One indirect causes of maternal mortality in Indonesia is "Three Delays", delays in: (1) deciding to seek appropriate medical help for an obstetric emergency; (2) reaching an appropriate obstetric facility; and (3) receiving adequate care when a facility is reached, which has relation with the lack of women's ability in empowering herself to actively participate and to make suitable decisions about midwifery care they need. The research aims to explore the partnership between woman and midwife in midwifery care. A descriptive qualitative study was conducted using a convenience sample of six low-risk women after they had given birth and six midwives from six geographically distinct midwife-led care clinic in Bantul Regency. Data were collected through semi‑structured in‑depth interviews. The interview was conducted two to three times and recorded by audio record. Interviews were transcribed and analyzed by the thematic analysis according to Cresswell approach. Seven major themes were identified: (a) midwives ability to partner with women, (b) equality and reciprocity, (c) negotiation, (d) empowerment, (e) trust and time, (f) sharing power and responsibility, and (g) professional friendship. Most of the women are not capable to empower themselves such as less participating in decision making, less considerate in choosing a birthing position, and worsen by the limitations of midwives availability during the delivery process. Midwives need to reflect more the philosophy meaning inside the midwifery care and strengthen the midwifery professionals curriculum in order to persuade women as a partner who capable to empower themselves and to participate actively.
Anemia during adolescence has a negative effect on growth, cognitive abilities, performance abilities and has a serious impact throughout the reproductive years. The study aims to determine the factors associated with the incidence of anemia in adolescent girls. This type of research method is a cross-sectional study. The sample in this study were female students of class XI and XII at SMAS PGRI 2 Banjarmasin who met the inclusion criteria totaling 75 people. Sampling technique with Total Sampling. The research instrument used measurements and questionnaires consisting of Body Mass Index (BMI), Middle-Upper Arm Circumference (MUAC), menstrual patterns and eating patterns. Data analysis using a computer program. The results showed that the female adolescents in SMAS PGRI 2 Banjarmasin who did not experience anemia were (70.7%) while the female adolescents who had anemia were (29.3%). There is a relationship between BMI and the incidence of anemia in adolescent girls p-value 0.023 (<0.05), there is a relationship between MUAC and the incidence of anemia in adolescent girls p-value 0.012 (<0.05), there is a relationship between diet and the incidence of anemia in adolescent girls p-value 0.021 (<0.05), there is a relationship between menstrual patterns with the incidence of anemia in adolescent girls p-value 0.026 (<0.05). Preventive and promotive efforts need to be done by increasing the consumption of nutritious food and giving blood-supplementing tablets especially for female students.
The Covid-19 vaccine in pregnant women provides protection to the fetus from serious diseases during the early period of life. Pregnant women refused the Covid-19 vaccination due to lack of knowledge, negative attitude towards vaccines, inexperience in vaccination, and worried about the side effects and safety of the vaccine. This study aims to determine the interest of pregnant women in the Covid-19 vaccine. A cross sectional study design with a sample of 46 pregnant women was used for this study. The sampling technique was accidental sampling and the research instrument was a questionnaire. There is a relationship between vaccine history and interest in Covid-19 vaccines in pregnant women with a p-value of 0.026. There is a relationship between vaccine information and interest in the Covid-19 vaccine with a p-value of 0.000. The importance of information on the safety and benefits of the Covid-19 vaccine needs to be clearly communicated to pregnant women so as to increase the interest of pregnant women to vaccinate against Covid-19.
Gestational Diabetes Mellitus (GDM) is one of the medical complications of pregnancy that can cause short-term and long-term risks for the mother and fetus if not detected early and treated appropriately. This study aims to find, select, assess, extract, and synthesize data from several articles on the method of early detection of GDM that can be carried out by health workers. This study uses a systematic literature review method with the PICO framework. Search articles using PubMed and Science Direct databases with keywords and Boolean operators in this study are "early detection" or "screening" and "gestational diabetes mellitus" and "pregnant woman" or “pregnant mother”. Research articles published in 2016–2021, in English, research design: using a quantitative research design. The results of the study found that early detection of GDM can be done through a scoring system, identification of women's diet before pregnancy and optimization of early GDM screening before 24 weeks, monitoring growth and improving early detection services for gestational diabetes in basic health facilities. Health workers need to provide education to women of reproductive age about GDM, so that when they decide to get pregnant they can understand the importance of maintaining blood sugar levels.
<p><em>The partnership of Midwives and women is the philosophy of Midwifery care in the period of decline, which occurred the violence and not mutually appreciated especially during childbirth in developing countries. The aim to explore the experiences of women and Midwives, strategy and expectation of women and Midwives in Midwifery services. This study using electronic methods Searches of PubMed bibliographic database, ScienceDirect, Proquest is done systematically from 2008 to 2018. Quality Articles are chosen based on the criteria of inclusion and extracting results from article 858 into 10 Articles, and then classify the comparison results to developing countries and developed countries. </em><em>Based on the results of the review found the experience of women and Midwives for care in developing countries less well Because there is no Accompanying childbirth, there is physical or verbal violence, and hospital facilities that do not support. While the experience of women in developed countries and Midwives Midwives, either Because the present critical period in time, there is a sense of care from Midwives who Become partners for women. Partnership Midwives and women since pregnancy Contribute to vaginal birth. Midwives and women have hope that Midwifery services can be given a maximum, qualified and manifested a sense of mutual understanding and respect for each other. The condition of Midwifery care in developing countries need particular attention. The importance of the presence of a midwife, care of ongoing and Partnered with women can suppress violence in orphanages. The Government needs to provide training to Midwives on counselling skills, build interpersonal relations, and effective leadership in Midwifery services.</em><em></em></p>
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