Preeclampsia is a pregnancy hypertension disorder that significantly affects the morbidity and mortality of mothers worldwide. Preeclampsia occurs in 5-7% of all pregnancies and is the leading cause of maternal mortality in developing countries. The purpose of this community devotion to detect preeclampsia in pregnant women with body mass index, ROT (Rool Over Test) and, MAP (Mean Arterial Pressure). Method of community service by conducting a collection of pregnant mothers at local midwives in PMB Sumarti, SST at Kapor village, Burneh, Bangkalan, after that gathered all pregnant women on the day of the specified and explained the purpose of devotion and counseling about preeclampsia in pregnant women, continued weighing weight, measuring height and measured Body Mass Index (BMI), performing blood pressure measurements in pregnant women through ROT and MAP and performed Interviews with providing questionnaires, giving an explanation of preeclampsia early detection on pregnant women, explaining how to prevent and what to do if preeclampsia, monitoring every month until birth. The results of this community devotion from 16 pregnant mothers who performed preeclampsia detection with BMI, ROT, and MAP were obtained 3 (18.75)% positive preeclampsia because there are 2 positive signs after the examination of the sign seen from MAP ≥ 90 and BMI ≥ 30. The Conclusion that early detection of preeclampsia is necessary to prevent complications during pregnancy, childbirth and postpartum.
ABSTRAK Mual muntah atau emesis gravidarum terjadi sekitar 40-60 % pada multigravida. Data studi pendahuluan di PMB Lukluatun Mubrikoh pada kuartil 1 tahun 2021 ditemukan sebanyak 43 ibu hamil multigravida mengalami emesis gravidarum. Tujuan peneltiian ini adalah untuk mengetahui pengaruh jarak kehamilan dan penerimaan diri terhadap kejadian emesis gravidarum pada ibu hamil multigravida. Desain penelitian ini adalah kuantitatif dengan pendekatan cross Sectional. Variabel independen yang digunakan adalah jarak kehamilan dan penerimaan diri, sedangkan variable dependennya adalah emesis gravidarum. Populasi penelitian ini adalah ibu hamil multigravida trimester 1 yaitu sebanyak 86 orang. Sedangkan jumlah sampel sebanyak 64 orang dengan menggunakan tehnik sampling simple random sampling. Hasil uji statistik chi Square untuk variable jarak kehamilan dan penerimaan diri masing menunjukkan Sig .0,002 dan 0,007 dimana keduanya < ? 0,05, ini membuktikan bahwa H0 ditolak yang artinya ada hubungan antara jarak kehamilan dan penerimaan diri dengan kejadian emesis gravidarum pada ibu hamil multigravida trimester I. Sementara melalui uji multivariat regresi logistik ditemukan bahwa emesis gravidarum berpeluang 7,648 kali terjadi pada ibu hamil dengan jarak kehamilan berisiko, serta 4,853 kali lebih berpeluang terjadi pada ibu hamil tidak dapat menerima kehamilannya Kata Kunci : Jarak, Hamil, Penerimaan Diri, Emesis
During pregnancy, the need for increasedcalcium intake. Adequate calcium intake can reducethe risk of preeclampsia. the survey results ofpreliminary studies in Polindes Asemjaran Banyuates over the pastthree months, Found that three pregnant womendetected preeclampsia from a total of 57 pregnantwomen (5.26%). The purpose of the study to analyzethe effectiveness of calcium in pregnant women topreventing preeclampsia in the working area ofPolindes Asemjaran Banyuates. The research design used was QuasiEksperimen with Non Equivalent Control Groupapproach. The independent variable is CalciumSupplementation and dependence is the Occurrenceof Preeclampsi on Trimester 2 Pregnant Woman. Thesample of this study is trimester 2 pregnant womenwho are at risk of experiencing preeclampsia thatmeet the criteria. The instrument was used theobservation sheet, and analyzed using ParametricTest if qualified and non-parameteric test if notqualified with a 0.05. The result of statistical test in both dose group500 mg and 1000 mg with Paired T-Test wasobtained p value (0,941)> α (0,05) in 500 mg dosegroup and Wilcoxon Signed Rank Test result p value(0,105) > a ( 0.05) at a dose of 1000 mg the meanings H1 and H2 are rejected, there is no differencebefore and after given calcium supplement dose 500mg or 1000 mg to prevent preeclampsi. While in theposttest test with Mann Whitney Test in both groupsobtained results p Value (0.105)> α (0.05), it can beconcluded that supplementation of calcium dose 500mg and 1000 mg not effective to preventpreeclampsia. Calcium supplementation of 1000 mg and 500mg doses has not been proven statistically effectiven preventing preeclampsia. Further research isrecommended to increase the number of samples, sothat the research results will be visible and can begeneralized to all pregnant women.
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