Publication Search

Preterm birth remains a significant public health concern due to its contribution to neonatal morbidity and mortality worldwide. Among the various risk factors, maternal infections—particularly sexually transmitted infections (STIs)—have been identified as preventable yet critical determinants of premature delivery. This study aimed to examine the relationship between STIs and preterm birth among mothers receiving care at Tomalou Primary Health Care Center. A cross-sectional analytical design was employed, involving 30 postpartum mothers whose medical records and antenatal care data were available. Data on STI status and birth outcomes were collected from health center records and laboratory results, while maternal demographic and obstetric characteristics were also documented. Results indicated that 40% of participants were diagnosed with STIs during pregnancy, and 33.3% experienced preterm birth. Chi-square analysis revealed a significant association between maternal STI status and preterm delivery (p = 0.003). Logistic regression demonstrated that mothers with STIs were sixteen times more likely to deliver prematurely compared to uninfected mothers (OR = 16.0; 95% CI: 2.45–104.3; p = 0.002). These findings suggest that STIs represent a substantial risk factor for preterm birth, even among mothers with adequate antenatal care attendance. Early detection, timely treatment, and comprehensive reproductive health education are recommended to reduce infection-related adverse outcomes. Strengthening STI screening and management within primary healthcare settings is essential to improve maternal and neonatal health outcomes. This study provides evidence for the importance of integrating infection prevention strategies into routine antenatal care to mitigate the risk of premature delivery.

ABSTRACT Background: Pregnancy complications are one of the causes of morbidity and mortality in women. Data from the 2017 Indonesian Demographic and Health Survey (SDKI) showed that 28% of pregnant women in Indonesia are at risk of experiencing complications during pregnancy. Preeclampsia is a condition characterized by the onset of hypertension followed by organ dysfunction either with or without proteinuria at a gestational age above 20 weeks. Objective: The purpose of this study was to determine the characteristics and outcomes of neonates born to mothers with preeclampsia. Method: This type of research is a quantitative descriptive study using secondary data and using a total sampling of 261 medical records. Results: The results of the study were as follows: preeclampsia occurs mostly in young adults 73.95%, Primigravida 60.15%, Islam 50.50%, working mothers 62.45%, secondary education 80.07%, and first marital status 76.62%. The description of neonatal outcomes in mothers giving birth with preeclampsia was obtained with neonatal outcomes in good condition, namely 47.14% born at term gestational age with 43.67% non-LBW conditions, experiencing asphyxia 37.94% and being treated without respiratory support 65.52%. Conclusion: the outcomes of neonates born to mothers with preeclampsia quite often experience asphyxia. Early detection, prevention and treatment of complications, especially in cases of preeclampsia, are necessary so that neonatal outcomes can be maintained without complications and produce a good level of health for both mothers giving birth and newborns.

Weight gain can be a concern for some women, with some considering a body conforming to specific beauty standards as an ideal or desired goal. The use of progesterone hormone injections, which affect the appetite control center in the hypothalamus, can increase appetite and potentially lead to weight gain. This research employs a descriptive-analytical method with a quantitative approach conducted at the Independent Midwife Practice in the working area of the Kragilan Serang Community Health Center, Banten, using secondary data from medical records. Data collection involved 96 respondents divided into 48 samples of 1-month injectable contraceptive (KB Suntik) users and 48 samples of 3-month injectable contraceptive users. The total research sample size is 96 respondents, with the majority falling in the 20–40 age group and the remainder aged >40 years. The results indicate that among the 48 respondents using the 1-month injectable contraceptive, the average weight gain is 0. 938 kg, while for the 3-month injectable contraceptive, the average weight gain is 4. 251 kg.

Diabetes Mellitus is a chronic disease that requires early detection to prevent serious complications. This study aims to implement the Artificial Neural Network (ANN) algorithm with the Backpropagation method to predict the risk of diabetes. The dataset used is the Pima Indians Diabetes Dataset, consisting of 768 medical records with 8 feature attributes. This study employs the Multi-Layer Perceptron method with an architecture of 8 input neurons, two hidden layers, and 1 output neuron. Model evaluation is conducted using a Confusion Matrix to measure accuracy levels. The test results show that the model is capable of predicting diabetes diagnosis with an accuracy rate of 76.62%. Based on these results, it can be concluded that the Backpropagation algorithm is effective as an alternative method for early detection of diabetes, although further development is needed to improve the model's sensitivity to positive cases.  

Informed consent constitutes a fundamental legal and ethical requirement in healthcare services, ensuring that every medical action is performed with the patient’s full awareness and voluntary approval. In Indonesia, the obligation to obtain informed consent is firmly regulated under the Health Law No. 17 of 2023, the Minister of Health Regulation on Medical Consent, and provisions on medical records. This paper examines the essential role of informed consent as a protective instrument for both patients and healthcare providers within the clinical and legal framework. Informed consent guarantees patients’ rights to information, autonomy, and decision-making, while providing legal safeguards for medical practitioners by documenting the process of explanation, acceptance, or refusal of medical treatment. Proper documentation within medical records ensures accountability, continuity of care, and serves as crucial evidence when medical disputes arise. Medical disputes often stem from dissatisfaction, communication gaps, or misunderstandings about risks inherent in medical procedures. Therefore, informed consent functions not merely as an administrative requirement but as a mechanism for preventing conflict, clarifying responsibilities, and distinguishing unavoidable medical risks from professional negligence. By strengthening the implementation of informed consent, healthcare providers can enhance transparency, improve service quality, and reduce the likelihood of medical litigation.  

The global and national rates of cesarean section (CS) deliveries continue to show an increasing trend, including in Lampung Province. This study aims to analyze the factors associated with the increased incidence of CS deliveries at Griya Medika Dompet Dhuafa Hospital. An analytical quantitative design with a cross-sectional approach. The study population consisted of all mothers who gave birth during the period of January–June 2025. The sample was determined using the Slovin formula, yielding 240 medical records selected through simple random sampling. The independent variables included maternal age, educational background, obstetric history, and medical indications, while the dependent variable was CS delivery. The study was conducted from July to August 2025. Data were analyzed using univariate and bivariate methods with the Chi-Square test. The results showed that most respondents underwent CS delivery (95%). Maternal characteristics included non-risk age (73.8%), secondary education (38.3%), multiparity (54.2%), and the most common medical indication was fetal indication (55.4%). Bivariate analysis indicated no significant relationship between maternal age (p=0.519), educational background (p=0.509), and obstetric history (p=0.694) with CS delivery. Conversely, there was a significant association between medical indications and CS delivery (p=0.041). It was concluded that the increasing rate of CS deliveries is predominantly influenced by medical indications, particularly fetal indications. Therefore, it is recommended that health workers enhance early detection of pregnancy and childbirth risks and strengthen educational efforts for pregnant women as preventive measures to reduce the incidence of CS

Anemia in pregnant women is a health problem that contributes significantly to Low Birth Weight (BBLR), a serious issue in Indonesia with a prevalence exceeding 15% according to WHO, and is a major contributor to the high Neonatal Mortality Rate. This study aims to examine the relationship between anemia in pregnant women and the incidence of BBLR at the Sungai Durian Health Center, Sintang Regency. Using a case control analytical research design with secondary data from medical records in 2024, the sample used was 116 respondents, consisting of 58 pregnant women with BBLR babies as the case group and 58 pregnant women with normal birth weight babies (BBLN) as the control group, which were taken by total sampling technique. Data analysis was carried out using the Chi-Square test and the Odds Ratio (OR) with a significance level of 95%. The results of the study show that the incidence rate of BBLR at the Sungai Durian Health Center in 2024 is 25.8%, and the incidence of anemia in pregnant women is 46.6%. Statistical tests showed a significant relationship between anemia in pregnant women and the incidence of BBLR (p < 0.05). Pregnant women with anemia had a 21.758 times greater risk of giving birth to a BBLR baby compared to non-anemic mothers (OR=21.758; CI 95% = 1.45–7.08). The study concluded that there was a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at the Sungai Durian Sintang Health Center.

Epilepsy is one of the most common chronic neurological disorders in children. Long-term use of antiepileptic drugs carries the risk of Drug Related Problems (DRPs) such as drug interactions, inappropriate dosing, and untreated indications. This study aimed to identify the types and incidence of DRPs in pediatric epilepsy outpatients at Embung Fatimah General Hospital, Batam. This was a descriptive, non-experimental study with a retrospective design. Data were collected from pediatric medical records (<18 years) between January–December 2024, with a total of 45 patients. DRPs were identified using the American Society of Hospital Pharmacist (ASHP) classification. Of 45 patients, the majority were aged 1–5 years (38%) and female (53%). The most frequently used antiepileptic drug was sodium valproate (56.36%). Identification DRPs included drug interactions (63.16%), untreated indications (5.26%), and inappropriate drug selection (5.26%). No cases of overdose or failure to receive medication were found. The most dominant DRP in pediatric epilepsy patients was drug interactions, particularly between valproic acid and folic acid.

Disasters are global phenomena that continue to increase in both frequency and impact, posing serious challenges to health systems worldwide. One of the crucial components in disaster management is the preparedness of Emergency Medical Services (EMS) during the pre-hospital phase, which determines the speed and effectiveness of the initial medical response. However, multiple studies indicate that EMS preparedness and response capacity remain suboptimal, particularly in areas such as personnel training, intersectoral coordination, communication systems, infrastructure, and policy support. This study aims to map the preparedness and emergency response capacity of EMS in disaster situations using a scoping review approach. The research follows the methodological framework of Arksey and O’Malley (2005), which includes formulating research questions, conducting literature searches, selecting relevant studies, extracting data, and synthesizing findings. Literature searches were conducted through PubMed, ScienceDirect, Cochrane Library, and Google Scholar databases. From 114 identified records, 12 studies met the inclusion criteria. The review reveals that EMS disaster preparedness varies across countries. The main factors influencing EMS response capacity include: (1) training and competency development of EMS personnel, (2) effectiveness of interagency coordination and communication, (3) availability of medical facilities and infrastructure, (4) national policy and system support, and (5) the use of technology to enhance response efficiency. This scoping review underscores the need for stronger national policies, improved cross-sectoral coordination, and sustainable capacity-building programs to enhance the effectiveness of EMS in disaster response, particularly in developing countries such as Indonesia.

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.

Dermatophytosis is a superficial fungal infection of the skin, hair, and nails that is often found in tropical climates such as Indonesia, including Jambi City, which has high humidity and community habits that can support fungal growth. This study aims to describe the demographic characteristics of dermatophytosis patients who received treatment at a private dermatologist and venereologist in Jambi City throughout 2023. This study used a descriptive design using secondary data from patient medical records. A total of 399 patients who met the inclusion criteria were analyzed univariately and the results are presented in the form of a frequency distribution table. The results showed that tinea corporis was the most common type of dermatophytosis, followed by tinea cruris and tinea capitis. The majority of patients were male, aged 17–25 years, had a high school education, and worked as students. The most common locations of lesions were on the trunk and groin. These findings suggest that the productive age group is more susceptible to dermatophytosis, possibly related to high physical activity, excessive sweating, and suboptimal personal hygiene. This research is expected to be the basis for planning health education regarding the prevention of fungal infections and improving clean and healthy living behavior in the community.

Electronic Medical Records (EMR) are crucial for the quality of healthcare services, but compliance remains a challenge. This study analyzed factors influencing compliance among healthcare workers at a type B private hospital in North Jakarta using a quantitative cross-sectional design with 58 respondents through total sampling. Data were obtained through questionnaires related to individual factors (age, length of service, knowledge), psychological factors (attitude, motivation), and organizational factors (leadership, work design, rewards). The results showed that 72.4% of respondents were compliant. The chi-square test revealed a significant relationship between compliance and age (p=0.042), length of service (p=0.000), knowledge (p=0.001), attitude (p=0.017), motivation (p=0.002), leadership (p=0.046), and rewards (p=0.010), while work design was not significant (p>0.05). Multivariate analysis found age, length of service, knowledge, and leadership as the dominant factors. Healthcare workers with younger age, shorter tenure, good knowledge, positive attitudes, high motivation, good leadership, supportive work designs, and adequate reward systems tend to have higher compliance rates. Improving compliance in completing EMRs depends not only on individual factors but also requires organizational support through effective leadership and management systems. Recommended interventions include improving digital literacy, regular training, strengthening a work culture that emphasizes the importance of medical documentation, and implementing peer learning strategies among healthcare workers to accelerate adaptation and share best practices in completing EMRs.

Accreditation is the recognition of the quality of hospital services after an assessment has been conducted to determine whether the hospital has met accreditation standards approved by the government. Every note in the medical record must clearly identify the professional care provider (PPA), including the full name and signature, as well as the date and time of writing. The purpose of this study was to determine how the PPA's identity is filled in in medical records based on accreditation standards at Haji General Hospital, Medan. The research method used was qualitative research, with data collection techniques using in-depth interviews and observation. Six informants participated, including doctors, nurses, and medical records officers. The results showed that despite the existence of Standard Operating Procedures (SOPs) for filling in the PPA's identity, incomplete medical records were still found, such as only including a signature without a clear name and an omitted date and time. Incomplete files were returned to the relevant unit for correction. The main obstacle faced was the PPA's limited working time to complete the medical record files. In conclusion, the PPA's identity is not fully compliant with existing SOPs. Therefore, regular monitoring and evaluation, along with training for all PPAs, are needed to ensure optimal completeness of medical record documentation.

Indonesia's adolescent pregnancy prevalence necessitates comprehensive determinant identification for evidence-based preventive strategy formulation. This research analyzes correlations between reproductive health knowledge, parental role functioning, and peer influence on teenage pregnancy among female adolescents in Ciseeng Health Center, Bogor Regency, West Java Province. Cross-sectional design employed among 65 adolescents aged 15-19 years during October 2024-January 2025 using stratified random sampling. Data collection utilized validated questionnaires based on WHO Adolescent Sexual and Reproductive Health Indicators, Parental Monitoring and Support Scale, and Peer Pressure Inventory with Cronbach Alpha (α=0.84; 0.81; 0.79). Demographic characteristics showed 60% aged 17-19 years, 40% aged 15-16 years, with 55.4% experienced pregnancy validated through medical records. Univariate analysis identified knowledge deficiency (64.6%), parental dysfunction (63.1%), and high peer influence (66.2%). Chi-Square analysis confirmed associations of low knowledge (p=0.001; OR=3.5; 95% CI=1.8-6.7), inadequate parental roles (p=0.002; OR=3.2; 95% CI=1.6-6.1), and dominant peer influence (p=0.001; OR=3.8; 95% CI=1.9-7.2) with adolescent pregnancy. Multivariate logistic regression identified peer influence as strongest predictor (AOR=3.80; 95% CI=1.67-8.65).

Obstetricians are often confronted with medical malpractice lawsuits, even when they have acted in accordance with professional standards, medical service standards, operational procedures, and medical ethics. Medical malpractice is generally defined as negligence or deviation from professional standards that results in serious harm to patients (Fiscina, 1999). This study aims to examine the application of the concept of medical malpractice along with its legal implications and to analyze the forms of legal protection available to obstetricians under Law Number 17 of 2023 on Health, viewed from the perspective of the principle of justice. Using a normative juridical method with descriptive-analytical specifications, the research employed a literature study and qualitative deductive analysis. The results indicate that legal protection for obstetricians consists of two dimensions: preventive and repressive. Preventive protection includes the implementation of informed consent, proper medical records, and compliance with standard operating procedures. Repressive protection involves legal defense mechanisms and institutional or professional organizational support. However, this protection remains suboptimal, as the decisions of the Indonesian Medical Disciplinary Board (MKDKI) are not always taken into account by the courts (Rahman, 2022). From the perspective of Rawls’ principle of justice, protection for obstetricians should ensure a balanced recognition of both patients’ and doctors’ rights, thereby promoting fairness and equitable justice for all parties (Rawls, 1971).

Background: Decreased kidney function is one of the serious complications of diabetes mellitus, which can develop into chronic kidney disease (CKD). This study aims to reduce kidney function in diabetic patients who are members of the Chronic Disease Management Program (Prolanis) at the Comal Pratama Clinic. Objective: The Prolanis program aims to effectively manage chronic conditions such as diabetes, these results show that most patients continue to experience significant decline in kidney function. Methods: This study involved a longitudinal analysis of Prolanis patient data, focusing on changes in creatinine and urea levels as indicators of kidney function. Clinical data used in this study included creatinine and urea levels, taken from patient medical records in 2023 and 2024. Results: The results showed a significant increase in creatinine and urea levels among the patients studied, indicating worsening kidney function during the study period. This study emphasizes the importance of closer monitoring and more specific interventions to protect kidney function in diabetic patients who are members of Prolanis. Conclusion: Most patients continue to experience significant decline in kidney function.

Background: Accurate coding of external cause in injury diagnoses is crucial to ensure the validity of medical records, support health policy decisions, and maintain the quality of morbidity reporting.  Objective: To determine the factors that influence the inaccuracy of external cause codes in injury diagnosis at Thalia Irham General Hospital, Panciro, Gowa Regency. Method: This study employed a descriptive qualitative approach using observation and in-depth interviews with outpatient coders handling injury cases. Result: The study found that only 36% of the medical record documents were coded accurately, 26% were inaccurately coded, and 36% lacked any external cause code. The main causes of inaccuracy included incomplete anamnesis, limited time, absence of specific standard operating procedures (SOPs), and the belief that external cause codes do not impact BPJS claims. Conclusion: The low level accuracy of external cause coding is caused by the lack of understanding of officers regarding the ICD-10 Chapter XX classification, the absence of a specific SOP for coding injuries, and the perception that external cause codes do not affect the claims system.

Fournier gangrene (FG) is a progressive and life-threatening necrotising fasciitis that affects the perineum, perianal region, and external genitalia. FG is a rare condition with a high mortality rate, which is significantly influenced by comorbidities such as uncontrolled diabetes mellitus, which acts as a major predisposing factor. Early diagnosis and aggressive management, particularly surgical debridement, are key to improving patient outcomes. This study is a case report aimed at describing the clinical findings, management, and final outcome in one patient diagnosed with Fournier gangrene. Data were collected from the patient's medical records after obtaining consent. A 52-year-old man with a history of uncontrolled DM presented with complaints of pain radiating from the scrotum to the lower abdomen and perineum, scrotal swelling, and fever, which developed over 5 days. A urological physical examination revealed scrotal oedema, crepitus, and necrotic skin accompanied by foul-smelling discharge. Laboratory results showed leukocytosis and hyperglycemia. The patient was diagnosed with Fournier gangrene and immediately underwent necrotomy debridement. Pharmacological management included aggressive fluid resuscitation, broad-spectrum antibiotics, and supportive therapy. The diagnosis of Fournier gangrene was established based on clinical findings of skin necrosis, crepitus, and severe pain in the genital/perineal area with uncontrolled DM as a predisposing factor. Rapid and integrated management, including aggressive surgical debridement, broad-spectrum antibiotics, and fluid resuscitation, is fundamental to successful treatment. The patient in this case report showed improvement and was discharged after 8 days of treatment.

Preeclampsia is a pregnancy complication that contributes significantly to maternal and perinatal morbidity and mortality, especially in developing countries. Despite various preventive measures, preeclampsia is still frequently found at the primary health care level. This study aims to analyze the factors influencing the incidence of preeclampsia in pregnant women at the Tiley Care Community Health Center. This study used an observational analytical design with a cross-sectional approach. The study population was all pregnant women who visited antenatal care at the Tiley Care Community Health Center, with a sample of 60 respondents selected using a total sampling technique. Data were collected through a review of medical records and KIA books, then analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that maternal age, history of hypertension, nutritional status based on body mass index, and adherence to antenatal care visits had a statistically significant relationship with the incidence of preeclampsia. Meanwhile, parity did not show a significant relationship with the incidence of preeclampsia. This study concluded that the incidence of preeclampsia is influenced by various maternal factors and maternal health behaviors during pregnancy. These findings underscore the importance of implementing risk-based antenatal care through early screening, ongoing monitoring, and increased adherence to antenatal care visits as a preventative measure for preeclampsia at the primary healthcare level.

The Hospital Management Information Sistem (SIMRS) is a key component in the digital transformation of healthcare services, aiming to enhance efficiency and service quality. This study evaluates the implementation of SIMRS at Mutiara Bunda Mother and Child Hospital and explores the challenges and opportunities for improvement. A qualitative case study approach was employed, with data collected through in-depth interviews, observations, and document reviews involving five key informants, including the medical records head, medical service manager, registration officers, and IT staff. The results show that the SIMRS covers registration, procedure input, laboratory, and pharmacy functions. However, issues such as delayed data entry by medical staff, limited equipment, lack of integration across service units, and absence of written user guidelines and regular training persist. The study concludes that although the SIMRS is in use at RSIA Mutiara Bunda, sistem optimization, staff capacity building, and stronger managerial support are crucial to fully realize its potential in improving service quality.