Indonesian Journal of Obstetrics and Gynecology (INAJOG)
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The Impact of Premature Rupture of Membranes (PROM) and Low Birth Weight (LBW) Infant Outcomes to the Survival Rate : Hubungan Ketuban Pecah Dini (KPD) dengan Luaran Bayi Berat Badan Lahir Rendah (BBLR) terhadap Survival rate setelah Satu Minggu Dilahirkan
Full text linkAbstract
Objective: To determine the impact of premature rupture of membranes and the outcome of low birth weight on the survival rate one week after birth in RSUDZA Banda Aceh.
Method: This study used an observational analytic study with a prospective cohort study design. The research samples were 84 samples that met the inclusion and exclusion criteria. The data source used was primary data obtained by direct examination by weighing the newborn at birth and during visits.
Results: There was an impact of premature rupture of membranes and the outcome of low birth weight on the survival rate of infants after one week. The results showed that the p-value <0.000. The lowest neonatal survival rate was in the group weighing less than 1000 grams, namely 0%. Weight group 1000 grams to 1500 grams with a survival rate of 55% and group weight 1500 grams to 2500 grams with a survival rate of 95%.
Discussion: There was an impact of premature rupture of membranes and the outcome of low birth weight on the survival rate one week after birth in RSUDZA Banda Aceh.
Keywords: low birth weight (LBW), preterm premature rupture of membranes, survival rate.
Abstrak
Tujuan : Untuk mengetahui dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate satu minggu setelah dilahirkan di RSUDZA Banda Aceh.
Metode: Penelitian ini menggunakan studi analitik observasional dengan desain penelitian kohort prospektif. Sampel penelitian sebanyak 84 sampel yang memenuhi kriteria inklusi dan eksklusi. Sumber data yang digunakan adalah data primer yang diperoleh dengan cara pemeriksaan langsung dengan penimbangan bayi saat baru lahir dan ketika kunjungan.
Hasil: Ada dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate bayi setelah satu minggu didapatkan hasil bahwa p-value <0,000. Survival rate neonatal terendah pada kelompok berat badan di bawah 1000 gram yakni 0%. Kelompok berat badan 1000 gram sampai di bawah 1.499 gram memiliki survival rate 55% dan kelompok berat badan 1.500 gram sampai 2.499 gram memiliki angka survival rate 95%.
Diskusi: Ada dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate satu minggu setelah bayi dilahirkan di RSUDZA Banda Aceh.
Kata kunci: berat badan lahir rendah (BBLR), ketuban pecah dini, survival rate
Response of External Radiotherapy Alone in Stage IIB – IIIC Cervical Cancer Patients : Respon Radioterapi Eksterna Pasien Kanker Serviks Stadium IIB – IIIC
Full text linkObjective: To investigate the therapeutic response and toxicity in cervical cancer patients with stage IIB-IIIC who undergo external radiation.
Methods: This was a retrospective study using the medical records of the Obstetric Oncology and Radiotherapy Department at Prof. Dr. R. D. Kandou Hospital Manado. The research subjects were stage IIB-IIIC cervical cancer patients who underwent external radiation from September 2016 to December 2020. External radiation was administrated using 60Cobalt. The statistical analysis assessments in this study was carried out using descriptive analysis, while the analysis of the relationship was carried out using the Chi-Square method. The toxicity assessments were carried out from first day started external radiation up until 1 month after the therapy was deemed completed.
Results : As many as 413 cervical cancer patients underwent external radiation during the study. However, only 192 cervical cancer patients with stage IIB-IIIC met the inclusion criteria in this study. The complete response to the therapy based on the findings was 65.6%, the partial response was 31.8%, the stable response was 1.6%, and the progressive response was 1%. In statistical analysis there was a significant association between cervical cancer stage and Overall Treatment Time with response to external radiotherapy. However, no significant association between tumor size and histopathological type with response to external radiotherapy. There were hematological toxicity (45.8%), skin toxicity (45.3%), gastrointestinal toxicity (6.3%) and urinary tract toxicity (2.6%).
Conclusions: External radiotherapy response was a complete response where there was an association between cervical cancer stage and Overall Treatment Time with response to external radiotherapy, whereas there is no significant association found between the tumor size and histopathological type based on this research's findings. Most toxicity were hematology with complaints of anemia and thrombocytopenia
Keywords: cervical cancer, external radiation response, toxicity.
Abstrak
Tujuan: Untuk mengetahui respon terapi dan efek samping pasien kanker serviks stadium IIB-IIIC yang menjalani radioterapi eksterna.
Metode: Penelitian ini adalah penelitian deskriptif rektrospektif dengan menggunakan rekam medis Poli Onkologi Kandungan dan Instalasi Radioterapi RSUP Prof. Dr. R. D. Kandou Manado. Subyek penelitian adalah pasien kanker serviks stadium IIB-IIIC yang menjalani radiasi eksterna mulai September 2016 sampai Desember 2020. Radiasi eksterna dilakukan dengan sinar 60Cobalt. Penilaian analisis statistika pada penelitian ini menggunakan analisis deskriptif dan analisis hubungan menggunakan metode Chi Square. Penilaian efek samping dilakukan sejak hari pertama pasien memulai radiasi eksterna sampai 1 bulan setelah dinyatakan selesai menjalani radioterapi eksterna.
Hasil: Selama periode penelitian didapatkan 413 pasien kanker serviks yang menjalani radiasi eksterna namun hanya 192 pasien kanker serviks stadium IIB-IIIC yang memenuhi kriteria inklusi pada penelitian ini. Respon terapi komplit sebesar 65,6%, respon terapi parsial sebesar 31,8%, respon terapi tidak berubah sebesar 1,6%, dan respon terapi progresif sebesar 1%. Pada analisis statistik terdapat hubungan bermakna stadium kanker serviks dan Overall Treatment Time dengan respon radioterapi eksterna, dan tidak terdapat hubungan bermakna ukuran tumor dan jenis histopatologi dengan respon radioterapi eksterna. Didapatkan efek samping hematologi (45,8%), efek samping kulit (45,3%), efek samping gastrointestinal (6,3%) dan efek samping traktus urinarius (2,6%).
Kesimpulan: Respon radioterapi eksterna berupa complete response dimana terdapat hubungan bermakna antara stadium kanker serviks dan Overall Treatment Time dengan respon radioterapi eksterna. Tidak terdapat hubungan bermakna antara ukuran tumor dan jenis histopatologi. Efek samping terbanyak yaitu hematologi dengan keluhan berupa anemia dan trombositopenia.
Kata kunci: efek samping, kanker serviks, respon radiasi eksterna
Prenatal Differential Diagnosis and Prospective Management of Hydranencephaly: Diagnosis Diferensial Prenatal dan Manajemen Prospektif dari Hidranensefali
Full text linkObjective: To report a rare case of hydranencephaly that was diagnosed during prenatal period. We also provided further review of differential diagnosis and management performed in Ende District General Hospital, based on appropriate literatures and guidelines available.
Methods: Case Report
Case: A 27-year old primigravida women was diagnosed with term pregnancy (37 weeks of gestation) and intra-uterine singleton live fetus with hydranencephaly via ultrasonography. In this patient, emergency caesarean section (CS) was performed to prevent complication of cephalo-pelvic disproportion (CPD), involving teamwork between obstetrics and perinatology. A male neonate was born weighing 3000 grams, head circumference of 32 cm, and APGAR score of 2/4/7/8 suggestive of asphyxia and respiratory distress. The newborn was immediately transferred to Neonatal Intensive Care Unit (NICU) for further resuscitative management and observation. The newborn remains in stable condition after resuscitative management was given. Post-natal transcranial sonography (TCS) of the newborn was performed by a pediatrician, and the diagnosis of hydranencephaly was confirmed. The newborn was later referred to facilities with neurosurgery department for further evaluation and intervention.
Conclusion: Early prenatal recognition of hydranencephaly and exclusion of similar differential diagnosis, which includes: hydrocephalus, holoproscencephaly, porencephaly and schizencephaly, are fundamental in formulating proper multidisciplinary management with pediatric and neurosurgery department, which may consequently improve the newborn’s life expectancy.
Keywords: Hydranencephaly, Differential Diagnosis, Management.
Abstrak
Tujuan: Melaporkan suatu kasus langka hidranensefali yang kami diagnosa dalam periode prenatal; dan memberikan ulasan lanjut mengenai diagnosis diferensial dan manajemen yang kami kerjakan di Rumah Sakit Umum Ende, berdasarkan literatur dan pedoman ilmiah yang tersedia.
Methode: Laporan Kasus
Kasus: Seorang perempuan primigravida berusia 27 tahun di diagnosa dengan kehamilan aterm (37 minggu gestasi), janin tunggal hidup intrauterin dengan hidranensefali via ultrasonografi. Pada pasien ini dilakukan Sectio Caesarea (SC) cito untuk mencegah komplikasi dari disproporsi kepala-panggul dengan kerjasama tim kebidanan dan perinatologi. Lahir bayi laki-laki dengan berat badan 3000 gram, lingkar kepala 32 cm, dan skor APGAR 2/4/7/8 dengan kesan asfiksia dan distres pernapasan. Bayi segera dipindahkan ke Neonatal Intensive Care Unit (NICU) untuk penanganan resusitatif lanjut dan observasi. Bayi tetap bertahan dalam kondisi stabil setelah diberikan manajemen resusitatif. Pemeriksaan sonografi transkranial paska natal dilakukan oleh dokter anak, dan diagnosis hidranensefali terkonfirmasi. Bayi kemudian di rujuk ke fasilitas dengan ketersediaan departemen bedah saraf untuk evaluasi dan intervensi lanjut.
Kesimpulan: Deteksi dini prenatal hidranensefali dan eksklusi diagnosis diferensial serupa, yang mencakup: hidrosefalus, holoprosensefali, porensefali, dan skizensefali, adalah dasar dari formulasi manajemen multidisiplin yang baik antara departemen pediatrik maupun bedah saraf, sehingga dapat meningkatkan kualitas dan ekspektasi hidup bayi baru lahir.
Kata Kunci: Hidranensefali, Diagnosis Diferensial, Manajeme
Calsium Supplementation with Rasbora sp. to Prevent Loss of Bone Mineral Density during Gonadotropin-releasing hormone Agonis Long-term Treatment
Full text linkBackground. Gonadotropin-releasing hormone (GnRH) agonist widely used to induce hypoestrogenic climate overcoming any benign gynecologic abnormalities such as endometriosis, adenomyosis, or various cause of abnormal uterine bleeding. Hypoestrogenic cause some of adverse effect mainly loss of bone mineral density (BMD). Suplementation of calcium improve loss in BMD, hence prevent development of osteoporosis. Certain area of Indonesia shows specific biodiversity, for example South Borneo has its wetland biodiversity in swamp and river. Processed food from fishery like Rasbora sp. (locally called Seluang fish) is local favourite due to access and economical reason.
Method. Studies included 24 reproductive age (15-49 years old) female on agonist GnRH leuprolide acetate 11,25 mcg regimen given subcutaneously. Measurement of bone mineral density was done twice within 3 months apart, before and after first agonist GnRH treatment. During observation, subject was divided to one of three daily supplementation belows, placebo containing saccharum lactis, grinded powder of 500 mg of calcium, or grinded powder of dried Rasbora sp containing 500 mg of calcium. Measurement pre- and post- supplementation was count using bone quality index with Osteosys of Sonost 3000.
Result. Placebo supplementation group in GnRH agonist has bone mineral density loss of -22,7201 greater than 500 mg grinded powder of lactate calcium dan grinded powder of rasbora sp, respectively -4,4570 and -3,3634 after 3 months of trial. Homogeneity test shown p=0.031 level of significancy and ANOVA resulted a significant difference from three classes. Post Hoc resulted calcium lactate supplementation 18,26 + 3,20 greater (p = 0.001) and grinded powder of Seluang 19,36 + 3,20 greater (p = 0.000). Both form of calcium lactate and fish powder supplementation have no significant differences.
Conclusion. Calcium supplementation in both of calcium lactate powder and natural resources help maintaining bone mineral density during GnRH agonist treatment. Seluang fish (Rasbora sp.), abundantly found along Indonesia people especially in South Borneo, has similar potency with pharmaceutical calcium lactate product in same weight. Fishery product, has beneficial trace element for bodies, 84 mg of calcium (Ca), 6,81 % of magnesium (Mg), 13,4 mg of iron (Fe), dan 3.97 % of zinc (Zn).
Keyword: Bone mineral density, Calcium supplementation, Agonist GnRH, Rasbora Sp
Fetomaternal Outcome of Aterm Labor with Pregnant Thrombocytopenia: Luaran Fetomaternal pada Ibu Hamil Aterm dengan Trombositopenia
Full text linkObjective : To determine the relationship between term pregnant women and the incidence of post-partum haemorrhage, duration of healing of incision/perineorhaphy wounds, fetal thrombocytopenia, APGAR value and birth weight of infants in dr. Zainal Abidin Hospital Banda Aceh.Methods: Design of research is observational analytic with a cross sectional approach. The research sample was taken by the total sampling method. The population in this study were all pregnant patients at term who came to the dr. Zainoel Abidin Hospital Banda Aceh and experienced thrombocytopenia at a predetermined time, met the inclusion and exclusion criteria. Analysis data with the Pearson correlation test formula to assess the strength of the relationship between two variables.Results: The prevalence of aterm pregnant women with thrombocytopenia who visited and gave birth at Dr. Zainoel Abidin General Hospital during the study period was 1.62% from 1850 visited pregnant women. A total of 30 samples in this study, obtained a maternal outcome were postpartum haemorrhage as much as 60% (p-value 0.000). The duration of wound healing was 26.70%, (p-value 0.008). While the fetal outcomes were the incidence of neonatal thrombocytopenia 50% (p-value 0,000), nenonatal asphyxia with an APGAR value of 4-6 as much as 43.30% (p-value 0.003) and low birth weight of the baby at 36.70% (p-value 0.033). The five variables obtained a positive correlation with varying strengths of the relationship.Conclusion: There is a close relationship between the incidence of thrombocytopenia at term pregnant women at delivery and fetomaternal outcomes in dr. Zainoel Abidin Hospital Banda AcehKeywords: fetal outcome, maternal outcome, Score APGAR, thrombocytopenia.
Abstrak
Tujuan : Untuk mengetahui hubungan ibu hamil aterm dengan kejadian perdarahan post-partum, lamanya penyembuhan luka insisi/perineorafi, trombositopenia janin, nilai APGAR dan berat badan lahir bayi di Rumah Sakit Umum dr. Zainal Abidin Banda Aceh. Metode: Jenis penelitian ini adalah analitik observasional dengan pendekatan cross sectional. Sampel penelitian diambil dengan metode total Sampling. Populasi pada penelitian ini adalah semua pasien hamil aterm yang datang ke RSUD dr. Zainoel Abidin Banda Aceh dan mengalami trombositopenia pada rentang waktu yang telah ditentukan, memenuhi kriteria inklusi dan eksklusi. Analisa data dengan melakukan uji korelasi Pearson untuk menilai kekuatan hubungan dua variabel.Hasil: Prevalensi ibu hamil aterm dengan trombositopenia pada penelitian adalah 1,62% dari 1850 ibu hamil yang berkunjung. Sebanyak 30 sampel pada penelitian didapatkan luaran maternal yaitu perdarahan postpartum sebanyak 60% (p-value 0,000). Lama penyembuhan luka didapatkan26,70%, (p-value 0,008). Sedangkan luaran fetal yaitu kejadian trombositopenia neonatus 50% (p-value 0,000), asifiksia nenonatus dengan nilai APGAR 4-6 sebanyak 43,30% (p-value 0,003) dan berat badan bayi lahir rendah 36,70% (p-value 0,033). Kelima variabel didapatkan korelasi positif dengan kekuatan hubungan yang bervariasi.Kesimpulan: Terdapat hubungan erat antara kejadian trombositopenia ibu hamil aterm saat persalinan terhadap luaran fetomaternal di RSUD dr. Zainoel Abidin Banda Aceh.Kata kunci : luaran fetal, luaran maternal, nilai APGAR, trombositopenia
Prevention and Treatment of Venous Thromboembolism in Pregnancy: Pencegahan dan Tatalaksana Tromboemboli Vena pada Kehamilan
Full text linkAbstract
Objective: To determine prevention and treatment of venous thromboembolism in pregnancy
Methode: Literature Review
Results: The diagnosis of TEV, both deep vein thrombosis (DVT) and pulmonary embolism (PE) was clinical and confirmed by imaging. D-dimers commonly used in the non-pregnant population are less useful in pregnant women. Prevention needs to be done by assessing the risk of TEV in pregnant women and giving thrombophylaxis according to risk. Treatment of TEV in pregnant women mainly uses heparin, either unfractionated heparin (UFH) or low molecular weight heparin (LMWH).
Conclusion: The ASH recommends the use of LMWH compared with UFH for the management of acute VTE in pregnancy, in once-daily or divided doses. The recommended method of delivery for pregnant women receiving anticoagulant therapy should be planned delivery
Key word : vein thromboemboli, deep vein thrombosis, pulmonary embolism, pregnancy
Abstrak
Tujuan: mengetahui bagaimana pencegahan dan tatalaksana tromboemboli vena pada kehamilan
Metode: Kajian Pusataka
Hasil: Diagnosis TEV, baik Deep vein thrombosis (DVT) dan pulmonary embolism (PE) berdasarkan klinis dan dikonfirmasi dengan pencitraan. D-dimer yang biasa digunakan pada populasi non-hamil kurang berguna pada ibu hamil. Pencegahan perlu dilakukan dengan menilai risiko TEV pada ibu hamil dan memberikan trombofilaksis sesuai dengan risiko. Tatalaksana TEV pada ibu hamil terutama menggunakan heparin, baik unfractionated heparin (UFH) maupun low molecular weight heparin (LMWH).
Kesimpulan: ASH merekomendasikan penggunaan LMWH dibandingkan dengan UFH untuk pengelolaan VTE akut pada kehamilan, dalam dosis sekali sehari atau terbagi. Metode persalinan yang direkomendasikan untuk ibu hamil yang menerima terapi antikoagulan harus direncanakan persalinan
Kata kunci : tromboemboli vena, deep vein thrombosis, pulmonary embolism, kehamila
Obstetric Referral System during COVID-19 Pandemic : Tertiary Referral Hospital Perspective: istem Rujukan Obstetri dalam Masa Pandemi COVID-19 : Perspektif Rumah Sakit Rujukan Tersier
Full text linkAbstract
Objective : To evaluate the effectiveness of obstetric referrals to the dr. Cipto Mangunkusumo National Central General Hospital (RSCM), a tertiary hospital in Indonesian referral system, during the COVID-19 pandemic.
Methods : A cross-sectional descriptive-analytic study that compared the effectiveness of referrals before (July-December 2019) and during the COVID-19 pandemic (March-August 2020) at the National Central General Hospital dr. Cipto Mangunkusumo (RSCM). Referral effectiveness is assessed based on two criteria, namely the suitability of the diagnosis and procedural compliance which includes communication through the integrated emergency response system (SPGDT), delivery by ambulance, and attachment of a referral letter.
Results: The study found 198 referral cases from 464 obstetric cases (42.67%) before the pandemic and 231 referral cases from 486 obstetric cases (47.53%) during the pandemic. The diagnostic concordance increased from 57.58% before the pandemic to 71.00% during the pandemic (p = 0.004). Referral procedural compliance increased from 28.28% before the pandemic to 45.45% during the pandemic (p < 0.001). Based on these criteria, the effectiveness of referrals at the RSCM during the COVID-19 pandemic era was found to be significantly higher, namely before the pandemic by 21.72% and during the pandemic by 40.26% (p < 0.001).
Conclusion : The effectiveness of referral to the RSCM based on the suitability of the diagnosis and the accuracy of the procedure during the COVID-19 pandemic was found to be better than before the pandemic.
Keywords: COVID-19, obstetric referral system, pandemic.
Abstrak
Tujuan : Untuk menilai efektivitas rujukan obstetri ke Rumah Sakit Pusat Nasional dr. Cipto Mangunkusumo, rumah sakit tersier dalam sistem rujukan Indonesia, selama pandemi COVID-19
Metode: Penelitian deskriptif-analitik berdesain potong lintang yang membandingkan efektivitas rujukan sebelum (Juli-Desember 2019) dan saat pandemi COVID-19 (Maret-Agustus 2020) di Rumah Sakit Umum Pusat Nasional dr. Cipto Mangunkusumo (RSCM). Efektivitas rujukan dinilai berdasarkan dua kriteria, yakni kesesuaian diagnosis dan kepatuhan prosedur yang meliputi komunikasi melalui sistem penanggulangan gawat darurat terpadu (SPGDT), pengantaran dengan ambulans, dan pelampiran surat rujukan.
Hasil: Penelitian menemukan 198 kasus rujukan dari 464 kasus obstetri (42,67%) sebelum pandemi dan 231 kasus rujukan dari 486 kasus obstetri (47,53%) saat pandemi. Kesesuaian diagnosis meningkat dari 57,58% sebelum pandemi menjadi 71,00% saat pandemi (p = 0,004). Kepatuhan prosedur rujukan meningkat dari 28,28% sebelum pandemi menjadi 45,45% saat pandemi (p < 0,001). Berdasarkan kriteria tersebut, efektivitas rujukan di RSCM pada era pandemi COVID-19 ditemukan lebih tinggi secara signifikan, yakni sebelum pandemi sebesar 21,72% dan saat pandemi sebesar 40,26% (p < 0,001).
Kesimpulan: Efektivitas rujukan ke RSCM berdasarkan kesesuaian diagnosis dan kepatuhan prosedur saat pandemi COVID-19 ditemukan lebih baik.
Kata kunci: COVID-19, pandemi, sistem rujukan obstetri
 
Does Lifestyle Affect Dysmenorrhea Intensity? A Cross-Sectional Study: Apakah Gaya Hidup Mempengaruhi Intensitas Dismenore? Sebuah Studi Cross-Sectional
Full text linkObjective : To determine whether or not there is a relationship between lifestyle and dysmenorrhea intensity in FKIK Atma Jaya students.
Methods : This research is a cross sectional analytic descriptive study with a minimum sample size of 196 students of the FKIK Atma Jaya class 2017-2019. The degree of pain was assessed using the Verbal Multidimensional Scoring System pain scale. Frequency of fast food consumption were assessed with Food Frequency Questionnaire. Frequency of physical activity were assessed with International Physical Activity Questionnaire. The datas were analyzed using the Kolmogorov-Smirnov normality test, the Mann-Whitney U test, and the Kruskal-Wallis test.
Results : The highest percentage of menstrual pain was at grade 1 (painful menstruation; rarely disturbed activity; no systemic symptoms; rarely required analgesics) for the VMSS scale (46.3%). The percentage of fast food consumption in this study was 86.1%. The highest percentage of physical activity in the category of moderate physical activity was 56.2%. The results of this study indicates a significant relationship between consumption of fast food and the intensity of dysmenorrhea with p = 0.017. There were no significant relationship between physical activity and the intensity of dysmenorrhea with p = 0.225
Conclusion : Consumption of fast food were related to the intensity of dysmenorrhea, whereas physical activity was not related with the intensity of dysmenorrhea.
Keywords : dysmenorrhea, , fast food consumption, lifestyle, physical activity
Abstrak
Tujuan : Untuk mengetahui ada tidaknya hubungan gaya hidup dengan intensitas dismenore pada mahasiswa FKIK Atma Jaya.
Metode : Penelitian ini merupakan penelitian deskriptif analitik cross sectional dengan jumlah sampel minimal 196 mahasiswa FKIK Atma Jaya angkatan 2017-2019. Derajat nyeri dinilai dengan menggunakan skala nyeri Verbal Multidimensional Scoring System. Frekuensi konsumsi makanan cepat saji dinilai dengan Food Frequency Questionnaire. Frekuensi aktivitas fisik dinilai dengan International Physical Activity Questionnaire. Data dianalisis menggunakan uji normalitas Kolmogorov-Smirnov, uji Mann-Whitney U, dan uji Kruskal-Wallis.
Hasil : Persentase nyeri haid tertinggi pada derajat 1 (nyeri haid; aktivitas jarang terganggu; tidak ada gejala sistemik; jarang memerlukan analgesik) untuk skala VMSS (46,3%). Persentase konsumsi fast food dalam penelitian ini adalah 86,1%. Persentase aktivitas fisik tertinggi pada kategori aktivitas fisik sedang adalah 56,2%. Hasil penelitian ini menunjukkan adanya hubungan yang signifikan antara konsumsi fast food dengan intensitas dismenore dengan p = 0,017. Tidak ada hubungan yang bermakna antara aktivitas fisik dengan intensitas dismenore dengan p=0,225
Kesimpulan : Konsumsi fast food berhubungan dengan intensitas dismenore, sedangkan aktivitas fisik tidak berhubungan dengan intensitas dismenore.
Kata kunci : aktivitas fisik, dismenore, gaya hidup, konsumsi fast food
 
The Characteristics of Urinary Tract Infection and Antimicrobial Sensitivity Patterns in Pregnant Women : Karakteristik Infeksi Saluran Kemih dan Pola Sensitivitas Antimikroba pada Ibu Hamil
Full text linkObjective: To determine the comparison of uropathogenic patterns and antimicrobial sensitivity tests in pregnant women in Manado.
Methods: This study was a cross-sectional study on 28 pregnant women with UTI who presented to Prof. Dr. R. D. Kandou General Central Hospital, Pancaran Kasih Hospital, and Manado City Bhayangkara Hospital in Manado from February 2021 to April 2021. The data were analyzed using Microsoft Excel software.
Results: Most pregnant women with UTI were within the age range of 20-35 years, namely 16 subjects (57.14%). Most had parity status of multipara, namely 15 subjects (53.57%). For the history of UTI, most subjects had no history of UTI, namely 16 subjects (57.14%), and had no history of contraception uses, namely 20 subjects (71.43%). Most subjects also had no history of vaginal discharge, namely 18 subjects (64.29%). Of 28 pregnant women with UTI, 23 (82.14%) were asymptomatic, while 5 (17.86%) were symptomatic. E.coli was the most commonly found pathogen and was still sensitive to most antibiotics.
Conclusion: The description of pregnant women with UTI in Prof. Dr. R. D. Kandou General Central Hospital, Pancaran Kasih Hospital, and Bhayangkara Hospital in Manado City was pregnant women aged 17-34 years, multigravida, in the 3rd trimester, had an education level of Elementary-High school, unemployed, under the minimum wage, had no history of UTI or contraception uses and had a history of vaginal discharge. Most pregnant women with UTI were asymptomatic. The most common bacterial growth was in E.coli, and it was still sensitive to most antibiotics.
Keywords: antimicrobial, microorganism, pregnancy, UTI.
Abstrak
Tujuan: Untuk mengetahui perbandingan pola uropatogen dan uji kepekaan antimikroba pada perempuan hamil di kota Manado.
Metode: Penelitian ini merupakan penelitian yang menggunakan pendekatan potong lintang terhadap 28 perempuan hamil dengan ISK yang datang memeriksakan diri di RSUP Prof dr. R. D. Kandou Manado, RS Pancaran Kasih, dan RS Bhayangkara kota Manado dari Februari 2021 hingga April 2021. Analisis data dilakukan menggunakan program Microsoft Excel.
Hasil: Kelompok usia terbanyak dengan ISK pada ibu hamil adalah 20-35 tahun sebanyak 16 orang (57,14%). Karakteristik graviditas paling banyak adalah pada kelompok multipara yaitu sebanyak 15 orang (53,57%). Hasil karakteristik kelompok tanpa riwayat ISK merupakan yang paling banyak yaitu sebanyak 16 orang (57,14%). Mayoritas peserta penelitian tidak mempunyai riwayat pemakaian KB yaitu sebanyak 20 orang (71,43%). Mayoritas peserta penelitian mempunyai riwayat flour albus yaitu sebanyak 18 orang (64,29%). Hasil sebaran distribusi ibu hamil dengan ISK, didapatkan dari 28 subyek, terdapat 23 orang (82,14%) yang tidak memiliki gejala, sedangkan 5 orang (17,86%) memiliki gejala. Hasil sebaran jenis mikroorganisme yang tumbuh pada kultur paling banyak adalah E. coli dan mikroorganisme ini masih sensitif terhadap mayoritas antibiotik.
Kesimpulan: Gambaran sebaran perempuan hamil dengan ISK di RSUP Prof. Dr. R. D. Kandou, RS pancaran Kasih, dan RS Bhayangkara di kota Manado adalah pada perempuan hamil dengan usia 17-34 tahun, multigravida, hamil trimester 3, berpendidikan SD-SMA, tidak bekerja, memiliki penghasilan di bawah UMR, tidak memiliki riwayat ISK, tidak memiliki riwayat KB, dan memiliki riwayat fluor albus. Mayoritas perempuan hamil dengan ISK tidak memiliki gejala Pertumbuhan bakteri terbanyak adalah E.coli dan mikroorganisme tersebut masih sensitif terhadap mayoritas antibiotik.
Kata kunci: antimikroba, ISK, kehamilan, mikroorganisme
The effect of serum magnesium, calcium, and potassium levels on the event of calf muscle cramps, according to the perspective of pregnant women in the third-trimester of pregnancy : Pengaruh Kadar Magnesium, Kalsium, dan Kalium Serum Terhadap Terjadinya Kram Otot Betis, Menurut Perspektif Ibu Hamil di Trimester Ketiga Kehamilan
Full text link Objective: To determine the effect of magnesium, calcium, and potassium levels on calf muscle cramps in third-trimester pregnant women at Dr. Zainoel Abidin Banda Aceh.
Methods: This research is an observational analytic study with a case-control method by taking samples using a total sampling technique. The research sample was third-trimester pregnant women (28-40 weeks of gestation) who were treated in the maternity ward for the period September to December 2020.
Results: A total of 263 samples were involved in this study where 105 patients (40%) were obese, 229 patients (87%) were housewives, 161 patients (61%) did not experience muscle cramps and samples had magnesium levels below normal as much as 82 people, calcium levels below normal as many as 127 people and potassium levels below normal as many as 2 people. The mean levels of magnesium, calcium, and potassium were 1.8 mg/dL, 8.69 mg/dL, and 4.25 mmol/L, respectively. The results of this study are magnesium levels affect muscle cramps in pregnant women (p-value=0.000), while calcium levels (p-value=0.373) and potassium (p-value=0.062) do not affect muscle cramps in pregnant women.
Conclusion: There is a significant effect between magnesium levels on the incidence of calf muscle cramps in third-trimester pregnant women, while calcium and potassium levels do not affect them.
Keywords: Muscle Cramps, Magnesium, Calcium, Potassium