Puerperium infection contributed 11 percent of 48.17 percent of maternal mortality during the puerperium period; one of the causes of increased risk of puerperium infection was bacteria Gram-negative Escherichia coli. Puerperium infection occurred because bacteria enter through the vagina, wounds on the insertion of the placenta, and other parts spread to blood throughout the body and damage the spleen, liver, and uterus. This research aimed to determine the effect of Rhodomyrtus tomentosa leaves ethanol extract (Rtl-EE) as an antibacterial on the spleen, liver, and uterus of Escherichia coli -induced puerperal infection model mice. Mice in the postnatal treatment group were induced by Escherichia coli bacteria intravaginally and given different doses of ethanol extract of Rhodomyrtus tomentosa leaves. Examination of bacterial colonies growth used pour plate method with EMBA media. The research results showed that the administration of Rtl-EE decreased the growth of bacterial colonies respectively in the liver 1280, 924, 330 CFU/mL; the uterus 1806, 1180, 874 CFU/mL; and the spleen 712, 112, 774 CFU/mL. Colony growth started to decrease at dose 1 of Rtl-EE (100mg/kg BW) of mice model of Escherichia coli -induced puerperal infection. Rhodomyrtus tomentosa leaves contain active compounds - phenols, flavonoids, saponins, tannins, alkaloids, and triterpenoids as antibacterial. Rtl-EE had an antibacterial effect by reducing the number of bacteria on the spleen, liver, and uterus of Escherichia coli -induced puerperal infection model mice. Further research needs to conduct to examine the toxic dose of Rhodomyrtus tomentosa leaves against Escherichia coli bacteria.
Abstrak: Remaja adalah kelompok usia yang berperan dalam upaya pencegahan stunting. Kejadian kehamilan remaja yang semakin tinggi menjadi salah satu faktor penyebab tingginya kejadian stunting. Hasil observasi menunjukkan kurangnya peran karang taruna dalam mencegah stunting pada remaja sehingga perlu pendampingan untuk memperoleh peningkatan pengetahuan dan keterampilan dalam mendampingi remaja agar terhindar dari stunting. Metode kegiatan pengabdian adalah pendampingan remaja sejumlah 50 orang oleh mitra yaitu karang taruna sejumlah 15 orang, terdiri dari tiga tahap yaitu tahap pertama memberikan edukasi dan sosialisasi pencegahan stunting, persiapan kehamilan sehat, pentingnya Tablet Tambah Darah (TTD), cara mengkonsumsi, demonstrasi deteksi anemia, pemeriksaan Hb pre intervensi. Tahap pertama juga dilakukan pretest dan posttest pada remaja. Tahap 2, pemantauan remaja oleh karang taruna dengan pendampingan tim pengabmas dan tahap 3, pemeriksaan Hb post intervensi. Hasil yang diperoleh terdapat peningkatan pengetahuan dengan kategori baik sebesar 28%, peningkatan kadar Hb sebesar 28% dan adanya kemandirian remaja dalam mendeteksi anemia dan mengkonsumsi TTD.Abstract: Adolescents are a critical age group in efforts to prevent stunting. The increasing incidence of adolescent pregnancy is one of the contributing factors to the high incidence of stunting. Observations have shown that youth organizations have limited roles in preventing stunting among adolescents. Therefore, guidance is necessary to improve their knowledge and skills to prevent stunting. This study employed a community engagement approach, involving guiding 50 adolescents by a partner organization comprising 15 members in three stages. The first stage included education and socialization on preventing stunting, healthy pregnancy, the importance of Iron-Folic Acid (IFA) supplementation, demonstrating anemia detection, and conducting Hb pre-intervention tests, as well as pre and post-tests for the adolescents. The second stage involved monitoring by the youth organization and outreach team, and in the third stage, post-intervention Hb testing was conducted. Results indicated a significant improvement in knowledge by 28%, increased Hb levels by 28%, and increased self-reliance among adolescents in detecting anemia and consuming IFA.
Cyclofem and Depo Medroxy Progesterone Acetate (DMPA) are the most common types of contraception and are widely used, although there are still drawbacks such as disturbing menstrual patterns, weight gain, and delayed return of fertility. This study aims to determine the difference in the return of fertility between post-Cyclofem and DMPA acceptors in Gorontalo. 40 pregnant women were used in this study with the sampling technique used is purposive sampling. The study was conducted from May 25 to June 8, 2018. The data obtained were then analyzed using the independent t-test. The results showed that the return of fertility after Cyclofem was 7.1 months, and DMPA was 12.9 months. The value of t-count = 3.058 and sig. 0.004. There is a difference in the length of return of fertility between post-Cyclofem and DMPA family planning acceptors in Gorontalo. A larger research sample is needed so that the results obtained are better.
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