OBGYNIA - Indonesian Journal of Obstetrics & Gynecology Science
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Permasalahan Perujukan Pasien dengan Malposisi yang telah Mencapai Kala II
Get PDFPendahuluan: Presentasi sungsang pada kehamilan prematur berhubungan dengan risiko obstetrik yang lebih tinggi dibandingkan dengan presentasi kepala. Pada kehamilan prematur, faktor predisposisi terjadinya letak sungsang adalah KPD, oligohidramnion, usia ibu lanjut, nuliparitas, riwayat operasi seksio sesarea sebelumnya, berat badan lahir janin di bawah persentil 10, dan kelainan kongenital janin. Pada persalinan prematur, presentasi sungsang merupakan keadaan berisiko tinggi. Rujukan yang tidak tepat dapat berujung timbulnya komplikasi maternal dan fetal pada presentasi sungsang prematur.Kasus: Wanita berusia 34 tahun, G4P2A1 parturien 32 - 33 minggu rujukan dari Puskesmas datang ke Rumah Sakit Hasan Sadikin dengan keluhan mules-mules yang semakin sering dan bertambah kuat. Pasien mengetahui kehamilannya letak sungsang sejak usia kehamilan lima bulan saat memeriksakan kandungannya di SpOG. Diskusi: Pada saat pasien rujukan datang ke RSHS, diketahui pembukaan telah lengkap dan hasil pemeriksaan dalam menunjukkan presentasi janin bokong, tidak teraba bagian-bagian kecil janin, tidak teraba tali pusat pada bagian terbawah janin. Pasien didiagnosis dengan G4P2A1 parturien 32-33 minggu kala II presentasi bokong murni, kemudian direncanakan partus pervaginam spontan dengan bracht. Kesimpulan: Perujukan yang tepat dan cepat masih menjadi kendala. Puskesmas sebagai fasilitas primer harus mampu merujuk tepat waktu mencegah komplikasi ibu dan janin pada saat persalinan dan nifas.Problem of Referral of Patients with Malposition who Have Reached Stage IIAbstractIntroduction: Breech presentation in preterm pregnancy is associated with higher obstetric risk compared to head presentation. In preterm pregnancy, the predisposing factors for breech presentation are KPD, oligohydramnios, advanced maternal age, nulliparity, history of previous cesarean section, fetal birth weight below 10th percentile, and fetal congenital abnormalities. In preterm labor, breech presentation is a high-risk condition. Inappropriate referral can lead to maternal and fetal complications in preterm breech presentation.Case: A 34 year old woman, G4P2A1 parturien 32 - 33 weeks referred from Puskesmas came to Hasan Sadikin Hospital with complaints of increasingly frequent and stronger contractions. The patient knew her pregnancy was breech since five months of gestation when she was examined at an Obstetrician and Gynecology Specialist.Discussion: When the referral patient came to RSHS, it was known that the opening was complete and the results of the internal examination showed breech fetal presentation, no palpable small parts of the fetus, no palpable umbilical cord at the bottom of the fetus. The patient was diagnosed with G4P2A1 parturien 32-33 weeks time II pure breech presentation, then planned spontaneous vaginal partus with bracht. Conclusion: Efficient and prompt referral is still an area of concern. Primary health centers as primary facilities must be able to refer on time to prevent maternal and fetal complications during labor and postpartum.Key words: Breech, premature, referral system
Distinguishing Benign and Malignant Ovarian Tumors Preoperatively
Get PDFOvarian cancer ranks as the fifth leading cause of cancer-related mortality among women globally. In 2020, there were approximately 314,000 reported cases of new ovarian cancer patients, resulting in an estimated 207,000 deaths.1 The highest incidence rates were observed in non-Hispanic white women, with 12.0 cases per 100,000 individuals, followed by Hispanics (10.3 per 100,000), non-Hispanic blacks (9.4 per 100,000), and Asian/Pacific Islander women (9.2 per 100,000). Disparities in access to healthcare services and treatment modalities contribute to varied mortality patterns, with the highest rates recorded among African populations. In Indonesia, ovarian cancer ranks as the third most prevalent cancer, comprising 7.84% of total cancers diagnosed in women.1 The heightened mortality rate observed in ovarian cancer can be ascribed to several factors including asymptomatic tumor growth, delayed manifestation of symptoms, and inadequate screening methods, ultimately resulting in diagnoses at advanced stages. Consequently, ovarian cancer is frequently described as a “silent killer”.2 To address diagnostic delays and reduce mortality rates associated with ovarian cancer, early detection and differentiation between benign and malignant ovarian tumors are crucial. This requires a comprehensive assessment comprising patient history, physical examination, and supporting investigation
Kejadian Ballooning dan Avulsi Otot Levator Ani Pada Persalinan Spontan Primipara Non OASIS di Fasilitas Kesehatan Tingkat Pertama
No full textPendahuluan: Kerusakan otot levator ani, seperti Ballooning dan Avulsi, sering terjadi pada Obstetric Anal Sphincter Injuries (OASIS) saat persalinan, yang menyebabkan masalah jangka panjang seperti inkontinensia dan prolaps uteri. Namun, hubungan antara kerusakan ini dengan robekan perineum derajat ringan atau Non-OASIS masih kurang dipahami. Penelitian ini bertujuan untuk mengeksplorasi prevalensi Ballooning dan Avulsi pada persalinan spontan primipara Non-OASIS tanpa episiotomi di fasilitas kesehatan tingkat pertamaMetode: Studi cross-sectional dilakukan di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta dan praktik mandiri bidan di Sleman, Yogyakarta, melibatkan 69 pasien. Penggunaan USG 3D melalui pendekatan translabial digunakan untuk mengidentifikasi Ballooning dan Avulsi.Hasil: Dari 69 pasien yang mengalami persalinan spontan primipara Non-OASIS tanpa episiotomi yang terlibat dalam penelitian ini, 66,67% pasien mengalami robekan perineum derajat ringan, sementara 33,3% memiliki perineum intak. Prevalensi Ballooning adalah 26,1% dan Avulsi adalah 17,4%. Ballooning lebih umum terjadi pada pasien dengan robekan perineum derajat ringan (32,6%) daripada yang memiliki perineum intak (13,0%). Avulsi juga lebih sering terjadi pada pasien dengan robekan perineum derajat ringan (21,7%) dibandingkan dengan yang memiliki perineum intak (8,7%).Kesimpulan: Avulsi terjadi pada satu dari empat persalinan spontan primipara Non-OASIS tanpa episiotomi, sementara Ballooning terjadi pada satu dari enam persalinan. Studi ini memberikan wawasan tentang karakteristik kerusakan otot levator ani dalam setting praktik kebidanan mandiri yang berjejaring dengan fasilitas kesehatan tingkat pertama.The occurance of Ballooning and Avulsion of The Levator Ani Muscles in First Spontaneous Vaginal Birth Non-OASIS without Episiotomy at Primary Health FacilitiesAbstract Introduction: Damage to the levator ani muscles, such as Ballooning and Avulsion, often occurs during Obstetric Anal Sphincter Injuries (OASIS) during childbirth, leading to long-term issues like incontinence and uterine prolapse. However, the relationship between this damage and mild perineal tears or Non-OASIS is not fully understood. This study aims to explore the prevalence of Ballooning and Avulsion in spontaneous primiparous deliveries without episiotomy in primary healthcare facilities.Method: A cross-sectional study was conducted at Dr. Sardjito General Hospital in Yogyakarta and midwifery practices in Sleman, Yogyakarta, involving 69 patients. 3D ultrasound via translabial approach was used to identify Ballooning and Avulsion.Results: Out of 69 patients undergoing spontaneous primiparous deliveries without episiotomy, 66.67% experienced mild perineal tears, while 33.3% had intact perineum. The prevalence of Ballooning was 26.1% and Avulsion was 17.4%. Ballooning was more common in patients with mild perineal tears (32.6%) compared to those with intact perineum (13.0%). Avulsion also occurred more frequently in patients with mild perineal tears (21.7%) compared to those with intact perineum (8.7%).Conclusion: Avulsion occurs in one out of four spontaneous primiparous deliveries without episiotomy, while Ballooning occurs in one out of six deliveries. This study provides insights into the characteristics of levator ani muscle damage in the setting of primary healthcare facilities connected to independent midwifery practices.Key words: levator ani muscle avulsion, levator ani muscle ballooning, primipara, mild perineal tear
The Role of Methotrexate Chemotherapy in Impeding Rupture - Low-Risk Gestational Trophoblastic Neoplasia Management: A Case Report
Get PDFBackground: Gestational Trophoblastic Neoplasia (GTN) is a type of malignant growth that originates from abnormal proliferation of placental trophoblast. GTN can even be cured in its metastatic forms with a high success rate of 90-100%. However, estimating the incidence of Gestational Trophoblastic Disease (GTD) in Indonesia is challenging due to underreporting and lack of recognition. GTD can be classified into two types: hydatidiform mole and GTN. Low-risk GTN is currently treated with methotrexate.Case presentation: A 24-year-old woman experienced vaginal bleeding for three weeks after her molar evacuation. Upon admission to Prof. Dr. Margono Seokarjo (RSMS) General Hospital, the patient was in grade III hypovolemic shock. Post-molar evacuation β-hCG examination showed increasing periodic, while ultrasound examination revealed thinning of the myometrium with vesicular pattern invaded at the fundus. Transvaginal examination results showed bilateral lutein cysts. The patient was diagnosed with low-risk GTN (FIGO score 6) with impending uterine rupture and bilateral non-papillary multilocular ovarian cysts.Discussion: GTN during pregnancy requires accurate diagnosis and prompt treatment. GTN patients who reach an undetectable β-hCG level are at risk of perforation, infection, and higher uterine bleeding. MTX chemotherapy has been proven effective as the main therapy for low-risk GTN, and the β-hCG level can be relied upon as an indicator of treatment response. The MTX chemotherapy provides a favorable prognosis for reducing β-hCG levels to prevent uterine rupture.Conclusions: The administration of MTX chemotherapy successfully prevents rupture by reducing the β-hCG levels, followed by three cycles of consolidation therapy to prevent recurrence.Peran Kemoterapi Metotrexat pada Tatalaksana Tumor Trofoblastik Gestational Risiko Rendah dengan Ancaman Ruptur Uteri: Laporan KasusAbstrak Latar belakang: Neoplasia Trofoblas Gestasional (GTN) merujuk pada lesi ganas yang timbul dari proliferasi trofoblas plasenta yang abnormal. Meskipun dalam bentuk metastasis, GTN dapat disembuhkan dengan tingkat kesembuhan mencapai 90 – 100%. Di Indonesia, estimasi insiden GTD (Penyakit Trofoblas Gestasional) menjadi tantangan terutama karena tidak semua kasus dilaporkan atau dikenali. GTD terbagi menjadi mola hidatidosa dan neoplasia trofoblas gestasional (GTN). Saat ini, metotreksat direkomendasikan untuk GTN dengan risiko rendahPresentasi Kasus: Seorang wanita berusia 24 tahun mengalami perdarahan vagina selama 3 minggu setelah evakuasi molanya. Saat masuk ke Rumah Sakit Umum Prof. Dr. Margono Soekarjo (RSMS), pasien dalam keadaan syok hipovolemik stadium III. Pemeriksaan β-hCG pascaevakuasi mola menunjukkan peningkatan periodik dan pemeriksaan ultrasonografi menunjukkan penipisan miometrium dengan pola vesikular yang menginvasi fundus. Hasil pemeriksaan transvaginal menunjukkan adanya kista lutein bilateral. Pasien didiagnosis dengan GTN risiko rendah (skor FIGO 6) dengan ancaman ruptur uterus dan kista ovarium multilokular bilateral non-papiler.Pembahasan: GTN selama kehamilan membutuhkan diagnosis yang akurat dan pengobatan yang cepat. Kemoterapi metotreksat merupakan terapi utama untuk GTN dengan risiko rendah, dan tingkat β-hCG dapat digunakan sebagai indikator respons terhadap pengobatan. Pasien GTN yang mencapai tingkat β-hCG yang tidak terdeteksi berisiko mengalami perforasi, infeksi, dan perdarahan rahim yang lebih tinggi. Penggunaan metotreksat (MTX) sebagai pengobatan utama untuk GTN dengan risiko rendah telah terbukti efektif dan memberikan prognosis yang menguntungkan. Kesimpulan: Pemberian kemoterpi MTX berhasil mencegah terjadinya ruptur karena kadar β-hCG menurun dan dilanjutkan terapi konsolidasi 3 siklus untuk mencegah terjadinya rekurensi.Kata kunci: Gestational Trophoblastic Neoplasia (GTN), Plasenta Trofoblas, Methotrexate Ruptur Uteri
Gestational Weight Gain and Risk of Preeclampsia: A Case-Control Study
Get PDFIntroduction: This study aims to investigate the relationship between gestational weight gain and preeclampsia among patients who delivered in RSUD Prof. Dr. Margono Soekarjo, Purwokerto. Methods: This was a case control study, conducted from October 2022 – March 2023. Data were gathered through electronic medical records and excluded pregnant patients with previous diagnosis of hypertension outside pregnancy, diabetes, renal disorder, and autoimmune disorder. Results: In this study, 156 patients with preeclampsia and 156 patients without preeclampsia were enrolled. Patients with high GWG have an increased risk of preeclampsia (OR 2.154 95%CI 1.353 – 3.429) compared to patients with adequate GWG (OR 0.984 95%CI 0.691 – 1.401). Patients with pre-pregnancy obesity also has an increased risk of preeclampsia (OR 1.625 95%CI 1.165 – 2.267) compared to normal pre-pregnancy weight (OR 0.564 95%CI 0.379-0.869).Discussion: Gestational weight gain and pre-pregnancy obesity appears to be independently linked to preeclampsia. Our findings reflect other studies that have been conducted on this subject, strengthening the synergistic effect between pre-pregnancy BMI and GWG on the risk of preeclampsia in local population. Conclusion: Excessive GWG during pregnancy and pre-pregnancy obesity increases the risk of developing preeclampsia.Peningkatan Berat Badan saat Kehamilan dan Risiko Preeklamsia: Sebuah Studi Case-ControlAbstrakPendahuluan: Penelitian ini bertujuan untuk mengetahui hubungan antara pertambahan berat badan dan kejadian preeklampsia pada pasien bersalin di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Metode: Studi ini merupakan studi case control yang dilakukan dari Oktober 2022 – Maret 2023. Data dikumpulkan melalui rekam medis elektronik dengan kriteria eksklusi berupa pasien hamil dengan diagnosis hipertensi sebelumnya di luar kehamilan, diabetes, gangguan ginjal, dan gangguan autoimun. Hasil: Dalam penelitian ini, terdapat 156 pasien dengan preeklampsia dan 156 pasien tanpa preeklampsia. Pasien dengan GWG tinggi memiliki peningkatan risiko preeklampsia (OR 2,154 95%CI 1,353 – 3,429) dibandingkan pasien dengan GWG adekuat (OR 0,984 95%CI 0,691 – 1,401). Pasien dengan obesitas prakehamilan juga memiliki peningkatan risiko preeklampsia (OR 1,625 95%CI 1,165 – 2,267) dibandingkan dengan berat badan normal sebelum hamil (OR 0,564 95%CI 0,379-0,869). Diskusi: Pertambahan berat badan gestasional dan obesitas pra-kehamilan tampaknya terkait secara independen dengan preeklampsia. Temuan kami mencerminkan penelitian lain yang telah dilakukan mengenai hal ini, memperkuat efek sinergis antara BMI pra-kehamilan dan kenaikan berat badan kehamilan pada risiko preeklampsia pada populasi lokal. Kesimpulan: Pertambahan berat badan selama kehamilan yang berlebihan selama kehamilan dan obesitas pra-kehamilan meningkatkan risiko terjadinya preeklampsia. Kata kunci: Preeklampsia, Pertambahan Berat Badan Kehamilan, Obesita
Exploring the Intricacies of Encephalocele Case in Pregnancy: Unraveling Risk Factors, Diagnostic Difficulty, and Implications for Maternal and Fetal Health
Get PDFIntroduction: Encephaloceles are a type of neural tube defect that carries a significant risk of death and health complications. Ultrasonography can be utilized for the early detection of encephaloceles starting from 11 weeks of gestation. This case report describes the diagnosis of an occipital encephalocele using ultrasonography during the third trimester of pregnancy and the subsequent monitoring of the condition until delivery. This report serves as a reminder of the potential implications and the importance of ongoing research in prenatal diagnosis of encephalocele to improve diagnostic and therapeutic strategies.Case Report: A 23-year-old woman, gravida 2, para 1 (G1P0A0), presented with lower abdominal pain without uterine contractions at 38 weeks of pregnancy, was consulted in the Department of Obstetrics and Gynecology of Slamet General District Hospital. She did nine antenatal visits; and three were performed through ultrasonography by a general practitioner. The occipital posterior defect was visualized with protruding mass consistent with an encephalocele during the third trimester when she was admitted to Slamet General Hospital Garut. A baby born by cesarean section with an encephalocele died three hours later.Discussion: Encephaloceles can be detected using two-dimensional (2D) and three-dimensional (3D) sonography as early as 11 weeks; however, most instances are typically diagnosed during the second trimester. Using advanced imaging technology and skilled sonographers, an encephalocele can be diagnosed at 14 weeks.Conclusion: Prenatal screening through ultrasonography and other advanced imaging techniques plays a significant role in identifying encephalocele prenatally. Understanding potential risk factors, including genetic predispositions and environmental influences, is important to better counsel patients on preventive strategies.Eksplorasi Kasus Kehamilan dengan Ensefalokel : Faktor Risiko, Kesulitan Diagnostik, dan Implikasi untuk Kesehatan Ibu dan JaninAbstrakPendahuluan: Ensefalokel adalah jenis cacat tabung saraf yang membawa risiko kematian dan komplikasi kesehatan yang signifikan. Ultrasonografi dapat digunakan untuk deteksi dini ensefalokel mulai dari usia kehamilan 11 minggu. Laporan kasus ini menjelaskan diagnosis ensefalokel oksipital menggunakan ultrasonografi selama trimester ketiga kehamilan, dan pemantauan kondisi selanjutnya hingga persalinan. Laporan ini menjadi pengingat pada implikasi potensial dan pentingnya penelitian yang sedang berlangsung dalam diagnosis ensefalokel prenatal untuk meningkatkan strategi diagnostik dan terapeutik.Laporan Kasus: Seorang wanita berusia 23 tahun, gravida 2, para 1 (G1P0A0), datang dengan keluhan nyeri perut bagian bawah tanpa kontraksi uterus pada usia kehamilan 38 minggu ke Departemen Obstetri dan Ginekologi di RSUD Slamet Garut. Pasien telah menjalani sembilan kali perawatan antenatal, tiga di antaranya dilakukan dengan ultrasonografi oleh dokter umum. Defek posterior oksipital divisualisasikan dengan massa yang menonjol konsisten dengan encephalocele pada trimester ketiga ketika admisi di RSUD Slamet Garut. Bayi lahir melalui operasi seksio sesarea dengan klinis encephalocele lalu meninggal tiga jam kemudian.Diskusi: Encephalocele dapat dideteksi dengan sonografi dua dimensi (2D) dan tiga dimensi (3D) sejak usia 11 minggu, namun sebagian besar kasus biasanya didiagnosis selama trimester kedua. Encephalocele dapat didiagnosis pada usia 14 minggu menggunakan teknologi ultrasonografi, tetapi deteksinya didasarkan oleh kemampuan operator. Kesimpulan: Skrining prenatal melalui ultrasonografi dan teknik pencitraan canggih lainnya memainkan peran penting dalam mengidentifikasi ensefalokel prenatal. Memahami faktor risiko potensial, termasuk faktor genetik dan lingkungan adalah penting untuk memberikan konseling yang lebih baik kepada pasien tentang strategi pencegahan.Kata kunci: Counseling, Diagnosis, Occipital Encephalocele, Risk Factor
The Relationship between Ferritin Levels and Uterine Inertia in Labor Women
Get PDFObjective: To determine the relationship between ferritin levels and the incidence of uterine inertia in pregnant women. Method: This study uses a prospective cohort design. The study was conducted on all pregnant women aged 20-40 years who had antenatal care and be in labor at the Teaching Hospital in the Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University. Data were analyzed with the chi-square test and the Mann-Whitney test. Results: Obtained 76 pregnant women where 44.7% of them had uterine inertia. The average ferritin level in the uterine inertia group was significantly lower (3.80 ± 2.84 ng/mL) than without the uterine inertia group (12.99 ± 11.40 ng/mL) with a value p<0.001. The average ferritin level in the mild anemia group was significantly higher (9.83 ± 10.35 ng/mL) than in the moderate anemia group (3.82 ± 2.51 ng/mL) with a p-value <0.05. Pregnant women with moderate anemia were found to be 4.68 more susceptible uterine inertia than pregnant women with mild anemia.Conclusion: There was a relationship between ferritin levels in pregnant women and the incidence of uterine inertia where low ferritin levels was risk factor of uterine inertia.Hubungan Kadar Feritin dengan Kejadian Inersia Uteri pada Ibu BersalinAbstrak Tujuan: Untuk mengetahui hubungan antara kadar feritin dan kejadian inersia uteri pada ibu bersalin. Metode: Penelitian ini menggunakan rancangan kohort prospektif. Penelitian dilakukan pada semua wanita hamil usia 20-40 tahun yang melakukan antebatal care dan persalinan di Rumah Sakit Pendidikan di bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Hasanuddin. Data dianalsiis dengan uji chi square dan uji Mann Whitney. Hasil: Diperoleh 76 ibu hamil, sebanyak 44,7% di antaranya mengalami inersia uteri. Rata-rata kadar feritin pada kelompok inersia uteri secara signifikan lebih rendah (3,80±2,84 ng/mL) dibandingkan rata-rata kadar feritin pada kelompok tidak inersia uteri (12,99±11,40 ng/mL) dengan nilai p<0,001. Rata-rata kadar feritin pada kelompok anemia ringan secara signifikan lebih tinggi (9,83±10,35 ng/mL) dibandingkan rata-rata kadar feritin pada kelompok anemia moderat (3,82±2,51 ng/mL) dengan nilai p<0,05. Ibu hamil dengan anemia moderat mempunyai risiko mengalami inersia uteri sebanyak 4,68 kali lebih besar dibandingkan ibu hamil dengan anemia ringan. Kesimpulan: Ada hubungan antara kadar feritin ibu hamil dan kejadian inersia uteri. Rendahnya kadar feritin menjadi salah satu penyebab kejadian inersia uteri.Kata kunci: Feritin, Ibu Bersalin, Inersia Uter
COVID-19 Infection in Pregnancy Increases Length of Hospitalization and Need for Postpartum Intermediate Care
Get PDFObjective: To find the prevalence and the outcomes of pregnant women with COVID-19 infection. Method: This was a cross-sectional study. The subjects were selected by total sampling. All pregnant women with COVID-19 infection and without COVID-19 infection who gave birth at Harapan Mulia Hospital from June 1, 2020 to August 31, 2021 with complete medical record data were recruited.Results: The average age of the patients with COVID-19 was 29.10 ± 7.325 years and the average age of the patients without COVID-19 was 29.24 ± 7.021 years. The average gestational age of pregnant women with COVID-19 was 37.52 ± 1.978 weeks and without COVID-19 was 38.14 ± 1.718 weeks. From the results of the statistical test of maternal outcomes, it was obtained that the P value for the length of hospitalization and type of treatment room after delivery was 0.05. For perinatal outcome analysis, from the results of statistical tests, it was obtained that P values for all variables were >0.05. Conclusion: There are differences in maternal outcomes and no differences in perinatal outcomes between pregnant women with COVID-19 and pregnant women without COVID-19 infection.Infeksi COVID-19 pada Kehamilan Meningkatkan Lama Rawat Inap dan Kebutuhan Ruang Intermediate Pasca PersalinanAbstrakTujuan: Mengetahui besarnya prevalensi dari ibu hamil dengan infeksi COVID-19 serta luarannya di RS Harapan Mulia BekasiMetode: analitik cross-sectionalHasil: Perbandingan demografi kelompok Ibu hamil dengan COVID-19, rata-rata usia pasien adalah 29,10 ± 7,325 tahun dan non COVID-19 29,24 ± 7,021 tahun. Rata-rata usia kehamilan ibu hamil dengan COVID-19 adalah 37,52 ± 1,978 minggu dan non COVID-19 adalah 38,14 ± 1,718 minggu. Dari hasil uji statistik luaran maternal, diperoleh nilai P pada lama perawatan dan jenis perawatan setelah persalinan lebih kecil dari 0,05 (nilai p 0,05). Untuk analisis luaran perinatal, dari hasil uji statistik diperoleh nilai P pada semua variabel lebih besar dari 0,05 (nilai >0,05). Kesimpulan: Terdapat perbedaan luaran maternal dan tidak didapatkan perbedaan luaran perinatal antara kelompok ibu hamil dengan COVID-19 dan non COVID-19.Kata kunci: infeksi COVID-19, luaran maternal, luaran perinata
Hubungan Antara Indeks Massa Tubuh dan Paritas dengan Inkontinensia Urin Tipe Tekanan dan Desakan pada Lansia
Get PDFTujuan: Mengetahui hubungan antara IMT dan paritas dengan SUI dan UUI pada lansia. Metode: Penelitian observasional analitik dengan pendekatan desain cross sectional, penelitian ini menggunakan data primer yang diperoleh melalui wawancara menggunakan kuesioner untuk diagnosis inkontinensia urin (QUID).Hasil: Dari 64 responden lansia perempuan terdapat 26 yang mengalami SUI (40,6 %) dan 14 yang mengalami UUI (21,9%), terdapat hubungan yang signifikan antara IMT dengan SUI (p0,05, UUI memiliki hubungan yang tidak signifikan dengan IMT dan paritas (p>0,05). Kesimpulan: Terdapat hubungan yang signifikan antara IMT dan SUI.Kata kunci: IU, IMT, Paritas, Perempuan Lansia Association between Body Mass Indeks and Parity with Stress and Urgency Urinary Incontinence in the Elderly AbstractObjective: To find out the association between BMI and parity with SUI and UUI in the elderly. Method: This research was an analytic observational study with a cross sectional approach, This study used primary data obtained through interviews and uses the Questionnaire for Urinary Incontinence Diagnosis (QUID). Results: Data from 64 female elderly respondents showed that there was 26 female elderly with SUI (40,6%) and 14 with UUI (21,9%), there is a significant association between BMI for SUI (p0,05). Meanwhile, UUI has no significant relationship with BMI and parity (p>0,05).Conclution: There was a significant association between BMI and SUI.Key words: UI, BMI, Parity, Elderly Wome
Karakteristik Tumor Trofoblas Gestasional Risiko Tinggi di RSUP Dr. Hasan Sadikin Bandung Tahun 2019 – 2021
Get PDFTujuan: Penelitian ini bertujuan mengidentifikasi karakteristik demografi dan klinis pasien TTG risiko tinggi di RSUP Dr. Hasan Sadikin Bandung pada tahun 2019 – 2021.Metode: Penelitian ini menggunakan analisis secara deskriptif yang didapatkan melalui rekam medis pasien TTG risiko tinggi di RSUP Dr. Hasan Sadikin Bandung pada tahun 2019 – 2021 dengan metode total sampling. Hasil: Terdapat 69 rekam medis pasien yang memenuhi kriteria inklusi dan eksklusi. Hasil tersebut menunjukkan banyaknya pasien yang memiliki pendidikan terakhir pada jenjang SMA (49%), tidak memiliki pekerjaan (84%) yang didominasi oleh ibu rumah tangga, beretnis Sunda (93%), berasal dari daerah wilayah IV Priangan (54%), berusia lebih dari 40 tahun (57%), multipara (61%), memiliki riwayat mola (71%), interval dengan kehamilan sebelumnya 7 hingga 12 bulan (54%), kadar β-hCG yang diukur sebelum terapi sebanyak 10.000 - <100.000 mIU/mL (42%), tidak terjadi metastasis (68%) diikuti hasil terjadinya metastasis pada paru-paru (26%), tidak memiliki hasil pemeriksaan tipe histopatologi (61%) diikuti hasil tipe histopatologi koriokarsinoma (33%), dan memiliki stadium I (59%).Kesimpulan: Kasus TTG risiko tinggi di RSUP Dr. Hasan Sadikin Bandung pada tahun 2019 – 2021 lebih umum terjadi pada pasien yang memiliki pendidikan terakhir pada jenjang SMA, tidak memiliki pekerjaan yang didominasi oleh ibu rumah tangga, beretnis Sunda, berasal dari daerah wilayah IV Priangan, berusia lebih dari 40 tahun, riwayat multipara, riwayat mola, interval dengan kehamilan sebelumnya 7 hingga 12 bulan, kadar β-hCG yang diukur sebelum terapi sebanyak 10.000 - < 100.000 mIU/mL, tidak terjadi metastasis, dan memiliki stadium I.Characteristics of High Risk Gestational Trophoblast Neoplasia at Dr. Hasan Sadikin General Hospital Bandung in 2019 – 2021AbstractObjective: This research aims to identify the demographic and clinical characteristics of patients with high-risk GTN at Dr. Hasan Sadikin Bandung in 2019–2021.Method: This research used descriptive analysis, which was obtained from the medical records of patients with high-risk GTN at Dr. Hasan Sadikin General Hospital Bandung in 2019–2021 using the total sampling method.Results: 69 patient medical records met the inclusion and exclusion criteria. These results show that the number of patients who have had their last education at the high school level (49%), do not have a job (84%), are dominated by housewives, are of Sundanese ethnicity (93%), and come from region IV Priangan (54%), aged over 40 years (57%), multiparous (61%), had a history of molar (71%), an interval with a previous pregnancy of 7 to 12 months (54%), β-hCG level measured before therapy of 10,000– 100,000 mIU/mL (42%), no metastases (68%) followed by lung metastases (26%), no histopathological type (61%) followed by choriocarcinoma histopathological type (33%), and staging I (59%).Conclusion: High-risk GTN cases at Dr. Hasan Sadikin Bandung in 2019 – 2021 are more common in patients who have the last education at the high school level, do not have a job dominated by housewives, are of Sundanese ethnicity, come from the IV Priangan region, are over 40 years old, have a history of multiparas, a history of moles, an interval with a previous pregnancy of 7 to 12 months, β-hCG level measured before therapy was 10,000– 100,000 mIU/mL, no metastases occurred, and had stage I.Key words: Characteristics, Demographic, Gestational Trophoblastic Neoplasia, High Ris