<p><strong>Background: </strong>Data from World Health Organization informs that 10-16% of pregnant women and 13-20% of postpartum women have mental health problems worldwide. The most vulnerable time in this problem is when women experience it in the first 1000 days of life or the golden period. This issue has been untreated because of the gap between needs and service availability. This study aims to analyze the intervention for reducing maternal mental health problems during the golden period, especially can provide by the midwife as a health professional who is more accessible to the mother.</p><p><strong>Methods: </strong>Systematic review took articles from PubMed, Science Direct, Epistemonikos, and Google Scholar. Literature searching found 235 articles in 2021 that were analyzed using the PRISMA diagram.<strong></strong></p><p><strong>Result: </strong>Maternal mental health problem occurs due to the transition phase of the parent which is making a change of role and responsibility. It can provide negative effects on mother and child health. The articles have shown non-pharmacology interventions that have a different effect. Even, cognitive behavioral therapy shows a dominant effect in all studies that can use as single or combine therapy depending on the mother's condition. The midwife has also responsible to do early detection and should be taken training to facilitate this service for the mother.</p><p><strong>Conclusion: </strong>Maternal mental health during the golden period is crucial, especially for optimizing the child's development by the mother. Although the interventions have variated result, it is still beneficial for the mother.</p>
World Health Organization (WHO) states vitamin D deficiency in pregnant women is still high and recognized as a global problem. Vitamin D supplementation can support increasing vitamin D status for pregnant women and babies. This study aims to know the importance of vitamin D during pregnancy and its benefits for pregnant women and their babies. A systematic review of Randomized Controlled Trials (RCT) used PubMed, Science Direct, and Springer Link databases. The determination flow article used the PRISMA diagram. The total number of articles reviewed is four articles. The result has obtained that vitamin D has several benefits if its needs are sufficient during pregnancy, such as reducing the risk of recurrent asthma/wheezing in newborns from mothers with or without asthma, and beneficial in pregnancy with diabetes mellitus. However, the benefits of vitamin D are not proven to change blood pressure at the beginning and middle of pregnancy. Researchers still find inconsistency about the effect of vitamin D on pregnant women if it has compared the results of this article review with another similar research.
HIGHLIGHTS Maternal stress level during pregnancy in the COVID-19 pandemic had normal category. There was no difference of maternal stress level during pregnancy between good and adverse pregnancy outcomes in the COVID-19 pandemic. Other factors can influence maternal stress level during pregnancy in the COVID-19 pandemic. ABSTRACT Objective: This study analyzed the comparison of maternal stress levels during pregnancy between two groups of pregnancy outcomes in the COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia. Materials and Methods: A hospital-based analytic observational study conducted with a case-control approach, involving mothers giving birth in March-August 2022, aged 20–35, without disease histories such as hypertension, anemia, gestational diabetes mellitus, and tuberculosis. Two groups in this study had matched inclusion criteria, consisting of 24 respondents with adverse pregnancy outcomes in the case group and 34 respondents with good pregnancy outcomes in the control group. The sampling method used total population technique. Data were obtained from medical record and modification of Depression Anxiety Stress Scale (DASS42) questionnaire. Analysis of confounding variables used different tests and bivariate analysis using the Mann-Whitney test. Results: Respondent characteristics had no difference (p >0.05). Respondent distribution with normal levels in the control group (70.6%) was higher than in the case group (45.8%). The result of Mann-Whitney test was no different in maternal stress levels during pregnancy between the case and control groups with pregnancy outcomes in COVID-19 pandemic (p=0.102). Conclusion: Most maternal stress levels during pregnancy were in the normal category. There was no difference in maternal stress level during pregnancy between both groups in COVID-19 pandemic at Koja Regional General Hospital, North Jakarta, Indonesia.
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