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nursing, midwifery, Gynecology and obstetrics, and RG1-991

jurnal, ners, keperawatan, kebidanan, Gynecology and obstetrics, and RG1-991

ABSTRAKLatar Belakang : Interprofessional Collaborative Practice (IPCP) merupakan bentuk kerjasama antar tenaga kesehatan dalam melakukan kolaborasi, komunikasi, dengan pendekatan yang terkoodinasi dalam berbagi pengambilan keputusan seputar masalah kesehatan untuk memastikan bahwa perawatan yang diberikan handal dan berkelanjutan. The World Health Organization (2010) juga menekankan pentingnya kolaborasi interprofesi. Kolaborasi interprofesi akan menurunkan angka komplikasi, lama rawat di rumah sakit, ketegangan dan konflik diantara tim kesehatan, tingkat kematian, serta mengurangi biaya perawatan dan durasi pengobatan, meningkatkan kepuasan pasien dan tim kesehatan. Pelaksanaan IPCP belum berjalan dengan baik salah satunya karena berbagai tenaga kesehatan masih menggunakan catatan medis yang terpisah dengan catatan perawatan dan catatan tenaga kesehatan lain untuk merekam kondisi pasien. Dengan demikian, untuk meningkatkan pelaksanaan IPCP membutuhkan media yang mendukung yaitu dengan mengintegrasikan catatan professional kesehatan menjadi satu catatan pasien yang terintegrasi. Sehingga antar tenaga kesehatan dapat berkolaborasi dengan media berupa catatan perkembangan pasien terinteintegrasi. Tujuan : Penelitian ini untuk mengeksplor pengalaman dokter spesilais, perawat, apoteker, ahli gizi, dan fisioterapis pada pendokumentasian Catatan Perkembangan Pasien Terintegrasi (CPPT) dalam IPCP di Ruang Rawat Inap RS UGM Yogyakarta.Metode : Rancangan penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini diambil dengan teknik nonprobability sampling menggunakan teknik purposive sampling. Pengambilan data dilakukan dengan indepth interview semistructure selanjutnya peneliti menganalisis semua data dengan menggunakan inductive content analysis dengan melakukan pengkodean terbuka, membuat kategori dan abstraksi data.Hasil : Empat tema telah dididapatkan dalam studi ini, yaitu pemahaman tenaga kesehatan tentang Catatan Perkembangan Pasien Terintegrasi dalam IPCP, Tingkat Kepatuhan tenaga kesehatan, Faktor Pendukung, Faktor Penghambat pendokuemntasian CPPTKesimpulan : Pendokumentasian Catatan Perkembangan Pasein Terintegrasi yang ditulis semua tenaga kesehatan merupakan media atau komunikasi non verbal yang dapat digunakan dalam pelaksanaan IPCP sehingga dengan adanya pendokumentasian Catatan Perkembangan Pasien Terintegrasi yang sesuai standar dapat menunjang pelaksanaan IPCP di Rumah Sakit. Peran masing-masing tenaga kesehatan sangat penting dalam keberhasilan pelaksanaan IPCP dan harus mendapat dukungan dari managemen rumah sakit. Kata Kunci: catatan teri terintegrasii; rekam medis; kolaborasi; multidisiplin ilmu.

jurnal, kebidanan, Gynecology and obstetrics, and RG1-991

Background: Obesity is increasing in almost all countries in the world and becomes big challenge for the world of health at the moment because it can cause chronic health problems. The increase of obesity occurred is related to the lifestyle of each individual along with the present pandemic condition which carries several consequences caused by change from active behavior into relaxed or sedentary behavior. Because of side effects of weight gain during the use of contraceptive and pandemic routines that change activities, Women of reproductive age gain fat excessively and even lead to obesity. Objectives: The independent variable in this study was hormonal contraceptive (DMPA) and the dependent variables were obesity, age, and duration of hormonal contraceptive (DMPA). The data collected will be tested for normality in advance in order to discover whether the data are normally distributed or not, then will be analyzed by using simple linear regression. This study is expected to provide a reference to suppress obesity in women of reproductive age so the quality of life and reproductive system can be maintained and can bear healthy descendants.Methods: This study had been performed by a quantitative method with chi-square analysis in order to discover the occurrence of obesity with total samples of 385 acceptors of contraceptive in Midwifery Independent Practice in Central Jakarta. Results: The results obtained had indicated that there was no effect on using 3 months contraceptive injection with the occurrence of obesity (p-value = 0.174), and there was no relationship between the duration of using 3 months contraceptive injection and the occurrence of obesity (p-value = 0.467). However significant results were obtained between the age and the occurrence of obesity in acceptors of 3 months contraceptive injection (p-value = 0.013) with a value = 0.05.Conclusions: Women of reproductive age who use 3 months contraceptive injection were expected to be able to maintain their quality of life by preventing excessive weight gain by doing physical activities that can burn calories although it can only be done at home or environment around the house, and doing productive activities during the present COVID-19 pandemic.

unintended pregnancy, antenatal care behavior, antenatal care, pregnancy, behavior, Gynecology and obstetrics, and RG1-991

Background: One in four mothers experience unwanted pregnancy. It causes great risks for mothers and children, such as malnutrition, neglected, violence and even death. During pregnancy, a woman is expected to take the initiative and change her behavior by taking adequate care. Antenatal care is a part of maternal and child health services that are vital in early detection and monitoring of fetal well-being as an efforts to improve the health of mothers and babies during pregnancy, childbirth and postpartum. The mother's intention towards her pregnancy, whether desired or not, is related to the mother's behavior during pregnancy. Unintended pregnancy can obstruct the achievement of adequate antenatal care..Objectives: This study aims to determine the relationship between unintended pregnancy and antenatal care behaviorMethods: This study used a cross-sectional design with the secondary data from 2017 Indonesian Demographic Health Survey. The dependent variable in this study was antenatal care behavior which is a composite of the first antenatal visit, frequency of antenatal visit and iron consumption. There were 14.223 women of childbearing age 15-49 years which eligible for this study’s criteria. The collected data was analyzed with chi square and logistic regression models of risk factors testResults: Mothers with unintended pregnancies have a bigger opportunity to do unhealthy antenatal care behavior (OR = 2.338: 95% CI 1.707- 3.203) compared to intended pregnancies. The effect of unintended pregnancy on antenatal care behavior varies according to maternal age (OR- 1.267: 95% CI 1.034-1.553), parity (OR= 0.579: 95% CI 0.430-0.780) and residency (OR= 1.490: 95% CI 1.226- 1.811).Conclusions: There is a relationship between unintended pregnancy and antenatal care behavior. Mothers with unintended pregnancies is 2.338 times more likely to have unhealthy antenatal behavior care. We also found that this effect differs according to the maternal age, parity and residency.

modern contraception methods, contraception service source, couple of childbearing age, Gynecology and obstetrics, and RG1-991

Population growth is a big problem for a country. The number of couples of childbearing age who using contraception should be increased in order to deal with this problem. Based on the results of the 2017 Indonesian Health Demographic Survey (SDKI), the number of couples of childbearing age using contraceptives was 57%. To increase the use of contraception, it is necessary for health facilities to play a role not only as providers of contraception, but also as providers of promotive and preventive services, so that couples of childbearing age can rationally choose the contraception to be used as needed. This research aimed to discover the relationship between contraceptive service sources and the modern contraceptive method used by couples of childbearing age. This research used the secondary data from the 2018 Program Performance and Accountability Survey of Population, Family Planning, and Family Development (abbreviated SKAP-KKBPK in Indonesia), using the cross-sectional research design and the Chi-square bivariate analysis. The population used in this research was all couples of childbearing age in Indonesia who becomes responden in SKAP-KKBPK, which were 60.599 couples, and the samples were all couples of childbearing age who used modern contraception, which were 26,776 couples. The research known that as much as 76,9 % couple of childbearing chose to use short-term contraceptive methods and 76,51 % choose visit to a source of private service contraceptive to get those contraceptives. Couples of childbearing age who use short-term contraceptive visit to private service contraceptive (85.9 %) and couples of childbearing age who use long term contraceptive visit to government service contraceptive (52.6 %). The conclusion of this research is the relationship between source service contraception with modern contraception method used. The source service contraceptive must to offer the quality service to encourage.So that couples of childbearing age can rationally choose the contraception to be used as needed.

lavender aromatherapy, jasmine aromatherapy, labor pain level, Gynecology and obstetrics, and RG1-991

Background: The maternal mortality rate in Southeast Asian countries is Indonesia 190 per 100,000 live births, Vietnam 49 per 100,000 live births, Thailand26 per 100,000 live births, Brunei 27 per 100,000 live births, and Malaysia 29 per 100,000 live births (WHO, 2015). Data on maternal mortality in the Special Region of Yogyakarta in 2020 found 40 cases, an increase from the previous year, which was 36 cases. In the Bantul district there are 20 cases of maternal mortality(DIY Health Office, 2020). Labor pain relief methods are divided into non-pharmacological (psychoprophylactic, hypnosis, acupuncture, touch healing therapy, relaxation exercises, massage therapy, music therapy) and pharmacological (systemic drugs, inhalation anesthetics, general anesthesia, regional anesthesia) (Tanvisut et al., 2018).Objectives:This study aims to determine the effect of lavender and jasmine aromatherapy on pain levels in the first stage of labor at the Bina Sehat Clinic.Methods: Quasi experimentwith pretest and posttest group design. a sample of 38 respondents using the formula (Lemeshow et al., 1997) in Sastroasmoro and Ismail (2011). Sampling technique with simple random samplingResults:Shows that jasmine aromatherapy is more effective in reducing pain levels in first-stage mothers than lavender aromatherapy at the Bina Sehat Clinic. There is a significant effect of the level of labor pain in the first stage before and after the lavender and jasmine aromatherapy intervention period.Conclusions:Jasmine aromatherapy was more effective in reducing pain levels in first-stage labor than lavender aromatherapy at the Bina Sehat Clinic with a Z_Wilcoxon value obtained at -4.001 and a significant value of 0.000 (p

hope, psychological well-being, breast cancer, cancer survivor, qualitative study, Gynecology and obstetrics, and RG1-991

Background: Cancer is perceived as a deadly disease for most people, it will affect the hope and psychological well-being of long-term cancer survivors. Objectives: This study aimed to explore changes in hope and psychological well-being after 5 years become breast cancer survivors. Methods: This was a qualitative study with a phenomenological design. Samples were 23 breast cancer survivors in three health centers in Surabaya Indonesia taken by purposive sampling technique based on inclusion criteria. An in-depth interview was done when collecting the data. The interview was recorded with the permission of the participants. The data were inductively analyzed through conventional content analysis. Results: The participant has an age range of 41 – 70 years old, and most of them are no longer working since being diagnosed with cancer. This study found 4 themes consisting of the first theme was positive hope about cancer with 3 sub-themes: hope to recover, hope no recurrence occurs, and hope to be healthier, the second theme was a good future with 3 sub-themes: long life, back to work, and optimism, the third theme was positive psychological well-being with 3 sub-themes: positive thinking, self-control ability, happy feeling, the last theme was a close relationship with God with 2 sub-themes: grateful and pray, repentance. Conclusions: Breast cancer survivors who have been diagnosed for more than 5 years and have completed cancer therapy had a positive hope to recover, are optimistic about the future and are closer to God, this encourages the achievement of positive psychological well-being.

dysmenorrhea, painful, tens, Gynecology and obstetrics, and RG1-991

Background: Dysmenorrhea is medical condition indicated by an increase of the prostaglandin (PG) F2-alpha hormone and cyclooxygenase (COX-2) causing hypertonic as well as vasoconstriction activity to the myometrium. It leads to ischemia and stimulating pain in the uterine organs. The condition influence quality of life and productivity of majority female patients. Dysmenorrhea incidence in Indonesia is reported by 64.25% and a total of 52% of students in Yogyakarta experienced drop activity during menstruation. Objectives: This study aimed to evaluate the effect of TENS in reducing primary dysmenorrhea pain among female adolescents in General Ahmad Yani University YogyakartaMethods: A quasi experiment study with pretest-posttest control group design was conducted. A total of 24 participants for intervention and control group were recruited. In order to recruit study participants, this research implemented a quota sampling approach. Primary dysmenorrhea pain measured using Numerical Rating Scale (NRS) and bivariate analysis between both groups carried out using T-test.Results: A significant difference (pConclusions: TENS and massage intervention potential to decrease pain intensity of primary dysmenorrhea. This study reported lower pain level associated with TENS by 3.50%. TENS had significant effect for reducing dysmenorrhea pain by 3.50%.

not smoking, adolescents, social capital, access to cigarettes, path analysis, Gynecology and obstetrics, and RG1-991

Smoking behavior is a threat to public health. This study identified factors that influence non-smoking behavior among adolescents. The aim is to determine the effect of media exposure, knowledge of the dangers of smoking, social capital, access to cigarettes among adolescents by using Theory of Planned Behavior (TPB).This cross-sectional study was conducted in Kulon Progo Regency, Yogyakarta Province, Indonesia, in April - May 2018. The dependent variable is non-smoking behavior. Independent variables were intention to not smoke, attitude to smoking, knowledge of tobacco use, subjective norms of not smoking, control of perceived behaviors for not smoking, media exposure to cigarette advertising, access to cigarettes and social capital among teenagers. Data were collected by questionnaire and analyzed by path analysis carried out in Stata 13.This study resulted in an attitude towards not smoking (b = 1,15; 95% CI = 0,55 to 1,75; p< 0,001), subjective norm for not smoking (b = 1,56; 95% CI = 0,96 to 2,16; p Health promotion model with Theory of Planned Behavior (TPB) can be used to explain not smoking behavior among adolescents.

anxiety, kindergarten teacher, distance learning and Education

Learning during the COVID-19 pandemic was turned into distance learning. In this COVID-19 pandemic situation, the learning process does not run as usual, with this situation causing anxiety for teachers in general. This study aims to determine the level of anxiety of Kindergarten teachers in Distance Learning in Tasikmalaya City. Therefore, to determine the level of teacher anxiety, a research was conducted using descriptive quantitative research methods through distributing questionnaires based on the anxiety theory of Robert L Spitzer which consisted of 7 instruments (GAD-7). The population in this study amounted to 407 teachers, and the number of samples in this study amounted to 202 teachers. This research uses google form. The results of the study of 218 people showed that the level of anxiety of kindergarten teachers in PJJ in Tasikmalaya City was in the category of moderate anxiety with a percentage value of 47.2%, with the difference in anxiety levels in the category of not having anxiety was 3.2%, while the difference in anxiety levels in the category of not having anxiety was 3.2%. the low category is 11.9% and the difference in the high level of anxiety category is 37.6%. Keywords: Anxiety, Kindergarten, Distance Learning References Afiani Rara. (2020).“Inovasi Teknologi Dalam Pembelajaran Pada Masa Pandemic Covid-19 Di MI Nurul Yaqin, Al Amin, M. N. K. (2020). Menakar Nilai Kemanfaatan dari Penangguhan Walimat Al- ‘Ursy Di Masa Darurat COVID-19 Melalui Sadd Adz-Dzari’ah. Ulumuddin: Jurnal Ilmu-ilmu Keislaman, 10(1), 27–38. Allen, Jennifer L., and Rebecca Lerman. (2018). 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resilience, recurrence, schizophrenia, Gynecology and obstetrics, and RG1-991

Background: The rate of recurrence level in schizophrenia patients is still high. Schizophrenic patients experience various decreases in cognitive, emotional, social behavior, and brain functions, so that an optimal attitude of resilience is needed. Schizophrenic patients with good resilience can reduce the risk of recurrence.Objectives: The aim of this study is to analyze the relationship between resilience and recurrence rate of schizophrenia patients in Health Community Centre, Gamping 2, Sleman.Methods: This research was a quantitative research with a cross sectional design. Sampling technique used is simple random sampling. There were 44 schizophrenic patients for the sample in Health Community Centre, Gamping 2, Sleman, Yogyakarta. The instrument used was demographic data to measure recurrence, the CD-RISC10 questionnaire with the Kendall Tau test.Results: This research was a quantitative research with a cross sectional design. Sampling technique used is simple random sampling. There were 44 schizophrenic patients for the sample in Health Community Centre, Gamping 2, Sleman, Yogyakarta. The instrument used was demographic data to measure recurrence, the CD-RISC10 questionnaire with the Kendall Tau test.Conclusions: There is a relationship between resilience and recurrence on schizophrenia patients in Health Community Centre, Gamping 2, Sleman

Postpartum, Health Care, Contraceptive, Childbirth, Gynecology and obstetrics, and RG1-991

Result of SDKI 2012 show that MMR in Indonesia is 359 deaths per 100,000 live births. This result show that Indonesia still far from the target SDGs (Suitable Development Goals), who reducing the Maternal Mortality Rate (MMR) to 70 per 100,000 live birth. One of the breakthrough programs of the Ministry of Health in an effort to accelerate the reduction in maternal mortality is to increase contraceptive after childbirth. The coverage of contraceptive after childbirth in Indonesia is still far from what is expected, from the 2013 Riskesdas data the coverage of contraceptive after childbirth in Indonesia was only 59.6%. Papua became a province with the lowest coverage of only 26%. The purpose of this study was to determine the relationship between postpartum health care and contraceptive after childbirth in Indonesia. This study using secondary data from "2013 Basic Health Research" conducted by the Health Research and Development Institute. The 2013 Riskesdas survey uses a cross sectional design. The results of the Chi-Square test showed that there were 0,0001, which meant that there was a relationship between postpartum health care and contraceptive after childbirth in Indonesia. While the results of the analysis of OR values were 1.595, which means that mothers who received health care during the postpartum were 1.6 times more likely to use contraceptive after childbirth.

VIA, counseling, women of childbearing age, Gynecology and obstetrics, and RG1-991

Cervical cancer is a health problem that hit countries in the world. WHO estimates there are 460,000 new cases worldwide and 75% are in developing countries. The incidence of cervical cancer in Indonesia according to the Indonesia Departement of Public Health in 2010 reached 100 per 100,000 population per year. In contrast to the developed countries, the incidence and mortality from cervical cancer has decreased due to cervical cancer screening program that can be done with a pap smear or VIA (Visual Inspection of the Uterine Cervix with Acetic Acid). Based on the results of a survey conducted among women of childbearing age in Sedayu I and II Bantul Local Government Clinic in the last 3 years, it was found that the amount of data women of childbearing age inspecting VIA continues to decrease each year. The aim of research to determine the relationship between a history of getting counseling about VIA and VIA participation in women of childbearing age in Sedayu I and II Bantul Local Government Clinic. This study uses an analytical survey. The design of this study using cross sectional. The population in this study are all of women of childbearing age at Sedayu I and Sedayu II Local Government Clinic. The number of samples taken by counting the estimated number of samples obtained 102 women of childbearing age. The results showed that most of women of childbearing age ever get counseling from midwife/health workers about VIA as many as 65 people (63.7%) and the remaining 37 (36.3%). A total of 60 women of childbearing age (58.8%) has audited women of childbearing age VIA test and 42 (41.2%) have never done VIA test. The conclusion there was signifi cance correlation between a history of getting counseling about VIA and the VIA participation in women of childbearing age in Sedayu I and II Bantul Local Government Clinic with value of p=0.000.

early marriage, youth, reproductive health, idhs, impact, Gynecology and obstetrics, and RG1-991

Background: Early marriage is a form of violence and violation of children's rights. Early marriage that occurs in Indonesia is a very complex dynamic. Geographically, culturally and religiously, the level of acceptance and practice of child marriage varies across Indonesia. Based on the Report on the Fulfillment of Children's Rights in the Special Region of Yogyakarta in 2017, the number of child marriages in the Special Region of Yogyakarta was 294, a decrease from 2016 which was 346 (a decrease of 15.3%). Early marriage has a big risk of experiencing various bad things. Objective: to find out what are the impacts of early marriage on women of reproductive age in the Special Region of Yogyakarta. Methods: The data used in this study is secondary data from the Indonesian Health Demographic Survey (IDHS) issued by the BKKBN. The population in this study were all women of reproductive age whose data was recorded in the partner data in the 2017 IDHS report (Couples record). This research is an analytic study with a cross sectional approach. Data analysis was performed using Cremer's V and Contingency Coefficient analysis. Results: The results showed that there was an effect of early marriage on several dependent variables in this study which was indicated by p value Conclusion: Reproductive health and sexuality education needs to be carried out strategically and systematically nationally and sustainably by involving various cross-sectors, starting from school education, community leaders, religious leaders and health workers. Appropriate and comprehensive teaching and education can help youth in making wise decisions regarding early marriage.

severe acute malnutrition, children, home visit, infectious diseases episode, nutrition intake, Gynecology and obstetrics, and RG1-991

Malnutrition is one of the principal causes of child mortality in developing countries including Indonesia. Severe Acute Malnutrition (SAM) is the most serious form of malnutrition affecting children under-five and is associated with many infectious diseases and nutrition intake. In the last few decades, there has been a paradigm shift in the management of acute malnutrition from a facility-based to community-centered approach. The purpose of this study was to evaluate effect of home care intervention in decreasing infectious diseases episode and increasing nutrition intake of severe acute malnutrition children aged 6-60 months. Quasi-experimental with pretest-posttest control group design was carried out for this study. The study was done in two district involving 32 health centers of Yogyakarta province. 56 children with SAM were selected using purposive sampling. The study was performed in three phases, intensive, strengthening and independent phase applying nursing care approach. Data analysis was done by SPSS software. Mean episodes of infectious diseases in the baseline at home care group was 2,64 days and after the intervention the mean was 0,21 days. Nutritional adequacy rate in the baseline only reached 83,65% and after intervention reached 106,23%. During the three months intervention of home care, there were significant decreases in infectious diseases episode and increases nutrition intake with p value 0,0003 and 0,003 respectively

booklets, nutrition, surgical patients, Gynecology and obstetrics, and RG1-991

Malnutrition in patients in the hospital have to know anything to do with the increase in the old days of hospitalisation, clinical conditions change, the increased use of hospital resources support, and increased risk of complications. The high malnutrition in hospitals have also been widely reported, at the time of going home from the hospital an average weight loss of 5.4%. In Indonesia, the prevalence of malnutrition is still relatively high, the prevalence of malnutrition by 40% -60% of patients digestif malnutrition. The results of the study in 2007, using the parameters Subjective Global Assessment (SGA), Body Mass Index (BMI), haemoglobin, hematocrit and albumin found the prevalence of malnutrition by 52%, 15%, 55%, 26% and 93%. Research in the UK found that promotional text messages to monitor the weight in the community have helped to identify the risk of malnutrition. Research purposes. This study aims to determine the effect of the use of nutrition booklet on food intake and levels of albumin surgical patients. Research methods. This study uses a pure experiment with Post Test Only with Control groups Design. Involved 60 respondents were divided into treatment group and 30 respondents 30 respondents comparison group. Statistical test using independent t-test with CI 95% Results: There were significant differences average remaining meal among surgical patients who use the nutrition booklet that does not use a nutrition booklet on alpha 5% with the p-value of 0.03. There are differences in the average value of serum albumin among surgical patients who use the nutrition booklet that does not use a nutrition booklet on alpha 5%, p 0.0001. Serum albumin levels and food intake increased significantly with the use of nutritional booklet.

psychological, characteristics, post sectio caesarea, epds, Gynecology and obstetrics, and RG1-991

Background: Psychological problems in postpartum mothers, both vaginal postpartum and post SC, can have a negative impact on the cognitive development of babies and can reduce maternal and infant bonding. Post SC have a risk of postpartum depression four times greater than mothers with vaginal deliveries. However, previous studies looked at postpartum mothers in general, not specifically in post-SC who had a higher risk. Research related to early detection of the risk of post-SC psychological disorders is quite limited. The prevalence of mothers with postpartum depression symptoms in Denpasar in 2019 was 25.4%. Early detection can be done using the Edinburgh Postpartum Depression Scale (EPDS).Objectives: The aims of this research to identify the psychology of post SC mothers based on characteristics including age, race/ethnicity, last education, income, pregnancy status, parity, living with a nuclear or large family, lactation problems, and type of SC in the Dr.dr. I Nyoman Hariyasa Sanjaya,SpOG(K)-KFM.MARS 2022.Methods: Descriptive research design with a cross-sectional subject approach model. The sample of this research is 34 samples with the Consecutive Sampling technique. Types of primary data taken by EPDS and characteristic questionnaire. This study uses quantitative descriptive univariate analysis.Results: The prevalence of Post SC which indicates a psychological disorder is 44.12%. Post SC which indicates more psychological disorders are mothers with a productive age range of 20-35 years by 26.47%, Asian race 41.18%, higher education level which is 38.24%, very high revenue 38.24%, desired pregnancies status 35.29%, 29.41% multiparas, 23.53% mothers living with large families, 38.24% experiencing lactation problems, and 26,47% elective SC types.Conclusions: This study found that 44.12% of Post SC indicated experiencing psychological disorders, the majority were Post SC at the age of 20-35 years, Asian race, good education, very high revenue, desired pregnancy status, multipara, mothers living with large families, mothers with lactation problems, and elective cesarean section. The environment and health workers can conduct screening as early as possible so that the impact of this psychological disorder can be prevented.

green grass jelly, mda (malondialdhyde), pregnant hypertension, Gynecology and obstetrics, and RG1-991

Background: Hypertension is a disease that often occurs during pregnancy. Many factors influence the occurrence of hypertension, one of which is oxidative stress. Oxidative stress has an important role in the pathogenesis of hypertension in pregnancy and may be a pathway that can lead to tissue damage. Oxidative stress can stimulate the release of cytokines, antiangiogenic, microparticles and other important molecules in hypertension. Oxidative stress is caused by an imbalance of prooxidants and antioxidants. So we need antioxidants that can suppress oxidative stress in pregnant women with hypertension. Green grass jelly contains alkaloids and flavonoids. Where flavonoids can act as antioxidants and anti-inflammatory. Flavonoids can reduce arterial stiffness making Reactive Oxygen Species (ROS) decrease so that fat peroxide decreases and is followed by decreased oxidative stress, then endothelial function will increase and vasodilation occurs. Malondialdehyde (MDA) is an aldehyde marker compound that is important to see lipid peroxidation and oxidative damage caused by Reactive Oxygen Species (ROS).Objectives: To prove that giving green grass jelly has an effect on reducing oxidative stress in pregnant women.Methods: This study used a quasy experiment with a pretest and posttest control design. A sample of 30 was divided into 2 groups. The group with green grass jelly intervention was 15 people who were given green grass jelly as much as 150 grams per day for 14 days. The second group as many as 15 people as the control group.Results: The green grass jelly intervention group had a significant difference with p-value 0.05. The mean decrease in malondialdehyde levels in the control group was 0.0560 nmol/ml while the average decrease in malondialdehyde in the intervention group was 1.3133 nmol/ml.Conclusions: Green grass jelly is effective and significant for reducing malondialdehyde levels in pregnant women with mild hypertension.