International Journal of Health (IJH)

Preterm birth risk associated with maternal preeclampsia

Ira Titisari — 2025-11-04

Preterm birth is defined as a live birth that occurs before 37 weeks of gestation and is one of the leading causes of high neonatal morbidity and mortality rates. One of the risk factors strongly associated with preterm birth is preeclampsia, a pregnancy complication characterized by hypertension and proteinuria after 20 weeks of gestation. This study aims to analyze the relationship between preeclampsia and the incidence of preterm birth at Gambiran Regional Public Hospital, Kediri City. A cross-sectional study design with a retrospective approach was used, based on medical record data. A total sampling technique was applied, involving 215 respondents. Data were analyzed using the Chi-Square test with a significance level of 0.05. The results showed a significant association between preeclampsia and preterm birth, with a p-value of 0.04. The significant p-value indicates that preeclampsia is associated with an increased risk of preterm birth. This supports the hypothesis that maternal complications such as hypertension and proteinuria can disrupt normal fetal development and trigger early labor. There is a relationship between preeclampsia and the incidence of preterm birth at Gambiran Regional Public Hospital, Kediri City. Preeclampsia should be considered an important indicator in early screening during labor and neonatal care services to prevent further complications.

Preeclampsia as a risk factor for neonatal asphyxia: A case review at Aura Syifa Hospital

Ira Titisari — 2025-11-04

Neonatal asphyxia is a condition characterized by the failure of spontaneous and regular breathing at birth or shortly thereafter, marked by hypoxia. This condition occurs due to the suboptimal function of the newborn's organs, particularly in the gas exchange process. One of the maternal factors contributing to neonatal asphyxia is preeclampsia. In mothers with preeclampsia, reduced blood flow to the placenta occurs due to vasoconstriction, which leads to impaired placental function and triggers fetal hypoxia. Prolonged hypoxia disrupts the exchange of oxygen and carbon dioxide, thereby increasing the risk of asphyxia. This study aimed to determine the association between preeclampsia and the incidence of neonatal asphyxia at Aura Syifa Hospital, Kediri Regency. This research was an analytical observational study with a cross-sectional approach. The sample consisted of 118 subjects, selected using simple random sampling. Data were collected through medical record review over a three-month period. The association between preeclampsia and neonatal asphyxia was analyzed using the Chi-Square test, with a significance level of 0.05. The results of the Chi-Square test (p = 0.003) showed a significant association between preeclampsia and the incidence of neonatal asphyxia at Aura Syifa Hospital, Kediri Regency. The significant Chi-Square result (p = 0.003) indicates that mothers with preeclampsia have a higher risk of giving birth to neonates with asphyxia, likely due to impaired placental blood flow and fetal hypoxia. There is a significant association between preeclampsia and the incidence of neonatal asphyxia at Aura Syifa Hospital, Kediri Regency. It is recommended to monitor pregnant women with preeclampsia closely to prevent neonatal asphyxia, including timely interventions to improve placental perfusion and fetal oxygenation.

Effectiveness of acupressure on sleep disorders in breast cancer patients: A mini review

Finta Isti Kundarti — 2025-11-04

Breast cancer is the most common cancer among women and is often accompanied by sleep disturbances as a side effect of therapy. This condition can lead to fatigue, depression, anxiety, and decreased quality of life. This mini review aims to examine the effectiveness of acupressure in managing sleep disorders among breast cancer patients. Literature searches were conducted through PubMed, Cochrane, Elsevier, and Google Scholar using inclusion criteria of international randomized controlled trials (RCTs), published in the last eight years, with the keyword’s acupressure and sleep disorders in breast cancer patients. Out of 4,567 identified articles, 10 studies met the criteria and were further analyzed. The review revealed that acupressure, auricular acupressure, and the combination of electroacupuncture with auricular acupressure were effective in improving sleep quality, reducing chemotherapy-related insomnia, and alleviating accompanying symptoms such as depression and fatigue. These interventions were also relatively safe, with only minor side effects such as local skin irritation. In conclusion, acupressure can be considered a feasible and safe non-pharmacological intervention to improve sleep quality in breast cancer patients.

The effect of breast care on breast milk engorgement and uterine involution among postpartum mothers

Fahsyaidyta Tera Pembayun Amala — 2025-11-04

Breast milk engorgement is a condition characterized by breast swelling caused by increased venous and lymphatic flow, resulting in milk stasis and pain accompanied by elevated maternal body temperature. Meanwhile, uterine involution refers to the process of the uterus returning to its pre-pregnancy state. One of the key factors that facilitate uterine involution is breast care, particularly through oxytocin massage, which stimulates uterine contractions by rubbing the scapular and spinal regions. This contraction of uterine smooth muscles promotes uterine involution after childbirth. The purpose of this study was to determine the effect of breast care on breast milk engorgement and the uterine involution process among postpartum mothers at TPMB Tri Widiyawati S.Keb, Lawang District, Malang Regency. This quantitative research employed a pre-experimental design using a non-randomized control group pretest–posttest approach with a static t-test technique. The study involved 30 postpartum mothers selected through accidental sampling based on inclusion criteria. Data collection used observation and standard operational procedure (SOP) sheets. Data were analyzed using univariate and bivariate analyses with a t-test (α = 0.05). The results showed a significant effect of breast care on reducing breast milk engorgement and accelerating uterine involution (p = 0.000 < 0.05). The conclusion of this study is that breast care with breast milk dams and the uterine involution process in postpartum mothers are affected.

Nursing care for clients with cerebrovascular accident

Wahyu Setyaningsih — 2025-11-04

Nursing care for cerebrovascular accident (CVA) clients aims to fulfill basic human needs through a comprehensive nursing process—assessment, diagnosis, intervention, implementation, and evaluation—in patients with localized or global neurological dysfunction caused by cerebral infarction. This study aimed to provide nursing care to clients with CVA infarction in the stroke unit of Dr. Soedomo Trenggalek Regional General Hospital. A qualitative descriptive case study was conducted using interviews, observations, physical examinations, and documentation. Findings revealed discrepancies between theoretical nursing care standards and clinical practice, particularly in aspects of medical history, sensory and cognitive assessments, and cranial nerve evaluation. Identified nursing diagnoses included risk for cerebral perfusion impairment related to hypertension, impaired physical mobility due to decreased muscle strength, and impaired verbal communication related to dysarthria. Appropriate nursing interventions were crucial for accelerating recovery and improving the quality of care to prevent complications.

The effectiveness of breastfeeding technique guidance on the ability of primipara postpartum mothers to provide breastfeeding

Ira Titisari — 2025-11-04

Low breastfeeding in infants is a serious threat to the baby's development as the next generation. Failure to breastfeed due to lack of understanding and ability in breastfeeding techniques. The importance of maternal care in postpartum as an effort to avoid it. The purpose of this study was to identify the influence of breastfeeding techniques guiding postpartum mothers' breastfeeding ability. This research is a pre-experiment with One Group Pretest Posttest. The population in this study were all postpartum primipara mothers treated at Aura Syifa Kediri Hospital with 32 respondents. Sampling technique using simple random sampling with a sample of 30 respondents. The data collection instrument uses a checklist sheet. Data analysis using the Wilcoxon Match Pairs Test. The results obtained Z Count (4,782)> Z Table (1,645), then H1 accepted means there are effects of breastfeeding guidance technique towards postpartum primipara mothers' breastfeeding ability in Aura Syifa's Hospital. The study recommended that the breastfeeding technique guidance method be implemented as an intervention to improve breastfeeding programs.

Continuity of midwifery care for a patient (G2P1001, 40 years old, and 26 weeks of gestation) with a single viable intrauterine fetus

Titis auliana widiantoro — 2025-11-04

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia are still relatively high, so continuous efforts are needed to improve the quality of maternal and child health services. One effective strategy is the implementation of Continuity of Care (CoC). This study aims to provide a comprehensive overview of the implementation of CoC midwifery care for Mrs. NN, 40 years old with a single intrauterine pregnancy, from the third trimester of pregnancy to contraceptive services. The method used is a descriptive case study conducted at TPMB Muhartik, S.Tr., Bd. in Kandangan Village, Kediri Regency, from November 11, 2024, to March 22, 2025. This midwifery care shows that all stages, from antenatal care (ANC), delivery, postpartum, newborn care, to contraceptive counseling have been carried out according to midwifery service standards. The interventions provided can accurately identify pregnancy risks, such as maternal age >35 years, and address postpartum issues such as sore nipples and low breast milk production through oxytocin massage. The implementation of CoC in midwifery care has proven effective in improving the overall health status of mothers and babies and supporting the achievement of national health targets.

Validation of the reagent-based paper test strips method for the detection of paracetamol in herbal medicines

Nurma Sabila — 2025-11-04

The widespread use of herbal medicines in Indonesia raises concerns regarding the possible addition of prohibited chemical drugs, such as paracetamol. Therefore, a rapid detection method is needed as an alternative to the standard BPOM methods. This study aims to validate a reagent-based paper test strip for detecting paracetamol in herbal medicines through a specificity test. The test strip prepares with the immersion of Whatman chromatography paper on the FeCl₃ and Folin–Ciocalteu reagents. The response time was determined by observing the color change at intervals of 5 to 60 minutes after immersing the test strip in the paracetamol solution. The specificity test was performed by comparing the RGB values among the standard, sample (herbal medicines for muscle aches, rheumatism, and gout), and spiked solutions. The results showed that the optimal response time occurred between 30 and 45 minutes for both reagents. The specificity test indicated that both reagents could not distinguish paracetamol from other compounds in samples, by the absence of significant differences in the RGB values between the samples and the spiked solutions. Thus, the reagent-based paper test strip may serve as an initial screening tool but lacks sufficient selectivity for confirmatory analysis. Further research is recommended to develop more specific reagents or to integrate the paper-based test with instrumental techniques to improve accuracy.

Continuity of midwifery care for a patient (G2P1001, 32–33 weeks of gestation) with moderate anemia

Suci Agnanni Aisyiyah — 2025-11-04

Pregnancy and childbirth are physiological events, but if not managed properly and correctly, they can become pathological. Continuity of Care includes integrated services for mothers and children from pre-pregnancy to childbirth, the postnatal period, and childhood. The purpose of this study was to provide continuous care to Mrs. L, aged 33, G2P1001, at TPMB Binti Mahmudah, S.ST., Bdn. The research design used was descriptive and case study. The results showed that the care provided from pregnancy, delivery, postpartum, and newborn care all went smoothly, and the condition of the mother and baby was good and healthy. In conclusion, after receiving continuity of care from pregnancy, childbirth, postpartum, and newborn care, everything went smoothly, and the mother and baby were in normal condition. Recommendations for health workers are to maintain the quality of health services and conduct early screening to determine continuous midwifery care and service quality.

Sleep quality in hypertensive patients of productive age

Aggri Ega Setynto — 2025-11-04

Hypertension is a non-communicable disease (NCD) whose prevalence continues to increase in Indonesia, including in productive age groups. Poor sleep quality can increase blood pressure and worsen the condition of hypertension. Therefore, it is important to know the description of sleep quality of hypertensive patients in productive age groups to support efforts to control blood pressure and improve quality of life. This study used a quantitative descriptive design with a cross-sectional approach. The study population was 1,829 hypertensive patients aged 18-59 years in the Sukorejo Health Center working area. The sample amounted to 50 respondents who were selected purposively. The inclusion criteria were hypertensive patients of productive age (18-59 years), willing to become respondents, and had a degree of hypertension ≥ degree 1. Exclusion criteria were patients who could not communicate well due to physical or psychological disorders and were not willing to become respondents. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire which consists of 7 components. Data were analyzed univariately in the form of frequency distribution and percentage. Most (74%) had grade 1 hypertension. 56% of respondents had poor sleep quality. The PSQI component shows that 54% of respondents have excellent subjective sleep quality, 84% have sleep duration >7 hours, 82% sleep efficiency >85%, but 84% experience sleep disturbances, 76% experience daytime dysfunction, and no respondents use sleeping pills. Most hypertensive patients of productive age in the Sukorejo Health Center working area have poor sleep quality. Interventions against causative factors such as sleep disturbances and daytime activity dysfunction are needed to support blood pressure control and improve the quality of life of hypertensive patients.