Archives of The Medicine and Case Reports

Impact of Delayed Cord Clamping on Neonatal Hemoglobin Levels in Term Infants: An Observational Study in Purwakarta Regency, Indonesia

2024-07-22T07:23:44+00:00

Delayed cord clamping (DCC) is associated with improved iron stores and neurodevelopment in infants. This study investigates the impact of DCC on neonatal hemoglobin levels in term infants within Purwakarta Regency, Indonesia. An observational study was conducted on term infants born at two hospitals in Purwakarta Regency, Indonesia. One hospital routinely practiced immediate cord clamping (ICC, within 30 seconds), while the other practiced DCC (3 minutes after birth). Hemoglobin levels were measured within 24 hours of birth. A total of 200 infants (100 ICC, 100 DCC) were enrolled. The mean hemoglobin level in the DCC group was significantly higher than in the ICC group (17.5 g/dL vs. 16.2 g/dL, p < 0.001). Fewer infants in the DCC group required iron supplementation within the first six months (10% vs. 25%, p = 0.01). In conclusion, DCC is associated with higher hemoglobin levels in term infants in Purwakarta Regency, Indonesia. This practice may reduce the need for iron supplementation and improve early infant health outcomes.

The Impact of Continuous Labor Support on Cesarean Section Rates among Nulliparous Women: A Randomized Controlled Trial

2024-07-22T07:24:21+00:00

Cesarean section (CS) rates are increasing globally, raising concerns about maternal and neonatal morbidity. Continuous labor support (CLS) has been shown to reduce CS rates in some settings, but its impact in Indonesia remains understudied. This study aimed to evaluate the effect of CLS on CS rates among nulliparous women in Purwakarta Regency, Indonesia. A randomized controlled trial was conducted at the Purwakarta Regional Hospital from January 2022 to December 2023. Eligible nulliparous women in labor were randomized to receive either CLS (n=210) from a trained midwife or standard care (n=205). The primary outcome was the rate of CS. Secondary outcomes included duration of labor, use of analgesia, maternal satisfaction, and neonatal outcomes. The CS rate was significantly lower in the CLS group (18.1%) compared to the standard care group (29.3%) (p=0.02). Women in the CLS group also reported higher satisfaction with their birth experience. No significant differences were found in other secondary outcomes. Continuous labor support provided by a trained midwife significantly reduces CS rates among nulliparous women in Purwakarta Regency, Indonesia. Implementing CLS as a routine practice may help address the rising CS rates and improve maternal birth experiences in this setting.

Empowering Pregnant Women: A Community-Based Health Education Intervention to Promote Healthy Behaviors

2024-07-23T08:50:14+00:00

Pregnant women in rural areas like Lubuk Alung often face barriers to accessing quality health information and care, leading to suboptimal health behaviors during pregnancy. This study aimed to evaluate the impact of a community-based health education intervention on pregnant women's knowledge, attitudes, and practices regarding healthy behaviors in Lubuk Alung. A quasi-experimental study was conducted with 150 pregnant women (75 intervention, 75 control) in Lubuk Alung. The intervention group received a 12-week program of structured health education sessions delivered by trained community health workers. Sessions covered topics such as nutrition, exercise, antenatal care, childbirth preparation, and breastfeeding. The control group received standard antenatal care. Pre- and post-intervention surveys assessed knowledge, attitudes, and self-reported practices related to healthy behaviors. The intervention group demonstrated significant improvements in knowledge about healthy behaviors (p<0.001), more positive attitudes towards these behaviors (p<0.01), and increased adoption of practices like consuming a balanced diet, engaging in regular physical activity, attending antenatal care visits, and exclusive breastfeeding (p<0.05). The control group showed minimal changes. In conclusion, community-based health education interventions are effective in empowering pregnant women in rural settings. They increase knowledge, shift attitudes, and promote the adoption of healthy behaviors during pregnancy. Such programs should be integrated into routine antenatal care services in areas like Lubuk Alung.

Analysis of Risk Factors Related to Quality of Life in Kidney Failure Patients Undergoing Hemodialysis: A Single-Center Observational Study at Besemah Regional Hospital, Pagaralam, Indonesia

2024-07-26T03:17:32+00:00

Hemodialysis significantly impacts the quality of life (QoL) of patients with kidney failure. Identifying modifiable risk factors is crucial for targeted interventions to improve QoL. This study aimed to analyze the risk factors associated with QoL in hemodialysis patients at Besemah Pagaralam Regional Hospital, Indonesia. This single-center observational study included 150 hemodialysis patients. Sociodemographic data, clinical characteristics, laboratory parameters, and QoL (measured using the Kidney Disease Quality of Life-36 Short Form questionnaire - KDQOL-36 SF) were collected. Univariate and multivariate analyses were performed to identify independent predictors of QoL. The mean age of participants was 55.2 ± 12.3 years, with 62% being male. The mean duration of hemodialysis was 3.8 ± 2.5 years. Factors independently associated with lower QoL included older age (OR 1.04, 95% CI 1.01-1.07, p=0.01); Lower hemoglobin level (OR 0.92, 95% CI 0.87-0.97, p=0.003); Presence of comorbidities (diabetes, cardiovascular disease); Depression symptoms (OR 0.85, 95% CI 0.79-0.92, p<0.001). This study identifies several modifiable risk factors associated with impaired QoL in hemodialysis patients. Interventions targeting anemia management, comorbidity control, and mental health support may be beneficial in improving the overall well-being of these patients.

Prevalence of Enterotoxigenic Escherichia coli -LT Gene Expression in Pediatric Diarrhea Patients in Makassar City, Indonesia: A Cross-Sectional Study

2024-07-29T03:47:47+00:00

Enterotoxigenic Escherichia coli (ETEC) is a significant cause of diarrheal disease worldwide, particularly in children. The heat-labile toxin (LT) is a crucial virulence factor encoded by the LT gene. This study investigated the prevalence of ETEC LT gene expression in children with diarrhea in Makassar City, Indonesia. A cross-sectional study was conducted from January 2023 to December 2023. Rectal swabs were collected from children under five years of age presenting with diarrhea at outpatient clinics in Makassar. DNA was extracted, and the presence of the ETEC LT gene was detected using polymerase chain reaction (PCR). Demographic and clinical data were collected via questionnaires. The ETEC LT gene was detected in 81 (18%) children. The prevalence was significantly higher in children under one year of age (51%) compared to older age groups. ETEC LT positive children were more likely to experience vomiting and fever. ETEC expressing the LT gene contributes to a significant proportion of pediatric diarrhea cases in Makassar. The higher prevalence in younger children highlights the vulnerability of this age group. These findings emphasize the need for improved sanitation and hygiene practices to reduce ETEC transmission.

Analysis of Risk Factors Related to Nurses' Attitudes and Patient Safety Culture Implementation

2024-07-30T03:22:11+00:00

Patient safety is a critical global concern, with millions of adverse events occurring annually. Nurses' attitudes towards patient safety culture are pivotal in its successful implementation. This study aimed to assess the risk factors related to nurses' attitudes towards patient safety culture and its relationship with the implementation of patient safety culture in a public hospital dr. H. Moch. Ansari Saleh in Banjarmasin, Indonesia. A cross-sectional study was conducted among nurses working in a public hospital dr. H. Moch. Ansari Saleh in Banjarmasin, Indonesia. Data were collected using a questionnaire adapted from the National Patient Safety Guidelines and the AHRQ Hospital Survey on Patient Safety. The questionnaire assessed nurses' attitudes towards patient safety, the implementation of patient safety culture, and potential risk factors such as age, gender, years of experience, and workload. Data were analyzed using descriptive statistics, Spearman's rank correlation coefficient, and multivariate logistic regression. A total of 85 nurses participated in the study. The majority of nurses (81.2%) exhibited a moderate attitude towards patient safety, while 83.5% reported a moderate level of patient safety culture implementation. Spearman's rank correlation analysis revealed a weak positive correlation (rho = 0.417, p = 0.01) between nurses' attitudes and the implementation of patient safety culture. Multivariate logistic regression analysis identified age (OR = 1.12, 95% CI = 1.01-1.24) and workload (OR = 1.18, 95% CI = 1.05-1.33) as significant risk factors associated with a less positive attitude towards patient safety culture. In conclusion, while there is a positive relationship between nurses' attitudes and patient safety culture implementation, the relationship is weak. Age and workload were identified as significant risk factors for a less positive attitude towards patient safety culture. These findings highlight the need for targeted interventions to address these risk factors and enhance nurses' attitudes, thereby strengthening patient safety culture in the hospital.

The Unseen Threat: Evaluating the Efficacy of Immunochromatographic HIV Screening in a Low-Resource Setting

2024-08-02T03:38:48+00:00

Human immunodeficiency virus (HIV) continues to pose a significant global health challenge, particularly in low-resource settings where access to sophisticated diagnostic tools is limited. Early detection and diagnosis of HIV are crucial for timely initiation of antiretroviral therapy (ART), prevention of mother-to-child transmission (MTCT), and improved health outcomes. Immunochromatographic assays (ICAs) offer a rapid, point-of-care solution for HIV screening, but their efficacy in resource-constrained environments needs rigorous evaluation. This cross-sectional study assessed the performance of an ICA for HIV screening among pregnant women attending antenatal clinics in a rural district of Papua, Indonesia. The study enrolled 38 pregnant women who underwent both ICA and the gold standard enzyme-linked immunosorbent assay (ELISA) testing. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ICA were calculated. Additionally, a questionnaire was administered to assess knowledge, attitudes, and practices related to HIV and its screening. All 38 participants tested negative for HIV by both ICA and ELISA. The ICA demonstrated 100% sensitivity and specificity in this sample. The PPV and NPV were not calculable due to the absence of true positive cases. The questionnaire revealed limited knowledge about HIV transmission and prevention among the participants, highlighting the need for enhanced health education. The ICA demonstrated excellent performance in this low-resource setting, suggesting its potential as a valuable tool for expanding HIV screening coverage. However, further studies with larger sample sizes and inclusion of HIV-positive individuals are needed to confirm these findings. The study also underscores the importance of integrating health education with screening programs to empower individuals and communities in the fight against HIV.

Improving Maternal and Child Health Outcomes: A Community Midwifery Approach in Purwakarta, Indonesia

2024-08-13T01:16:37+00:00

Maternal and child health (MCH) remains a critical public health concern in Indonesia, particularly in rural areas. Community midwives play a pivotal role in addressing MCH challenges by providing accessible and culturally sensitive care. This study aimed to evaluate the impact of a community midwifery program on MCH outcomes in Purwakarta, Indonesia, focusing on antenatal care (ANC) utilization, stunting prevalence, and sanitation practices. A quasi-experimental study was conducted in Purwakarta, involving two villages: one intervention village receiving the community midwifery program and one control village with standard care. The program encompassed health education, ANC promotion, growth monitoring, and sanitation improvement initiatives. Data on ANC visits, child growth, and sanitation practices were collected at baseline and after one year. The intervention village demonstrated a significant increase in ANC attendance (p < 0.05) and a reduction in stunting prevalence (p < 0.01) compared to the control village. Improved sanitation practices were also observed in the intervention village. In conclusion, the community midwifery program effectively enhanced MCH outcomes in Purwakarta. The findings underscore the importance of community-based midwifery interventions in improving ANC utilization, reducing stunting, and promoting sanitation practices. Scaling up such programs can contribute significantly to achieving sustainable development goals related to MCH in Indonesia.

Chayote (Sechium edule) as a Galactagogue: A Quasi-Experimental Study in Postpartum Women

2024-08-15T05:34:26+00:00

The establishment of successful breastfeeding is crucial for both maternal and infant health. However, many women experience challenges with milk production, leading to supplementation or early cessation of breastfeeding. Chayote (Sechium edule), a widely available and nutrient-rich vegetable, has been traditionally used to support lactation. This study aimed to investigate the effect of chayote consumption on breast milk production in postpartum women. A quasi-experimental, one-group pretest-posttest design was employed. Thirty-five postpartum women who reported concerns about milk supply were recruited. Participants consumed 600 grams of steamed chayote daily for seven days. Breast milk production was measured before and after the intervention using a standardized breast pump. Additionally, maternal perception of milk supply and infant weight gain were assessed. The mean breast milk production increased significantly from 315 ml (SD = 45) at baseline to 480 ml (SD = 55) after the intervention (p < 0.001). The majority of participants (82.9%) reported a perceived increase in milk supply. Infant weight gain also showed a positive trend, although not statistically significant. The consumption of chayote appears to be effective in enhancing breast milk production in postpartum women. This readily available and affordable dietary intervention may offer a valuable strategy to support lactation and promote breastfeeding success.

Exploring Traditional Antipyretic Practices: Shallot Poultice (Allium cepa L.) for Fever Management in Infants

2024-08-20T03:13:08+00:00

Fever is a common symptom in infants, often causing distress to both the child and caregivers. While pharmacological interventions like acetaminophen are widely used, concerns about potential side effects and the growing interest in natural remedies have led to a resurgence in exploring traditional practices. The use of shallot poultice for fever management has been documented in various cultures, but its efficacy and safety require rigorous scientific evaluation. This study aimed to investigate the antipyretic effect of shallot poultice in infants and contribute to evidence-based decision-making in pediatric fever management. A quasi-experimental study with a pretest-posttest control group design was conducted. Infants aged 0-12 months presenting with fever (≥37.5°C) at a primary healthcare center were recruited. Eligible infants were randomly assigned to either the intervention group (receiving shallot poultice application) or the control group (receiving standard care). The primary outcome was the change in body temperature after 30 minutes of intervention. Secondary outcomes included parental satisfaction and adverse events. A total of 60 infants were enrolled (30 per group). The intervention group demonstrated a statistically significant reduction in body temperature compared to the control group (p < 0.05). Parental satisfaction was high in both groups, with no significant difference observed. No adverse events related to the shallot poultice were reported. Shallot poultice appears to be a safe and effective non-pharmacological intervention for reducing fever in infants. These findings support the potential integration of this traditional practice into holistic fever management strategies. Further research is warranted to explore the underlying mechanisms and long-term effects.

Celery Leaf Consumption Movement (GAME BUSRI): A Community-Based Intervention to Promote Blood Pressure Control in Elderly Individuals with Hypertension in Purwakarta Indonesia

2024-08-20T05:40:55+00:00

Hypertension, a major risk factor for cardiovascular disease, poses a significant health challenge, particularly among the elderly. The "GAME BUSRI" intervention, promoting celery leaf consumption, offers a promising complementary therapy for blood pressure management. This study aimed to evaluate the effectiveness of this community-based intervention in reducing blood pressure among hypertensive elderly individuals in Purwakarta, Indonesia. A quasi-experimental pretest-posttest control group design was employed. Participants were recruited from the community and assigned to either the intervention group (receiving daily celery leaf decoction and health education) or the control group (receiving health education only). Blood pressure measurements were taken at baseline and after the 8-week intervention period. Data were analyzed using appropriate statistical tests. The intervention group demonstrated a statistically significant reduction in both systolic and diastolic blood pressure compared to the control group. The mean reduction in systolic blood pressure was 11.33 mmHg (p < 0.001), and the mean reduction in diastolic blood pressure was 8.67 mmHg (p < 0.001). No adverse events were reported. The "GAME BUSRI" intervention effectively reduced blood pressure in hypertensive elderly individuals. This community-based approach, utilizing a readily available and culturally acceptable resource, holds promise for improving hypertension management and reducing cardiovascular risk in this population.

Comparative Effectiveness of Single Versus Combination Antihypertensive Therapy in PROLANIS Hypertension Patients: A Retrospective Study in Purbalingga Regency

2024-08-27T07:58:58+00:00

The PROLANIS program in Indonesia aims to manage chronic diseases like hypertension. While combination antihypertensive therapy is recommended for many patients, evidence on its effectiveness in the PROLANIS setting remains limited. This study investigated the comparative effectiveness of single versus combination antihypertensive therapy in achieving blood pressure control among PROLANIS hypertension patients in Purbalingga Regency. A retrospective cohort study was conducted using data from PROLANIS hypertension patients in Purbalingga Regency from January-December 2023. Patients were categorized into two groups: those receiving single antihypertensive therapy and those receiving combination therapy. The primary outcome was the proportion of patients achieving blood pressure control (<140/90 mmHg). Secondary outcomes included changes in blood pressure, medication adherence, and adverse events. Multivariable logistic regression was used to adjust for potential confounders. A total of 1,250 patients were included, with 680 receiving single therapy and 570 receiving combination therapy. The proportion of patients achieving blood pressure control was significantly higher in the combination therapy group (65%) compared to the single therapy group (52%) (adjusted odds ratio [OR] 1.72, 95% confidence interval [CI] 1.35-2.20). Combination therapy was also associated with greater reductions in systolic and diastolic blood pressure. No significant differences were observed in medication adherence or adverse events between the two groups. Combination antihypertensive therapy is more effective than single therapy in achieving blood pressure control among PROLANIS hypertension patients in Purbalingga Regency. These findings support the use of combination therapy as the preferred approach for managing hypertension in this population.

Maternal and Neonatal Predictors of Asphyxia: A Case-Control Study at Salatiga Regional General Hospital

2024-08-28T05:26:53+00:00

Neonatal asphyxia remains a significant contributor to neonatal mortality and morbidity globally. Identifying maternal and neonatal predictors of asphyxia is crucial for developing targeted interventions to improve neonatal outcomes. This study aimed to investigate the association between various maternal and neonatal factors and the occurrence of asphyxia in newborns at Salatiga Regional General Hospital. A case-control study was conducted at Salatiga Regional General Hospital from January 1^st to December 31^st, 2023. Cases were newborns diagnosed with asphyxia based on an Apgar score ≤ 6 at 5 minutes. Controls were newborns without asphyxia. Data on maternal factors (premature rupture of membranes, mode of delivery, maternal age, parity, and gravidity) and neonatal factors (birth weight and gestational age) were collected from medical records. Bivariate and multivariate analyses were performed to assess the associations between these factors and asphyxia. The study included 234 newborns (117 cases and 117 controls). Bivariate analysis revealed significant associations between asphyxia and premature rupture of membranes (p = 0.027), mode of delivery (p = 0.000), birth weight (p = 0.000), and gestational age (p = 0.000). Multivariate logistic regression analysis identified the mode of delivery (OR = 83.468, 95% CI: 18.624-374.079) and birth weight (OR = 69.576, 95% CI: 8.781-551.277) as independent predictors of asphyxia. Cesarean section and low birth weight are significant predictors of neonatal asphyxia. These findings highlight the importance of careful consideration of delivery mode and close monitoring of newborns with low birth weight to prevent and manage asphyxia effectively.

Impact of mRNA COVID-19 Vaccines on Blood Pressure in Hypertensive Patients: A Retrospective Observational Study

2024-09-02T03:17:58+00:00

The COVID-19 pandemic necessitated rapid vaccine development, with mRNA vaccines (Moderna or Pfizer) emerging as frontrunners. While effective, concerns arose regarding their impact on blood pressure (BP), particularly in hypertensive individuals, a population already at increased cardiovascular risk. The study aimed to investigate the effects of mRNA COVID-19 vaccines on BP in hypertensive patients. A retrospective observational study was conducted at the Mrebet Community Health Center. Data from hypertensive patients receiving the second dose of either Moderna or Pfizer vaccine were analyzed. Pre- and post-vaccination BP readings, patient demographics, medication profiles, and hypertension severity were assessed. Statistical analysis was performed to evaluate changes in BP and identify potential associations. The study included 33 hypertensive patients (mean age: 55.2 years, 84.8% female). The majority (84.8%) received the Moderna vaccine. Pre- and post-vaccination BP readings showed a slight increase in systolic BP (133 mmHg to 137 mmHg) and a minor decrease in diastolic BP (85 mmHg to 84 mmHg). Statistical analysis revealed a significant association between vaccination and changes in diastolic BP (p < 0.05), but not systolic BP (p > 0.05). In conclusion, mRNA COVID-19 vaccines may have a modest impact on BP in hypertensive patients, particularly on diastolic BP. The clinical significance of these changes warrants further investigation. Close monitoring of BP in hypertensive individuals post-vaccination is recommended.

Clinical Characteristics and Diagnostic Imaging of Low Back Pain: A Systematic Review

2024-09-19T07:43:33+00:00

Low back pain (LBP) is a prevalent and debilitating condition with diverse clinical presentations and etiologies. This systematic review aimed to synthesize the current literature on the clinical characteristics and diagnostic imaging findings associated with LBP, providing a comprehensive overview of this multifaceted condition. A systematic search of electronic databases was conducted, encompassing studies published between 2018 and 2023. Studies reporting on clinical characteristics (pain location, duration, severity, radiation, associated symptoms) and diagnostic imaging findings (X-ray, CT, MRI) in LBP patients were included. Data extraction and quality assessment were performed independently by two reviewers. Twenty studies, with a total of 9,232 patients, were included. The most common clinical presentation was localized LBP (85%), followed by pain duration of less than 3 months (60%) and moderate pain severity (55%). Radicular pain and neurological deficits were reported in a significant minority of patients (20% and 15%, respectively). The most frequent imaging finding was degenerative changes (40-70%), followed by disc herniation (20-35%) and spondylolisthesis (5-12%). Other less frequent findings included spinal stenosis, compression fractures, and tumors. This review highlights the heterogeneity of clinical presentations and imaging findings in LBP. While localized LBP is predominant, a substantial proportion of patients experience radicular pain and neurological deficits. Degenerative changes are the most frequent imaging finding, followed by disc herniation. The choice of imaging modality should be guided by clinical presentation and suspected etiology.

Dengue Hemorrhagic Fever in Bali: Patient Demographics, Clinical Manifestations, and Laboratory Findings

2024-09-30T06:24:45+00:00

Dengue hemorrhagic fever (DHF) remains a significant public health concern in tropical regions, including Bali, Indonesia. Understanding the patient demographics, clinical presentations, and laboratory findings associated with DHF is crucial for effective disease management and control. This study aimed to investigate these aspects in patients hospitalized with DHF at Wangaya Regional General Hospital in Bali. A retrospective cross-sectional study was conducted, analyzing medical records of patients diagnosed with DHF between January and June 2024. Data collected included demographics, clinical manifestations, laboratory parameters, disease severity, and hospital stay duration. Descriptive statistics and comparative analyses were performed. A total of 410 patients were included, with a male predominance (54.9%). The most affected age group was 18-25 years (43.2%). Common clinical manifestations included fever (100%), headache (83.6%), myalgia (74%), and nausea/vomiting (56.3%). Laboratory findings revealed thrombocytopenia (45.4% with platelet count <50,000/µL), leukopenia (74.3%), and elevated hematocrit (29.6%). Most patients presented with DHF grade I (65.1%), followed by grade II (31.7%). The median hospital stay was 4 days. DHF in Bali predominantly affects young adults, with males being more susceptible. The clinical presentation is characterized by fever, headache, myalgia, and gastrointestinal symptoms. Thrombocytopenia and leukopenia are common laboratory findings. The majority of patients experience mild to moderate disease severity. These findings contribute to a better understanding of DHF in Bali and can inform targeted public health interventions.

Early Initiation of Breastfeeding (EIBF) Practices in Bener Meriah Regency, Aceh, Indonesia: A Cross-Sectional Study on the Role of Midwives in Reducing Infant Mortality

2024-10-08T05:47:24+00:00

Early initiation of breastfeeding (EIBF) is critical for reducing infant mortality and improving child health outcomes. Midwives play a crucial role in promoting and supporting EIBF. This study investigated EIBF practices in Bener Meriah Regency, Aceh, Indonesia, focusing on the factors associated with midwives' knowledge, attitudes, and practices regarding EIBF. A cross-sectional study was conducted among 150 midwives in Bener Meriah Regency. Data were collected using a structured questionnaire that included items on sociodemographic characteristics, knowledge, attitudes, and practices related to EIBF. Descriptive statistics, chi-square tests, and logistic regression were used to analyze the data. The majority of midwives (87.3%) had good knowledge about EIBF. However, only 62.7% of midwives reported always assisting mothers with EIBF within one hour of birth. Factors significantly associated with midwives' EIBF practices included their age, years of experience, and place of work (urban vs. rural). While midwives in Bener Meriah Regency generally possess adequate knowledge about EIBF, there is a need to improve their practices in assisting mothers with EIBF, especially in rural areas. Targeted interventions, such as training programs and supportive supervision, are necessary to enhance midwives' skills and confidence in promoting and supporting EIBF.

Unison Infestation: A Rare Case of Norwegian Scabies in a Mother-Baby Dyad

2024-10-09T07:58:24+00:00

Norwegian scabies, also known as crusted scabies, is an uncommon but highly contagious skin disease caused by an infestation of the Sarcoptes scabiei mite. It is characterized by extensive crusting and scaling of the skin, often accompanied by intense itching. Norwegian scabies is typically seen in individuals with weakened immune systems or those who are unable to care for themselves properly. We reported a case of Norwegian scabies in a 33-year-old mother and her 9-month-old baby. The mother's symptoms began during her third trimester of pregnancy, and the baby became infected a few months after birth. Both patients presented with generalized pruritus and characteristic skin lesions. The baby was also found to be severely malnourished. In conclusion, this case highlights the importance of early diagnosis and treatment of Norwegian scabies, especially in vulnerable populations. Prompt and effective management can prevent complications and improve the quality of life for affected individuals.