<p><strong><em>Background:</em></strong><em> Early marriage is a form of violence and violation of children's rights. Early marriage that occurs in Indonesia is a very complex dynamic. Geographically, culturally and religiously, the level of acceptance and practice of child marriage varies across Indonesia. Based on the Report on the Fulfillment of Children's Rights in the Special Region of Yogyakarta in 2017, the number of child marriages in the Special Region of Yogyakarta was 294, a decrease from 2016 which was 346 (a decrease of 15.3%). Early marriage has a big risk of experiencing various bad things. </em></p><p><strong><em>Objective:</em></strong><em> to find out what are the impacts of early marriage on women of reproductive age in the Special Region of Yogyakarta. </em></p><p><strong><em>Methods:</em></strong><em> The data used in this study is secondary data from the Indonesian Health Demographic Survey (IDHS) issued by the BKKBN. The population in this study were all women of reproductive age whose data was recorded in the partner data in the 2017 IDHS report (Couples record). This research is an analytic study with a cross sectional approach. Data analysis was performed using Cremer's V and Contingency Coefficient analysis. </em></p><p><strong><em>Results:</em></strong><em> The results showed that there was an effect of early marriage on several dependent variables in this study which was indicated by p value <0.05. Some of these variables are education (p=0.002), Welfare Index (0.025), marital history (0.033). In addition, there is no significant relationship between the respondent's early marriage with employment, choice of contraceptive method, role in decision making, knowledge of reproductive health and knowledge of domestic violence.</em></p><strong><em>Conclusion:</em></strong><em> Reproductive health and sexuality education needs to be carried out strategically and systematically nationally and sustainably by involving various cross-sectors, starting from school education, community leaders, religious leaders and health workers. Appropriate and comprehensive teaching and education can help youth in making wise decisions regarding early marriage.</em>
<p><strong><em>Background: </em></strong>The maternal mortality rate in Southeast Asian countries is Indonesia 190 per 100,000 live births, Vietnam 49 per 100,000 live births, Thailand26 per 100,000 live births, Brunei 27 per 100,000 live births, and Malaysia 29 per 100,000 live births (WHO, 2015). Data on maternal mortality in the Special Region of Yogyakarta in 2020 found 40 cases, an increase from the previous year, which was 36 cases. In the Bantul district there are 20 cases of maternal mortality(DIY Health Office, 2020). Labor pain relief methods are divided into non-pharmacological (psychoprophylactic, hypnosis, acupuncture, touch healing therapy, relaxation exercises, massage therapy, music therapy) and pharmacological (systemic drugs, inhalation anesthetics, general anesthesia, regional anesthesia) (Tanvisut et al., 2018).<strong></strong></p><p><strong><em>Objectives:</em></strong>This study aims to determine the effect of lavender and jasmine aromatherapy on pain levels in the first stage of labor at the Bina Sehat Clinic.<strong></strong></p><p><strong><em>Methods: </em></strong><em>Q</em><em>uasi experiment</em>with pretest and posttest group design. a sample of 38 respondents using the formula (Lemeshow et al., 1997) in Sastroasmoro and Ismail (2011). Sampling technique with simple random sampling</p><p><strong><em>Results:</em></strong>Shows that jasmine aromatherapy is more effective in reducing pain levels in first-stage mothers than lavender aromatherapy at the Bina Sehat Clinic. There is a significant effect of the level of labor pain in the first stage before and after the lavender and jasmine aromatherapy intervention period.<strong></strong></p><p><strong><em>Conclusions:</em></strong>Jasmine aromatherapy was more effective in reducing pain levels in first-stage labor than lavender aromatherapy at the Bina Sehat Clinic with a Z_Wilcoxon value obtained at -4.001 and a significant value of 0.000 (p<0.000). There was a significant effect on the results of the first stage of labor pain before and after the lavender and jasmine aromatherapy intervention period, which was -4.143 and a significant value of 0.000 (p<0.000).<strong></strong></p>
Background: Gestational Diabetes Mellitus (GDM) incidence is related to maternal and child health risks, such as pre-eclampsia, premature births, and the development of type 2 diabetes at 5-10 years after pregnancy. The adaptation process of women with GDM is complicated and requires a series of treatments and behavior changes over a short period. The psychological support of families and healthcare professionals is indispensable in achieving GDM management success. Objectives: This research aimed to explore Indonesian mothers' experiences in GDM management and support during and after pregnancy Methods: The design of research implemented qualitative approaches, phenomenology, and the homogenous purposive technique to recruit 12 participants. In-depth interviews were carried out with each participant using face to face. Interviews were recorded, verbatim transcribed, and analyzed thematically by Collaizi. Results: Five themes emerged: responses to GDM diagnosis; GDM management during pregnancy; obstacles in GDM management; support for GDM management; and post-natal self-management. Adherence to diet and exercise recommendations is difficult for some participants, although they have a good understanding of GDM. Feeling the fetus's movement of and surrendering to God become forms of psychological support and motivation in the management of gestational diabetes mellitus. Conclusions: The barriers and facilitators for GDM management identified here are multidimensional and may help facilitate health workers to more effectively support women with GDM in overcoming the perceived obstacles so that they can still feel a safe and comfortable during pregnancy with minimum risk.
Introduction: Gestational Diabetes Mellitus (GDM) is one of the most common complications of pregnancy. Women with gestational diabetes have a higher risk of serious health outcomes for mother and baby such as preeclampsia, premature birth and the long term development of type 2 diabetes. This study was conducted to present a review of available research in several countries about GDM management during and after pregnancy. Method: Several databases including PubMed, ScienceDirect and EBSco were searched for relevant articles published between January 2009 and January 2019. Result: Of the 1186 initial articles identified, this study analyzed 7 relevant articles that met the inclusion criteria. This study showed that management for GDM includes medical nutrition therapy, exercise, monitoring of blood glucose, and insulin therapy if blood glucose is not achieved with that treatment. Exclusive breast feeding for at least three months has been shown reducing the risk of childhood obesity of children, particularly in those born to obese and mothers with GDM Conclusion: There is a need to increase awareness of long-term consequences on gestational diabetes, both in patients and in healthcare professionals. Counseling is needed for dietary intervention and physical activity for all postpartum women with a history of GDM to stay healthy or to improve future health
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