Background: The term tanatophorik comes from the Greek word thanatophorus which means "innate death" or "bearing death". The problem that underlies this disease is the process of bone formation. This disease is associated with an autosomal dominant inherited mutation of the fibroblast growth factor 3 receptor (FGFR3) gene on the arm of chromosome 4 (4p16.3). Because FGFR3 is the main modulator in bone formation, the typical clinical features of this disease include shortening of the extremities, curved femur, clover-like skull and narrowing of the thoracic cavity.Tanatophoric dysplasia is a skeletal disorder that is "lethal" or deadly. The deaths occurred due to respiratory failure caused by reduced chest cavity capacity, hypoplastic lungs and / or brainstem compression.Destination: Reported a case of thanatophoric dysplasiaMethod: Case Report Case Report: Case 33 years old woman, with preterm parturient G1P0A0H0 35-36 weeks 1 latent phase + history of 2x laparotomy + suspected fetal tanatophoric dysplasia. On ultrasound examination, it was found that BPD = 9.14 cm; AC = 30.56 cm; HC = 32.05 cm; FL = 2.55 cm; AFI; 9.06cm; SDAU = 1.72 cm. The presence of frontal bosing, saddle nose and micromilia (proximal, distal, phalanges) was found. The patient was planned for vaginal delivery and the progress of labor was followed. Patients provided informed consent regarding the possibility of fetal death during labor and after birth. During the active phase of the labor process, hypotony uterine innersia occurs and oxytocin drip is performed to accelerate labor. The baby was born male, weight 2175 grams, body length 34 cm and A / S: 1/0. Postmortem physical examination revealed macroscopic findings of tanatophoric dysplasia infants such as hypertelorism, low nasal bridge, cranio-facial disproportion. Narrow chest with protruding abdomen and short, bent limbs.Conclusion: Tanatophoric dysplasia is "lethal" skeletal dysplasia. Careful prenatal examination is required in diagnosis and termination of pregnancy. Keywords: Thanatophoric dysplasia, prenatal diagnosis

AbstrakPosyandu terintegrasi Pendidikan Anak Usia Dini (PAUD) merupakan penyelenggaraan integrasi layanan sosial dasar di posyandu, salah satunya adalah pembinaan gizi dan kesehatan ibu anak serta pos PAUD. Posyandu yang melaksanakan program pengembangan tambahan, meliputi perkembangan kognitif, bahasa, fisik, sosial dan emosional anak yang dapat dipantau salah satunya pada integrasi Posyandu PAUD, namun pelaksanaannya belum maksimal. Tujuan: Menentukan hubungan kunjungan posyandu terintegrasi PAUD dengan status gizi dan kemampuan berbahasa pada anak balita usia 4-5 tahun. Metode: Desain penelitian yaitu crossectional terhadap 73 responden. Pengumpulan data dilakukan dengan melakukan observasi langsung pada anak menggunakan lembar pedoman perkembangan bahasa anak di Posyandu terintegrasi PAUD pada bulan Maret sampai September 2019 dengan metode simple random sampling menggunakan uji Chi-square. Hasil: Analisis kuantitatif menunjukkan bahwa lebih dari separoh kunjungan posyandu terintegrasi PAUD tidak aktif (60,2%), sebagian besar status gizi lebih (68,5%), lebih dari separoh kemampuan berbahasa anak kurang baik (60,2%). Hasil uji Chi-Square menunjukkan terdapat hubungan kunjungan posyandu terintegrasi PAUD dengan status gizi (ρ<0,05) dan kemampuan berbahasa (ρ<0,05) anak balita usia 4-5 tahun. Simpulan: Kunjungan posyandu terintegrasi PAUD penting dihadiri oleh ibu untuk memantau status gizi dan kemampuan berbahasa anak.

Background: One of the important problems in obstetrics is premature rupture of membranes. Incidence of premature rupture of membranes caused by multifactorial, including the factors of infection and nutrients of pregnant women that affect the elasticity of membranes. The aim of the study to investigate the relationship vitamin C level and MMP-2 serum with premature rupture of membranes and normal pregnancy. Methods: This research is cross sectional comparative study design. The research is in the Midwife Room of Bhayangkara Hospital, dr. Reksodiwiryo and dr. Rasidin Hospital Padang in September-October 2017. The population in this study were pregnant women with early rupture of membranes and all women with normal pregnancy (gestational age ≥ 37-42 weeks) and sample size 58 people in two groups. Sampling technique with consecutive sampling. The examination of vitamin C and MMP-2 levels was performed in Biomedical Laboratory of Faculty of Medicine, Universitas Andalas by ELISA method. Test of data normality with Shapiro-Wilk test and independent sample T test and Pearson correlation for hyphotesis. Results: The results showed that mean of vitamin C level in premature rupture of membranes was 0.53 ± 0.09 mg/dl, and 0.58 ± 0.08 mg/dl in normal pregnancy (p <0.05). The mean of MMP-2 level in premature rupture of membranes was 35.17 ± 2.23 ng/ml, and 33.27 ± 0.82 ng/ml in normal pregnancy (p <0.05). There was no relationship between vitamin C and MMP-2 levels with premature rupture of membranes and normal pregnancy (p> 0.05). Conclusion: The conclusion of this study there were mean difference of vitamin C and MMP-2 levels in premature rupture of membranes and normal pregnancy. However, there was no relationship between vitamin C and MMP-2 levels in premature rupture of membranes and normal pregnancy Index Terms-MMP-2, premature rupture of membranes, vitamin C.

AbstrakAngka Kematian Ibu (AKI) masih cukup tinggi di Indonesia, karena disebabkan oleh perdarahan, eklamsi dan infeksi. American College of Obstetricans and Gynecologist merekomendasikan senam selama kehamilan agar persalinan lancar dan mengurangi komplikasi saat persalinan. Tujuan penelitian adalah menentukan perbedaan antara jumlah perdarahan saat persalinan pada Ibu primigravida yang melakukan dan tidak melakukan senam hamil selama kehamilan trimester III. Jenis penelitian adalah rancangan comparative study. Penelitian dilaksanakan di wilayah kerja Puskesmas Andalas dan Lubuk Buaya dari Oktober 2018 sampai Januari 2019. Jumlah sampel adalah 44 orang di bagi menjadi 2 kelompok, yaitu pertama 22 orang ibu yang melakukan senam hamil dan 22 orang ibu yang tidak melakukan senam hamil. Pengambilan sampel dengan consecutive sampling. Analisis data menggunakan system komputerisasi dengan uji independent t-test. Hasil penelitian didapatkan rerata jumlah perdarahan pada ibu yang senam hamil 489,18 cc dan pada ibu yang tidak senam hamil 501,86 cc. Tidak terdapat perbedaan jumlah perdarahan pada ibu yang melakukan dan tidak melakukan senam hamil dengan nilai (p=0,786). Kata kunci: jumlah perdarahan, senam hamil, primigravida AbstractThe maternal mortality rate is high in Indonesia, that is caused by bleeding, eclampsia and infection. The American College of Obstetricans and Gynecologists recommend gymnastics during pregnancy so that labor is smooth and reduces complications during labor. The objective of the study was to determine the differences number of bleeding at delivery between primigravida who did pregnancy exercise and did not during the third trimester of pregnancy.The type of this research was a comparative study design. The study was conducted in the working area of Andalas and Lubuk Buaya Puskesmas from October 2018 until January 2019. The number of samples were forty four people, divided into two groups; twenty two mothers who did pregnancy exercises and twenty two mothers who did not do pregnancy exercises. Sampling by consecutive sampling. Data analysis using a computerized system with independent t-test.The average number of bleeding in mothers who exercise 489.18 cc and mothers who are not pregnant exercise 501.86 cc. There is no difference in the number of bleeding (p = 0.786).

Kelas ibu hamil menjadi wadah dalam meningkatkan pengetahuan, sikap, dan perilaku ibu selama kehamilan. Saat ini dunia dihadapi dengan pandemi Covid-19 yang disebabkan oleh virus Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Kondisi pandemi Covid-19 saat ini, menyebabkan kegiatan kelas ibu tidak terlaksana dengan baik. Pelayanan kesehatan harus tetap berjalan secara optimal, aman bagi pasien, tenaga kesehatan termasuk bidan. Kegiatan ini bertujuan untuk menciptakan pemahaman yang utuh pada semua sektor tentang pelayanan kesehatan ibu dan anak dengan upaya-upaya preventif dan promotif melalui pengorganisasian, pemberdayaan masyarakat serta upaya empowering women di masyarakat. Metode yang digunakan yaitu mix methode, deskriptif kualitatif dan kuantitatif dengan cara indepth interview dan survei yang dilakukan secara daring (Group WA ibu hamil, dan Via Telpon, Video Call/ SMS). Hasil dari 6 ibu hamil yang terdapat di RW III, didapatkan bahwa 100 % ibu hamil tidak pernah mengikuti kelas ibu hamil selama pandemic Covid-19, serta 100 % ibu hamil merasa khawatir dengan kehamilan di masa pandemic Covid-19.Intervensi yang dilakukan berupa advokasi kepada pihak puskesmas dan bidan puskesmas pembantu, serta pemberdayaan kader kesehatan dalam melaksanakan kelas ibu hamil dengan memanfaatkan teknologi melalui daring secara online via WhatsApp group, Zoom Meeting, Video Call dan aplikasi Tiktok. Diharapkan kader berperan aktif dan bekerjasama dengan bidan dan petugas kesehatan dalam hal memberikan informasi kesehatan khususnya yang berhubungan dengan kesehatan ibu hamil dengan memanfaatkan media on line, sehingga kesehatan ibu hamil tetap terpantau selama pandemi covid-19.

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p align="center"><strong><em>Abstract</em></strong></p><p align="center"><strong><em> </em></strong></p><p><em>Stunting is a chronic malnutrition problem characterized by height for age which is &lt;-2 SD according to the median standard of child growth. Stunting causes poor quality of human resources, which will reduce productivity. </em><em>T</em><em>he factor causing the problem of stunting In Tools AtPagambiran Health Center, Padang City is the lack of clean water sanitation. The purpose of this study was to determine the relationship between the nutritional status of the mother, the height of the mother, and the mother's knowledge of the incidence of stunting in toddlers at the Pagambiran Health Center, Padang City.This research is an observational analytic study with a cross-sectional design. This research was conducted at the Pagambiran Health Center in Padang City with 3457 populations in November 2021-December 2022. The research sample was 174 mothers and children aged 24-59 months. Sampling using Stratified Random Sampling and Simple Random Sampling. Data collection used a questionnaire and the MCH handbook. The statistical tests used are Chi-square and Logistic Regression.The results of the univariate study found that 55 mothers (31.6%) had a history of chronic energy deficiency, and 12 mothers (6.9%) had a height &lt; 150 cm. The results of the bivariate study using chi-square analysis obtained the p-value of each variable, namely the mother's nutritional status (p=0.005) and mother's height (p=0.018). The study concludes that there is a relationship between the mother's nutritional status and the mother's height in the incidence of stunting in toddlers at the Pagambiran Health Center, Padang City.</em> <em>Researchers suggest that counseling related to stunting can be carried out for pregnant women and prospective brides as an initial preventive measure.</em></p><p><em> </em></p></td></tr></tbody></table></div><strong><em>Keywords: <strong><em>Chronic Energy Deficiency, Mother's Height, Stunting.</em></strong></em></strong>

Anemia dalam kehamilan dapat menyebabkan terganggunya proses pertumbuhan dan perkembangan janin. Kebutuhan zat besi yang meningkat secara eksponensial selama kehamilan, untuk memenuhi peningkatan kebutuhan unit fetoplasenta, menyebabkan ibu hamil berisiko tinggi terkena anemia. Tingginya angka kejadian anemia di RW I Kelurahan Pampangan Nan XX Kecamatan Lubuk Begalung, Padang perlu dilakukan tindakan untuk mengetahui faktor penyebab sehingga mampu dilakukan inovasi-inovasi tindakan promotive dan preventif terhadap kejadian anemia di komunitas tersebut. Salah satunya adalah kelas ibu hamil online. Kegiatan dilaksanakan di Kelurahan Pampangan Nan XX Kecamatan Lubuk Begalung, Padang. Responden dalam kegiatan ini adalah semua ibu hamil yang berada di RW I Kelurahan Pampangan Nan XX, Kecamatan Lubuk Begalung, berjumlah 8 orang. Dari hasil pendataan yang dilakukan, diketahui bahwa 62,5 % ibu hamil mengalami anemia. Analisis data menunjukkan terdapat dua factor yang berhubungan dengan kejadian anemia pada ibu hamil di RW 01 yaitu status pekerjaan ibu (p = 0,018) dan Jarak kehamilan (p = 0,018). Hasil indepth interview menunjukkan bahwa kondisi pandemic saat ini membuat kelas ibu hamil dihentikan dan ekonomi masyarakat menurun sehingga akses informasi seputar kehamilan menjadi sangat terbatas. Kelas ibu hamil dilakukan secara online, memanfaatkan media seperti group pada whats app untuk memudahkan informasi baik sebelum maupun setelah pelaksanaan kelas ibu hamil online. Informasi dengan media ppt dan video mampu meningkatkan pemahaman ibu hamil terkait informasi anemia yang disampaikan. Diharapkan kepada petugas kesehatan agar dapat memanfaatkan dan melanjutkan program yang telah terbentuk ini sehingga ibu hamil dapat memperoleh informasi yang baik seputar kehamilan terutama tentang pencegahan anemia.

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