The effectiveness of reproductive midwifery care with the flour albus approach: A Case Study of handling vaginal discharge in women of childbearing age
Abstract
Introduction: Women of childbearing age have a higher risk of vaginal discharge than adolescents because of the frequent occurrence of pelvic inflammatory disease (PID). One of the symptoms of reproductive organ infections in women is vaginal discharge.
Objective: This study aims to apply midwifery care to cases of vaginal discharge (flour albus).
Methods: A descriptive method with a case study approach is used. Data was collected through primary data, including assessment and observation of the patient's health status, interviews to obtain subjective data, and direct examination for objective data. Secondary data was obtained through patient records, registered books in the KIA room, and literature studies.
Result: The results showed that the symptoms of vaginal discharge in patients included thick white mucus, unpleasant odor, and itching in the genital area. The care provided uses red betel leaf water decoction as a treatment effort. After obstetric care was carried out from July 16 to 20, 2024, the results were obtained that the patient's vaginal discharge improved without signs of genetic infection.
Conclusion: The success of this care is also marked by an increase in patients' understanding of good personal hygiene, how to properly clean the feminine area from front to back, and the effective use of red betel leaf boiled water. Thus, the management of obstetric care applied to this case of vaginal discharge is quite successful and practical, with a decoction of red betel leaves providing a positive effect in reducing the incidence of pathological vaginal discharge.
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References
Aklilu, A. et al. (2024) ‘Aerobic vaginitis, bacterial vaginosis, and vaginal candidiasis among women of reproductive age in Arba Minch, southern Ethiopia’, Scientific Reports, 14(1), p. 9813. doi: https://dx.doi.org/10.1038/s41598-024-58654-y.
Bapir, R. et al. (2023) ‘Vaginal discharge in a 2-year-old patient caused by an alkaline battery: A case report’, Journal of Pediatric Surgery Case Reports, 91, p. 102589. doi: https://doi.org/10.1016/j.epsc.2023.102589.
Beura, P. P. and Raul, S. K. (2024) ‘A Comprehensive Ethno-phyto-pharmacological review on Anti-leucorrhoeal medicinal plants from the Indian tribal region: Towards future therapeutic research’, Journal of Herbal Medicine, p. 100925. doi: https://dx.doi.org/10.1016/j.hermed.2024.100925.
Das, K. et al. (2024) ‘Kaposiform Lymphangiomatosis as a Cause of Vaginal Bleeding & Discharge: A Case Report’, Journal of Pediatric and Adolescent Gynecology, 37(6), pp. 625–628. doi: https://doi.org/10.1016/j.jpag.2024.06.005.
Figueiredo, C. C. et al. (2024) ‘Evaluating differences in milk production, reproductive performance, and survival associated with vaginal discharge characteristics and fever in postpartum dairy cows’, Journal of Dairy Science, 107(8), pp. 6079–6089. doi: https://doi.org/10.3168/jds.2023-23905.
Gupta, R. K., Guha, P. and Srivastav, P. P. (2023) ‘Phytochemical and biological studies of betel leaf (Piper betle L.): Review on paradigm and its potential benefits in human health’, Acta Ecologica Sinica, 43(5), pp. 721–732. doi: https://dx.doi.org/10.1016/j.chnaes.2022.09.006.
Hamilton, J. et al. (2024) ‘Exploring vaginal discharge scoring to assess clinical metritis severity: Comparison between intrauterine dextrose and systemic antibiotics treatments’, The Veterinary Journal, 304, p. 106103. doi: https://doi.org/10.1016/j.tvjl.2024.106103.
Hu, Y. et al. (2021) ‘Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis’, Journal of clinical nursing, 30(23–24), pp. 3398–3414. doi: https://dx.doi.org/10.1111/jocn.15865.
Immaru, M. et al. (2024) ‘Vaginitis with purulent vaginal discharge caused by artificial insemination using frozen Histophilus somni-contaminated semen’, Veterinary Microbiology, 295, p. 110147. doi: https://doi.org/10.1016/j.vetmic.2024.110147.
Juniar, A. D. et al. (2023) ‘The relationship between level of knowledge and vaginal discharge prevention behavior for nursing student’, Revista Brasileira de Enfermagem, 76(Suppl 2), p. e20220602. doi: https://dx.doi.org/10.1590/0034-7167-2022-0602.
Karo, M. B. et al. (2021) ‘Relationship Between Tight Pants Use and The Incidence of Flour Albus Pathology in Women of Childbearing Age’, Jurnal Kesehatan Prima; Vol 15, No 1 (2021): FEBRUARYDO - 10.32807/jkp.v15i1.589. doi: http://dx.doi.org/10.32807/jkp.v15i1.589.
Moore, S. G. et al. (2023) ‘Associations between the postpartum uterine and vaginal microbiota and the subsequent development of purulent vaginal discharge vary with dairy cow breed and parity’, Journal of Dairy Science, 106(11), pp. 8133–8151. doi: https://doi.org/10.3168/jds.2022-22720.
Muhartoyo, M. (2007) ‘Indtroduction To Research Methodologies In Language Studies’, Lingua Cultura, 1(1), p. 11. doi: 10.21512/lc.v1i1.257.
Pandey, M. et al. (2020) ‘Promising drug delivery approaches to treat microbial infections in the vagina: A recent update’, Polymers, 13(1), p. 26. doi: https://dx.doi.org/10.3390/polym13010026.
Pinedo, P. et al. (2023) ‘Combined effect of purulent vaginal discharge and anovulation on pregnancy status in a large multi-state population of Holstein cows’, JDS Communications, 4(2), pp. 106–110. doi: https://doi.org/10.3168/jdsc.2022-0271.
Purwanti, R., Prihartanti, N. G. and Lestari, R. H. (2022) ‘The Effectiveness of the Decoction of Red Betel Leaves (Piper Crocantum) Against the Reduced Symptoms of Fluor Albus in Adolescent Girls’, Journal Of Vocational Health Studies, 5(3), pp. 146–151. doi: https://dx.doi.org/10.1590/0034-7167-2022-0602.
Rojas Canadas, E. et al. (2023) ‘Postpartum vaginal discharge score is associated with genetic traits, postpartum fertility phenotypes, metabolic status, and overall reproductive performance in seasonal-calving pasture-based dairy cows’, Journal of Dairy Science, 106(12), pp. 9778–9792. doi: https://doi.org/10.3168/jds.2023-23324.
Sharma, S. and Singh, R. (2020) ‘Detection of vaginal fluid stains on common substrates via ATR FT-IR spectroscopy’, International Journal of Legal Medicine, 134(5), pp. 1591–1602. doi: https://dx.doi.org/10.1007/s00414-020-02333-w.
Vishwakarma, D., Puri, P. and Sharma, S. K. (2021) ‘Interlinking menstrual hygiene with Women’s empowerment and reproductive tract infections: Evidence from India’, Clinical Epidemiology and Global Health, 10, p. 100668. doi: https://dx.doi.org/10.1016/j.cegh.2020.11.001
