkan gingiva menjadi sensitif khususnya terhadap toksin maupun iritan seperti plak dan kalkulus yang mengakibatkan gingiva mengalami peradangan. Penelitian ini bertujuan untuk mengetahui gambaran gingivitis pada ibu hamil di Puskesmas Tuminting berdasarkan usia, usia kehamilan, tingkat pendidikan, dan tingkat penghasilan.Jenis penelitian yaitu penelitian deskriptif dengan cara pengambilan sampel Accident sampling yaitu ibu hamil yang datang memeriksakan kehamilannya di Puskesmas dan ibu hamil yang menjadi subjek dengan kriteria berada pada trimester II dan trimester III.Hasil penelitian menunjukkan distribusi berdasarkan usia 21-30 tahun (51%), status gingiva berdasarkan usia kehamilan pada trimester II dan III dengan inflamasi ringan (60%), status gingiva berdasarkan tingkat pendidikan tamat SD inflamsi ringan (62,5%) dan pada tamat perguruan tinggi mencapai (100%), status gingiva berdasarkan tingkat penghasilan >1 juta perbulan (65,78%) dan penghasilan 1-5 juta pernulan (47,05%). Kesimpulan status gingiva berdasarkan indeks pengukuran gingiva, 14 orang gingiva normal (25,4%), 33 orang inflamasi ringan (60%), 6 orang inflamasi sedang (11%), dan 2 orang inflamasi berat (3,6%). Perlu adanya kerja sama antara dokter ahli kandungan dan dokter gigi dalam menangani masalah gigi dan mulut pada ibu hamil.Kata kunci: Kehamilan, Gingivitis

e-GIGI ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Gabrielle Warongan ◽  
Freddy Wagey ◽  
Christy N. Mintjelungan

Abstract: Pregnancy is a unique period in a woman's life and is characterized by a complex physiological changes such as nausea and vomiting . These changes can affect oral health during pregnancy due to a change in diet and oral hygiene is lacking. Gingivitis is one that is highly susceptible to periodontal disease occurs when the maintenance of oral health in pregnant women is not properly maintained. The purpose of this study was to describe the gingival status of pregnant women in health centers Bahu Manado. This was a descriptive cross sectional (cross-sectional) study. There were 34 samples obtained by using consecutive sampling and their gingival indexes were measured with Loe and Sillness method. The results showed that among the pregnant women in the second trimester there were 11 (79%) that experienced inflammation. Most pregnant women in the third trimester experienced severe inflammation as many as 16 people (80%). There were 2 pregnant women with mild, 14 moderate, and 18 with severe inflammation. Conclusion: All pregnant women in this study did not have normal gingival status and their inflammation were severe, moderate, and mild respectively. Pregnant women with gestational age third trimester had higher gingival indexes which meant more inflammed status. It is expected that health centers improve the program of oral health care of pregnant women, such as promotional activities on the importance of health and oral hygiene during pregnancy, motivation, and advicing the pregnant women to check to the dentists during pregnancy. Keywords: gingival status, pregnant womenAbstrak: Kehamilan adalah masa yang unik dalam kehidupan seorang wanita dan ditandai oleh perubahan fisiologis yang kompleks seperti mual dan muntah. Perubahan ini dapat memengaruhi kesehatan gigi dan mulut selama kehamilan yang disebabkan adanya perubahan pola makan dan kebersihan mulut yang kurang. Gingivitis merupakan salah satu penyakit periodontal yang sangat rentan terjadi jika pemeliharan kesehatan gigi dan mulut pada ibu hamil tidak terjaga dengan baik.Tujuan penelitian ini untuk mengetahui gambaran status gingiva ibu hamil di Puskesmas Bahu Manado. Penelitian ini merupakan penelitian deskriptif dengan pendekatan potong. Penelitian dilakukan di Puskesmas Bahu Manado dengan subjek penelitian sebanyak 34 orang.Dengan menggunakan metode Convecutive samplingdan diukur dengan indeks gingival menurut Loe and Sillness.Hasil penelitian menunjukkan bahwa ibu hamil pada Trimester II rata-rata mengalami inflamasi sedang berjumlah 11 orang (79%). Terdapat 2 orang dengan inflamasi ringan, 14 orang inflamasi sedang dan 18 orang inflamasi berat. Kebanyakan ibu hamil pada Trimester III mengalami inflamasi berat sebanyak 16 orang (80%). Simpulan: Semua ibu hamil tidak memiliki status gingiva normal, dimana Ibu hamil dengan usia kehamilan Trimester III memiliki indeks gingiva lebih tinggi yang menggambarkan lebih banyak mengalami inflamasi.Bagi Puskesmas diharapkan lebih meningkatkan program pelayanan kesehatan gigi dan mulut ibu hamil seperti kegiatan promotif tentang pentingnya menjaga kesehatan dan kebersihan mulut selama kehamilan, memberi motivasi dan nasehat kepada ibu hamil untuk memeriksakan kesehatan rongga mulutnya ke dokter gigi bersamaan pada saat pemeriksaan kehamilannya.Kata kunci: status gingiva, ibu hamil.


Rheumatology ◽  
2021 ◽  
Author(s):  
Rugina I Neuman ◽  
Hieronymus T W Smeele ◽  
A H Jan Danser ◽  
Radboud J E M Dolhain ◽  
Willy Visser

Abstract Objectives An elevated sFlt-1/PlGF-ratio has been validated as a significant predictor of preeclampsia, but has not been established in women with rheumatoid arthritis (RA). We explored whether the sFlt-1/PlGF-ratio could be altered due to disease activity in RA, and could be applied in this population to predict preeclampsia. Since sulfasalazine has been suggested to improve the angiogenic imbalance in preeclampsia, we also aimed to examine whether sulfasalazine could affect sFlt-1 or PlGF levels. Methods Making use of a nationwide, observational, prospective cohort study on pregnant women with RA, sFlt-1 and PlGF were measured in the third trimester. A total of 221 women, aged 21–42 years, were included, with a median gestational age of 30 + 3 weeks. Results No differences in sFlt-1 or PlGF were observed between women with high, intermediate or low disease activity (p= 0.07 and p= 0.41), whereas sFlt-1 and PlGF did not correlate with DAS28-CRP score (r=-0.01 and r=-0.05, respectively). Four (2%) women with a sFlt-1/PlGF-ratio ≤38 developed preeclampsia in comparison to three (43%) women with a ratio > 38, corresponding to a negative predictive value of 98.1%. Sulfasalazine users (n = 57) did not show altered levels of sFlt-1 or PlGF in comparison to non-sulfasalazine users (n = 164, p= 0.91 and p= 0.11). Conclusion Our study shows that in pregnant women with RA, the sFlt-1/PlGF-ratio is not altered due to disease activity and a cut-off ≤38 can be used to exclude preeclampsia. Additionally, sulfasalazine use did not affect sFlt-1 or PlGF levels in this population.


2021 ◽  
Vol 9 (1) ◽  
pp. 31-39
Author(s):  
Reema Tayyem ◽  
Shatha Hammad ◽  
Sabika S. Allehdan ◽  
Dana Abdelrahim ◽  
Lydia Djellouli ◽  
...  

Evaluating dietary patterns could provide an overall view of food and nutrient which consumed regularly. Better understanding of dietary patterns in pregnant women may be considered an acceptable mean to identify unhealthy dietary practices and the associations with undesirable pregnancy outcomes, which necessitates urgent intervention. This study aimed to determine the dietary pattern followed by Jordanian women during pregnancy in the second and third trimesters and to detect possible association between the dietary patterns and educational level. A total of 286 healthy, pregnant Jordanian women, aged ≥ 18 years with singleton pregnancies, completed the study. Sociodemographic, dietary, and physical activity data were collected using validated questionnaires. Dietary patterns were identified using a Principal Component Analysis. A multinomial logistic regression was used to estimate the effect of education level on dietary intake. Three dietary patterns were identified during the entire duration of pregnancy; ‘High-Fat, High-Sugar’, ‘Fruit and Vegetables', and ‘High Protein’ which explained about 32% of the variability of the study sample. Dietary patterns adopted by pregnant women during the second and third trimesters, separately, were able to explain about 40% of the variability during each trimester. Educational level showed associations with dietary patterns, in which ‘Fruit and Vegetables' and ‘Healthy’ patterns were remarkably manifested as the preferred pattern of consumption for the highly educated women during their third trimester. Different dietary patterns have been identified among Jordanian pregnant women throughout their pregnancy trimesters. Higher educational level could influence food choices. Fruit and Vegetables' and ‘Healthy’ patterns were the followed patterns among the highly educated women during their third trimester.


2020 ◽  
Vol 5 (4) ◽  
pp. 367-370
Author(s):  
Cia Aprilianti

The failure to implement Exclusive Breast Milk (ASI) is often obtained in the early period after delivery because the milk has not yet been released is a reason for mothers to provide formula milk. This activity aims to provide lactation massage education for third-trimester pregnant women to increase breastfeeding. The activity was carried out in four meetings. The implementation of the activity went well, and the majority of participant characteristics were ideal (80%), multi-parity (70%), mothers with low education levels (70%), and mothers working as IRT (90%). It is hoped that outreach activities on lactation massage for pregnant women can be used as a routine program for health centers and health workers so that they can assist and prepare pregnant women with knowledge about exclusive breastfeeding before delivery.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Cuiqin Huang ◽  
Wei Han ◽  
Yajing Fan

Abstract Background We aimed to analyze the correlation between increased fetal movements in the third trimester and neonatal outcomes. Methods We enrolled pregnant women (n = 219) who reported increased/excessive fetal movements in the third trimester in our hospital. A control group of healthy women (n = 278) who had undergone regular childbirth and delivery in our hospital during the same period and did not report abnormal fetal movements were also recruited. All pregnant women underwent fetal non-stress test. We analyzed the neonatal weight, appearance, pulse, grimace, activity, and respiration score, degrees of amniotic fluid contamination, amniotic fluid volume, conditions of umbilical cord around the neck and cord length, and incidence of small for gestational age. In addition, the incidence of preterm delivery, cesarean section rate, postpartum hemorrhage, and other postpartum complications were also analyzed. We then analyzed the correlation between increased/excessive fetal activity and neonatal outcomes. Results Women with complaints of increased/excessive fetal movements exhibited increased fetal movements mainly around 31 and 39 weeks of gestation. Several pregnancy variables, including number of previous delivery, gestational age (less than 34 weeks and more than 37 weeks) and vaginal birth rate, were associated with increased/excessive fetal movements. In addition, women who reported increased/excessive fetal movements had higher odds of large for gestational age (LGA), particularly those with gestational age over 37 weeks. Conclusion Increased/excessive fetal movements may be used to predict adverse neonatal outcome such as LGA.


Author(s):  
Restu Yuliani ◽  
Evawany Y Aritonang ◽  
Syarifah Syarifah

Health promotion is basically a process of communication and behavior change process through health education. Health promotion activities can achieve maximum results, if the methods and media health promotion is of great concern and must be adapted to the target.         The type of research was a quasi experimental (quasi experimental) with a pretest-posttest design, The population in this study, all pregnant women are entering the third trimester gestational age 37-39 weeks, in the region of 40 health centers Padangsidempuan Batunadua pregnant women. Samples numbered 40 pregnant women are 20 pregnant women group lecture and 20 pregnant women media group lecture with video media. The data were analyzed by using univariat and bivariat analysis with paired sample t-test pairs. The results showed that there are significant health promotion with a lecture and lecture with video media to change knowledge and attitudes of pregnant women on safe childbirth and health promotion methods most influential in improving knowledge, attitudes and actions of pregnant women in conducting safe childbirth in the work area Padangsidempuan Batunadua health centers is a lecture with video media. Need to improve knowledge and attitudes about safe childbirth so as to provide encouragement and support to pregnant women who give birth safely, health workers Batunadua Health Center suggested to use a lecture with video media in delivering health promotion to pregnant mothers because of a lecture with video media can portray a moving object together with natural sounds or sound accordingly.


2015 ◽  
Vol 3 (1) ◽  
pp. 43-49
Author(s):  
Kinanti Fauzin ◽  
Hafni Bachtiar ◽  
Susi Susi

Gingivitis is an inflammation of the soft tissues inoral cavity that invade the free gingival. There are two kinds of etiologies that can cause gingivitis, they are plaque and non-plaque. Pregnant women will have some maternal physiological changes during pregnancy, one of them is the increasing of estrogen and progesterone. It will cause the gingival tissue to react to irritant such as plaque excessively. The aim of this study was to determine the relationship between gestational age and gingival index in pregnant women. This analytic correlation research used cross sectional approach. The gestational age were observed from Mom’s and Kid’s Health Book. The Gingival Index was observed by using Loe and Silness index to each pregnant woman’s oral cavity. Data was analysed by using Chi –square. The study took place in Andalas Public Health Center, from 16th  February 2-15 until 26th  February 2015. Most of the pregnant women had mild gingivitis, no pregnant women were found with healthy gingiva or severe gingivitis. The result showed that there was no significantly relationship between gestational age and gingival index in pregnant women (p>0,005).


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).


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