Pub Date : 2021-03-24DOI: 10.24198/OBGYNIA/V4N1.239
I. G. S. Winata, Musa Taufiq
Objective: This article aims to review pelvic inflammatory disease management during the coronavirus disease 2019 pandemic Method: We conducted a search for scientific articles through PubMed and Google Scholar, using the terminologies of “PID AND COVID-19”, “Pelvic Inflammatory Disease”; “Pelvic Inflammatory Disease AND COVID-19”, “PID Management AND COVID-19”, “Pelvic Inflammatory Disease Management AND COVID-19”, and “PID AND Pandemic” in English and Indonesian from 2019-2020. Result: There were a total of 25 scientific articles from PubMed and Google Scholar within 2019-2020 that were included as the source of this review Conclusion: There is no difference between the management of pelvic inflammatory disease during and before the pandemic. The mode of medical services and follow up tends to be conducted virtually. Technology-based services for pelvic inflammatory disease during the corona virus disease 2019 pandemic are promising and have been proven to be an effective method, therefore virtual-based pelvic inflammatory disease services may be safely applied. However, if there is any indication of emergency found during the telemedicine services, a face-to-face consultation or emergency room visit should be recommended. Key words : COVID-19, Pelvic Inflammatory Disease, SARS-CoV-2
目的:本文旨在综述2019冠状病毒病大流行期间盆腔炎的管理方法:我们通过PubMed和Google Scholar检索科学文章，使用术语“PID and COVID-19”，“盆腔炎”;《盆腔炎与COVID-19》、《盆腔炎与COVID-19》、《盆腔炎与COVID-19》、《盆腔炎与COVID-19》、《盆腔炎与COVID-19》、《盆腔炎与COVID-19》英文版和印尼语版。结果:2019-2020年共有25篇来自PubMed和Google Scholar的科学文章被纳入本综述的来源。结论:大流行期间和前盆腔炎的管理没有差异。医疗服务和随访模式趋向于虚拟化。在2019冠状病毒病大流行期间，基于技术的盆腔炎服务前景广阔，并已被证明是一种有效的方法，因此基于虚拟的盆腔炎服务可以安全地应用。但是，如果在远程医疗服务期间发现任何紧急情况的迹象，则应建议进行面对面咨询或急诊室就诊。关键词:COVID-19，盆腔炎，SARS-CoV-2
{"title":"Pelvic Inflammatory Disease (PID) Management in Corona Virus Disease 2019 (COVID-19) Era","authors":"I. G. S. Winata, Musa Taufiq","doi":"10.24198/OBGYNIA/V4N1.239","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V4N1.239","url":null,"abstract":"Objective: This article aims to review pelvic inflammatory disease management during the coronavirus disease 2019 pandemic Method: We conducted a search for scientific articles through PubMed and Google Scholar, using the terminologies of “PID AND COVID-19”, “Pelvic Inflammatory Disease”; “Pelvic Inflammatory Disease AND COVID-19”, “PID Management AND COVID-19”, “Pelvic Inflammatory Disease Management AND COVID-19”, and “PID AND Pandemic” in English and Indonesian from 2019-2020. Result: There were a total of 25 scientific articles from PubMed and Google Scholar within 2019-2020 that were included as the source of this review Conclusion: There is no difference between the management of pelvic inflammatory disease during and before the pandemic. The mode of medical services and follow up tends to be conducted virtually. Technology-based services for pelvic inflammatory disease during the corona virus disease 2019 pandemic are promising and have been proven to be an effective method, therefore virtual-based pelvic inflammatory disease services may be safely applied. However, if there is any indication of emergency found during the telemedicine services, a face-to-face consultation or emergency room visit should be recommended. Key words : COVID-19, Pelvic Inflammatory Disease, SARS-CoV-2","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133469991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-30DOI: 10.24198/obgynia.v3n2.200
Akhmad Yogi Pramatirta, Rizna Tyrani Rumanti
{"title":"Gambaran Kematian Maternal di RSUP Dr. Hasan Sadikin Bandung Tahun 2019","authors":"Akhmad Yogi Pramatirta, Rizna Tyrani Rumanti","doi":"10.24198/obgynia.v3n2.200","DOIUrl":"https://doi.org/10.24198/obgynia.v3n2.200","url":null,"abstract":"","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"376 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121009419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hubungan Kualitas Hidup dan Kebutuhan Perawatan Paliatif Pasien Kanker Ginekologi di Rumah Sakit Dr. Hasan Sadikin","authors":"Rizna Tyrani Rumanti, Akhmad Yogi Pramatirta, Ali Budi Harsono, Jusuf Sulaeman Effendi","doi":"10.24198/obgynia.v3n2.218","DOIUrl":"https://doi.org/10.24198/obgynia.v3n2.218","url":null,"abstract":"","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115753551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.207
Arieff Kustiandi, Yudi Mulyana Hidayat, R. M. S. Sasotya, A. Kurniadi
Tujuan : Penelitian ini bertujuan untuk mengetahui spesifitas dan sensitivitas skor RMI 2 dalam menentukan keganasan ovarium. Kadar CA 125 dan skor RMI 2 diukur dari hasil pemeriksaan histopatologi digunakan sebagai pemeriksaan gold standard. Penelitian ini dilakukan pada periode Januari 2017−Desember 2018. Metode : Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional. Data kategorik diuji dengan uji chi-square atau uji Exact Fisher. Data numerik digunakan uji-t tidak berpasangan atau uji Mann Whitney. Sumber data diperoleh dari rekam medis pasien di Poli Ginekologi Onkologi RSUP Dr. Hasan Sadikin Bandung berdasarkan angka skor RMI 2 pada penderita suspek tumor ganas ovarium. Hasil : Sampel berjumlah 172 dengan 31 berkategori jinak dan 141 berkategori ganas berdasarkan hasil histopatologi. Hasil penelitian menunjukkan nilai median CA 125 kelompok ganas dibanding kelompok jinak (437, 05 vs 212,14) bermakna secara statistik p = 0,001 (nilai p 200 dengan sensitivitas 95,74% dan spesifisitas 16,12%. Kesimpulan : Skor RMI 2 adalah metode yang digunakan untuk memprediksi tumor ganas ovarium. Hal ini sangat berguna digunakan dengan kombinasi CA 125 dengan hasil pemeriksaan ultrasonografi (USG) dan status menopause atau dikenal dengan Risk Malignancy Index (RMI skor 2 cut off point >200 ) dengan sensitivitas 95,74%, spesifisitas 16,12%dan akurasi 81,39 %. Skor RMI 2 mempunyai sensitivitas yang tinggi, tetapi mempunyai spesivisitas yang rendah, sehingga membutuhkan penelitian lebih lanjut. Accuracy of Specificity and Sensitivity of RMI 2 Score Numbers in Ovarium Fanner Tumors in RSUP Dr. Hasan Sadikin Bandung Period 2017-2018 Abstract Objective : This study aims to determine the specificity and sensitivity of RMI 2 score in ovarian malignancy. The CA 125 level and the RMI 2 score were measured and adjusted by histopathology examination as gold standard. This research was conducted in period January 2017−December 2018. Methods : This research used observational analitic research method with cross sectional design. Categorical data were tested by chi-square test or Fisher's Exact test. Numerical data are used unpaired t-test or Mann Whitney test. The source of data from medical records of patients in Gynecology Oncology Clinic Dr. Hasan Sadikin Bandung based on the RMI 2 score with suspected ovarian malignant tumors. Result : Samples were 172 with 31 benign categories and 141 malignant categories based on the results of histopathology. The results showed a median value of CA 125 of the malignant group compared to the benign group (437, 05 vs. 212.14) statistically significant p = 0.001 (p value 200 with a sensitivity of 95.74% and specificity of 16.12%. Conclusion : This study is an RMI 2 score is a useful way as a predictor of ovarian malignancy. This is very useful to use with a combination of CA 125 with the results of ultrasonography (USG) and menopausal status or known as the Risk Malignancy Index (RMI s
{"title":"Akurasi Spesivisitas dan Sensitivitas Angka RMI 2 Skor pada Penderita Tumor Ganas Ovarium di RSUP Dr. Hasan Sadikin Bandung Periode 2017−2018","authors":"Arieff Kustiandi, Yudi Mulyana Hidayat, R. M. S. Sasotya, A. Kurniadi","doi":"10.24198/OBGYNIA/V3N2.207","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.207","url":null,"abstract":"Tujuan : Penelitian ini bertujuan untuk mengetahui spesifitas dan sensitivitas skor RMI 2 dalam menentukan keganasan ovarium. Kadar CA 125 dan skor RMI 2 diukur dari hasil pemeriksaan histopatologi digunakan sebagai pemeriksaan gold standard. Penelitian ini dilakukan pada periode Januari 2017−Desember 2018. Metode : Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional. Data kategorik diuji dengan uji chi-square atau uji Exact Fisher. Data numerik digunakan uji-t tidak berpasangan atau uji Mann Whitney. Sumber data diperoleh dari rekam medis pasien di Poli Ginekologi Onkologi RSUP Dr. Hasan Sadikin Bandung berdasarkan angka skor RMI 2 pada penderita suspek tumor ganas ovarium. Hasil : Sampel berjumlah 172 dengan 31 berkategori jinak dan 141 berkategori ganas berdasarkan hasil histopatologi. Hasil penelitian menunjukkan nilai median CA 125 kelompok ganas dibanding kelompok jinak (437, 05 vs 212,14) bermakna secara statistik p = 0,001 (nilai p 200 dengan sensitivitas 95,74% dan spesifisitas 16,12%. Kesimpulan : Skor RMI 2 adalah metode yang digunakan untuk memprediksi tumor ganas ovarium. Hal ini sangat berguna digunakan dengan kombinasi CA 125 dengan hasil pemeriksaan ultrasonografi (USG) dan status menopause atau dikenal dengan Risk Malignancy Index (RMI skor 2 cut off point >200 ) dengan sensitivitas 95,74%, spesifisitas 16,12%dan akurasi 81,39 %. Skor RMI 2 mempunyai sensitivitas yang tinggi, tetapi mempunyai spesivisitas yang rendah, sehingga membutuhkan penelitian lebih lanjut. Accuracy of Specificity and Sensitivity of RMI 2 Score Numbers in Ovarium Fanner Tumors in RSUP Dr. Hasan Sadikin Bandung Period 2017-2018 Abstract Objective : This study aims to determine the specificity and sensitivity of RMI 2 score in ovarian malignancy. The CA 125 level and the RMI 2 score were measured and adjusted by histopathology examination as gold standard. This research was conducted in period January 2017−December 2018. Methods : This research used observational analitic research method with cross sectional design. Categorical data were tested by chi-square test or Fisher's Exact test. Numerical data are used unpaired t-test or Mann Whitney test. The source of data from medical records of patients in Gynecology Oncology Clinic Dr. Hasan Sadikin Bandung based on the RMI 2 score with suspected ovarian malignant tumors. Result : Samples were 172 with 31 benign categories and 141 malignant categories based on the results of histopathology. The results showed a median value of CA 125 of the malignant group compared to the benign group (437, 05 vs. 212.14) statistically significant p = 0.001 (p value 200 with a sensitivity of 95.74% and specificity of 16.12%. Conclusion : This study is an RMI 2 score is a useful way as a predictor of ovarian malignancy. This is very useful to use with a combination of CA 125 with the results of ultrasonography (USG) and menopausal status or known as the Risk Malignancy Index (RMI s","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121449732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.228
J. C. Mose
Sejak kasus pertama infeksi Covid-19 di laporkan dari propinsi Wuhan China pada 12 Desember 2019, penyakit ini sudah menyebar dengan sangat cepat dan menjadi pandemi ke hampir seluruh dunia termasuk di Indonesia. Kasus infeksi Covid-19 pada ibu hamil juga semakin meningkat kajadiannya. Perbagai laporan ilmiah membanjiri media sosial dan ilmiah di seluruh dunia tentang epidemiologi, gejala klinis, perjalanan penyakit, etiologi, patomekanisme molekuler dan seluler, upaya deteksi dini, diagnosis, pencegahan dan pengobatannya. Pelbagai organisasi profesi kesehatan dunia menerbitkan serial panduan ( guidelines) pengelolaan penyakit ini dalam kehamilan dari waktu ke waktu
自2019年12月12日在武汉省报告的第一起Covid-19感染病例以来，这种疾病已迅速蔓延，几乎遍及世界各地，包括印度尼西亚。孕妇的Covid-19感染病例也在增加。关于流行病学、临床症状、疾病旅行、病因学、分子和细胞病理、早期发现、诊断、预防和治疗的科学报告在世界各地的社会和科学媒体上比比比看越来越多。世界卫生专业组织(world health profession organization)出版了一系列指导方针，在怀孕期间管理这种疾病
{"title":"Infeksi COVID-19 Dalam Kehamilan","authors":"J. C. Mose","doi":"10.24198/OBGYNIA/V3N2.228","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.228","url":null,"abstract":"Sejak kasus pertama infeksi Covid-19 di laporkan dari propinsi Wuhan China pada 12 Desember 2019, penyakit ini sudah menyebar dengan sangat cepat dan menjadi pandemi ke hampir seluruh dunia termasuk di Indonesia. Kasus infeksi Covid-19 pada ibu hamil juga semakin meningkat kajadiannya. Perbagai laporan ilmiah membanjiri media sosial dan ilmiah di seluruh dunia tentang epidemiologi, gejala klinis, perjalanan penyakit, etiologi, patomekanisme molekuler dan seluler, upaya deteksi dini, diagnosis, pencegahan dan pengobatannya. Pelbagai organisasi profesi kesehatan dunia menerbitkan serial panduan ( guidelines) pengelolaan penyakit ini dalam kehamilan dari waktu ke waktu","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128924162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.200
Akhmad Yogi Pramatirta, R. T. Rumanti
Tujuan: Penelitian ini adalah untuk untuk memberikan gambaran mengenai kematian maternal yang terjadi di Rumah Sakit Hasan Sadikin tahun 2019 Metode : Subjek penelitian ini adalah seluruh kematian maternal selama bulan 2019 di Rumah Sakit Hasan Sadikin. Penelitian ini dilakukan dengan jenis penelitian deskriptif dan dengan rancangan penelitian cross sectional yaitu cara pendekatan, observasi atau pengumpulan data dimana pengumpulan data tersebut dilakukan pada saat yang bersamaan Hasil : Karakteristik kematian maternal terbanyak adalah usia reproduksi (88,8%), paritas terbanyak adalah multipara (58,3%), berpendidikan cukup tinggi (94,5%), seluruh pasien kematian maternal memiliki kontak antenatal dengan tenaga kesehatan (100%) namun sebagian besar hanya melakukan kontak antenatal <8 kali (74,4%), dan penyebab terbanyak dari kematian adalah hipertensi dalam kehamilan (63,9%) Kesimpulan : Kematian maternal berkaitan dengan kontak antenatal yang kurang adekuat. Kontak antenatal yang tidak adekuat menyebabkan penanganan pasien dengan risiko tinggi menjadi kurang baik, terutama pasien dengan faktor risiko preeklampsia Description of Maternal Death in Dr. Hasan Sadikin General Hospital in 2019 Abstract Objective : The purpose of this study was to provide an overview of maternal deaths that occurred at Hasan Sadikin Hospital in 2019 Method : The subjects of this study were all maternal deaths during 2019 at Hasan Sadikin Hospital. This research was conducted with descriptive survey, cross sectional research design that is a way of approaching, observing or collecting data where the data collection was carried out at the same time Result : The characteristics of the most maternal deaths are reproductive age (88.8%), most parity is multiparaous (58.3%), highly educated (94.5%), all maternal death patients have antenatal care with health workers (100%) but most only had antenatal care <8 times (74.4%), and the most common cause of death was hypertension in pregnancy (63.9%) Conclusion: Maternal deaths are associated with inadequate antenatal care. Inadequate antenatal care causes poor management of patients with high risk, especially patients with risk factors for preeclampsia Key words : Maternal death, antenatal care
{"title":"Gambaran Kematian Maternal di RSUP Dr. Hasan Sadikin Bandung Tahun 2019","authors":"Akhmad Yogi Pramatirta, R. T. Rumanti","doi":"10.24198/OBGYNIA/V3N2.200","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.200","url":null,"abstract":"Tujuan: Penelitian ini adalah untuk untuk memberikan gambaran mengenai kematian maternal yang terjadi di Rumah Sakit Hasan Sadikin tahun 2019 Metode : Subjek penelitian ini adalah seluruh kematian maternal selama bulan 2019 di Rumah Sakit Hasan Sadikin. Penelitian ini dilakukan dengan jenis penelitian deskriptif dan dengan rancangan penelitian cross sectional yaitu cara pendekatan, observasi atau pengumpulan data dimana pengumpulan data tersebut dilakukan pada saat yang bersamaan Hasil : Karakteristik kematian maternal terbanyak adalah usia reproduksi (88,8%), paritas terbanyak adalah multipara (58,3%), berpendidikan cukup tinggi (94,5%), seluruh pasien kematian maternal memiliki kontak antenatal dengan tenaga kesehatan (100%) namun sebagian besar hanya melakukan kontak antenatal <8 kali (74,4%), dan penyebab terbanyak dari kematian adalah hipertensi dalam kehamilan (63,9%) Kesimpulan : Kematian maternal berkaitan dengan kontak antenatal yang kurang adekuat. Kontak antenatal yang tidak adekuat menyebabkan penanganan pasien dengan risiko tinggi menjadi kurang baik, terutama pasien dengan faktor risiko preeklampsia Description of Maternal Death in Dr. Hasan Sadikin General Hospital in 2019 Abstract Objective : The purpose of this study was to provide an overview of maternal deaths that occurred at Hasan Sadikin Hospital in 2019 Method : The subjects of this study were all maternal deaths during 2019 at Hasan Sadikin Hospital. This research was conducted with descriptive survey, cross sectional research design that is a way of approaching, observing or collecting data where the data collection was carried out at the same time Result : The characteristics of the most maternal deaths are reproductive age (88.8%), most parity is multiparaous (58.3%), highly educated (94.5%), all maternal death patients have antenatal care with health workers (100%) but most only had antenatal care <8 times (74.4%), and the most common cause of death was hypertension in pregnancy (63.9%) Conclusion: Maternal deaths are associated with inadequate antenatal care. Inadequate antenatal care causes poor management of patients with high risk, especially patients with risk factors for preeclampsia Key words : Maternal death, antenatal care","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114908789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.198
Nuswil Bernolian, Win T. Pangemanan, A. Syamsuri, M. Ansyori, Putri Mirani, P. M. Lestari, Abraham Martadiansyah, Cindy Kesty
Tujuan : Memaparkan klasifikasi, faktor risiko, epidemiologi, cara diagnosis, tatalaksana, dan komplikasi kehamilan pada skar seksio sesarea Metode : Tinjauan pustaka Kesimpulan : Kehamilan pada skar SC merupakan kehamilan yang kantung kehamilannya terdapat pada miometrium yang menipis akibat SC sebelumnya. Secara umum, kehamilan pada skar Caesarean Scar Pregnancy (CSP) dapat dibedakan menjadi 2 tipe, yaitu tipe 1 (endogenik) dan tipe 2 (eksogenik). Kejadiannya berkisar antara 1 per 8.000 dan 1 per 2.500 SC dengan risiko rekurensi 3,2-5,0% pada wanita dengan riwayat SC 1 kali yang ditatalaksana dengan dilatasi dan kuretase dengan atau tanpa embolisasi arteri uterina. Adapun faktor risiko CSP adalah tebal Segmen Bawah Rahim (SBR) <5 mm, kantong kehamilan menonjol ke plika vesikouterina, SC di rumah sakit umum daerah, dan riwayat perdarahan melalui vagina ireguler dan nyeri abdomen selama CSP sebelumnya. Pengobatan CSP dapat secara konservatif dengan metotreksat (MTX) maupun operatif termasuk eksisi jaringan kehamilan dengan laparoskopi, histerotomi, atau histerektomi. Pilihan pengobatan lain termasuk dilatasi dan kuretase, reseksi transervikal (TCR) dengan histeroskopi, embolisasi arteri uterina (UEA), kemoembolisasi arteri uterina, atau penempatan kateter balon ganda. Caesarean Scar Pregnancy Abstract Objective : To explain about classification, risk factors, epidemiology, diagnostic methods, management, and complications of Caesarean Scar Pregnancy (CSP). Method : Literature review Conclusion : CSP is a pregnancy where the gestational sac is found in the thin myometrium due to previous CS. In general, Caesarean Scar Pregnancy (CSP) can be divided into 2 types, namely type 1 (endogenic) and type 2 (exogenic). Its incidence ranges from 1 per 8,000 and 1 per 2,500 SC with a recurrence risk of 3.2-5.0% in women with a history of 1 time CS who are treated with dilatation and curettage with or without uterine artery embolization. The risk factors for CSP are lower uterine segment thickness <5 mm, gestational sac pouches protruding into the vesicouterine fold, CS in regional public hospitals, and a history of irregular vaginal bleeding and abdominal pain during previous CSP. Caesarean scar pregnancy treatment can be conservative with methotrexate (MTX) or operatively including excision of pregnancy tissue with laparoscopy, hysterotomy, or hysterectomy. Other treatment options include dilatation and curettage, transcervical resection (TCR) with hysteroscopy, uterine artery embolization (UAE), chemoembolization of the uterine arteries, or placement of a double-balloon catheter. Key words : Caesarean scar pregnancy
{"title":"Kehamilan pada Skar Seksio Sesaria","authors":"Nuswil Bernolian, Win T. Pangemanan, A. Syamsuri, M. Ansyori, Putri Mirani, P. M. Lestari, Abraham Martadiansyah, Cindy Kesty","doi":"10.24198/OBGYNIA/V3N2.198","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.198","url":null,"abstract":"Tujuan : Memaparkan klasifikasi, faktor risiko, epidemiologi, cara diagnosis, tatalaksana, dan komplikasi kehamilan pada skar seksio sesarea Metode : Tinjauan pustaka Kesimpulan : Kehamilan pada skar SC merupakan kehamilan yang kantung kehamilannya terdapat pada miometrium yang menipis akibat SC sebelumnya. Secara umum, kehamilan pada skar Caesarean Scar Pregnancy (CSP) dapat dibedakan menjadi 2 tipe, yaitu tipe 1 (endogenik) dan tipe 2 (eksogenik). Kejadiannya berkisar antara 1 per 8.000 dan 1 per 2.500 SC dengan risiko rekurensi 3,2-5,0% pada wanita dengan riwayat SC 1 kali yang ditatalaksana dengan dilatasi dan kuretase dengan atau tanpa embolisasi arteri uterina. Adapun faktor risiko CSP adalah tebal Segmen Bawah Rahim (SBR) <5 mm, kantong kehamilan menonjol ke plika vesikouterina, SC di rumah sakit umum daerah, dan riwayat perdarahan melalui vagina ireguler dan nyeri abdomen selama CSP sebelumnya. Pengobatan CSP dapat secara konservatif dengan metotreksat (MTX) maupun operatif termasuk eksisi jaringan kehamilan dengan laparoskopi, histerotomi, atau histerektomi. Pilihan pengobatan lain termasuk dilatasi dan kuretase, reseksi transervikal (TCR) dengan histeroskopi, embolisasi arteri uterina (UEA), kemoembolisasi arteri uterina, atau penempatan kateter balon ganda. Caesarean Scar Pregnancy Abstract Objective : To explain about classification, risk factors, epidemiology, diagnostic methods, management, and complications of Caesarean Scar Pregnancy (CSP). Method : Literature review Conclusion : CSP is a pregnancy where the gestational sac is found in the thin myometrium due to previous CS. In general, Caesarean Scar Pregnancy (CSP) can be divided into 2 types, namely type 1 (endogenic) and type 2 (exogenic). Its incidence ranges from 1 per 8,000 and 1 per 2,500 SC with a recurrence risk of 3.2-5.0% in women with a history of 1 time CS who are treated with dilatation and curettage with or without uterine artery embolization. The risk factors for CSP are lower uterine segment thickness <5 mm, gestational sac pouches protruding into the vesicouterine fold, CS in regional public hospitals, and a history of irregular vaginal bleeding and abdominal pain during previous CSP. Caesarean scar pregnancy treatment can be conservative with methotrexate (MTX) or operatively including excision of pregnancy tissue with laparoscopy, hysterotomy, or hysterectomy. Other treatment options include dilatation and curettage, transcervical resection (TCR) with hysteroscopy, uterine artery embolization (UAE), chemoembolization of the uterine arteries, or placement of a double-balloon catheter. Key words : Caesarean scar pregnancy","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126206154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.215
Yoga Paripurna, M. R. A. Sukarsa, Hanom Husni Syam, R. M. S. Sasotya, Adhi Pribadi, M. A. Aziz, Akhmad Yogi Pramatirta, Amillia Siddiq
Tujuan : Tujuan penelitian ini adalah untuk mengetahui validasi ultrasonografi transabdominal dalam mendeteksi luaran kelainan kongenital janin di RSHS Bandung. Metode : Penelitian ini merupakan observasional analitik dengan cross-sectional retrospective. Sampel diperoleh dari seluruh pemeriksaan ultrasonografi transabdominal dengan luaran bayi yang lahir di RSHS bulan 1 Januari−31 Desember 2018. Teknik sampling menggunakan consecutive sampling, didapatkan minimal sampel 196 kasus. Pengolahan data menggunakan SPSS dengan analisis uji Chi-kuadrat. Hasil : Hasil yang didapatkan adalah kelainan kongenital Central Nervous System 18,9%, Abdominal wall defect 9,8%, Facial & Neck anomalies 7,6%, Skeletal system 6,8%, Hidrop Fetalis 5,3%, Genito-urinary, Congenital heart disease dan Gastrointestinal system masing-masing sebanyak 2,3%, Thorax anomalies sebanyak 0.8%. Kesimpulan : Secara keseluruhan dapat disimpulkan seluruh ukuran pada analisis diagnostik menunjukkan kategori di atas cukup kuat, didapatkan validasi yang baik ultrasonografi transabdominal pada luaran kelainan kongenital janin. Validation of Transabdominal Ultrasound for Fetal Congenital Abnormalities at Dr. Hasan Sadikin Bandung Hospital in 2018 Abstract Objective: The purpose of this study was to determine transabdominal ultrasound validation in detecting fetal congenital abnormalities in RSUP dr. Hasan Sadikin Bandung. Methods : This was an observational analytic study with cross-sectional retrospective method. Samples obtained from all transabdominal ultrasonographic examinations with outcome of newborn in RSHS from January 1st-December 31st 2018. Sampling technique was consecutive sampling with minimum sample of 196 cases obtained. Data processing using SPSS with Chi-square analysis transabdominal ultrasonographic. Result : The results obtained are congenital abnormalities of Central Nervous System type 18.9%, Abdominal wall defect 9.8%, Facial & Neck anomalies 7.6%, Skeletal system 6.8%, Fetal Hydrops 5.3%, Genito-urinary, Congenital heart disease and Gastrointestinal system respectively 2.3%, Thorax anomalies 0.8%. Conclusion : All measures in the diagnostic analysis show all categories are quite strong, therefore good ultrasound validation is obtained in the outcome of fetal congenital abnormalities. Key words: Transabdominal ultrasonography, validation, congenital abnormalities
{"title":"Validasi Ultrasonografi Transabdominal pada Luaran Kelainan Kongenital Janin di RSUP Dr. Hasan Sadikin Bandung Tahun 2018","authors":"Yoga Paripurna, M. R. A. Sukarsa, Hanom Husni Syam, R. M. S. Sasotya, Adhi Pribadi, M. A. Aziz, Akhmad Yogi Pramatirta, Amillia Siddiq","doi":"10.24198/OBGYNIA/V3N2.215","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.215","url":null,"abstract":"Tujuan : Tujuan penelitian ini adalah untuk mengetahui validasi ultrasonografi transabdominal dalam mendeteksi luaran kelainan kongenital janin di RSHS Bandung. Metode : Penelitian ini merupakan observasional analitik dengan cross-sectional retrospective. Sampel diperoleh dari seluruh pemeriksaan ultrasonografi transabdominal dengan luaran bayi yang lahir di RSHS bulan 1 Januari−31 Desember 2018. Teknik sampling menggunakan consecutive sampling, didapatkan minimal sampel 196 kasus. Pengolahan data menggunakan SPSS dengan analisis uji Chi-kuadrat. Hasil : Hasil yang didapatkan adalah kelainan kongenital Central Nervous System 18,9%, Abdominal wall defect 9,8%, Facial & Neck anomalies 7,6%, Skeletal system 6,8%, Hidrop Fetalis 5,3%, Genito-urinary, Congenital heart disease dan Gastrointestinal system masing-masing sebanyak 2,3%, Thorax anomalies sebanyak 0.8%. Kesimpulan : Secara keseluruhan dapat disimpulkan seluruh ukuran pada analisis diagnostik menunjukkan kategori di atas cukup kuat, didapatkan validasi yang baik ultrasonografi transabdominal pada luaran kelainan kongenital janin. Validation of Transabdominal Ultrasound for Fetal Congenital Abnormalities at Dr. Hasan Sadikin Bandung Hospital in 2018 Abstract Objective: The purpose of this study was to determine transabdominal ultrasound validation in detecting fetal congenital abnormalities in RSUP dr. Hasan Sadikin Bandung. Methods : This was an observational analytic study with cross-sectional retrospective method. Samples obtained from all transabdominal ultrasonographic examinations with outcome of newborn in RSHS from January 1st-December 31st 2018. Sampling technique was consecutive sampling with minimum sample of 196 cases obtained. Data processing using SPSS with Chi-square analysis transabdominal ultrasonographic. Result : The results obtained are congenital abnormalities of Central Nervous System type 18.9%, Abdominal wall defect 9.8%, Facial & Neck anomalies 7.6%, Skeletal system 6.8%, Fetal Hydrops 5.3%, Genito-urinary, Congenital heart disease and Gastrointestinal system respectively 2.3%, Thorax anomalies 0.8%. Conclusion : All measures in the diagnostic analysis show all categories are quite strong, therefore good ultrasound validation is obtained in the outcome of fetal congenital abnormalities. Key words: Transabdominal ultrasonography, validation, congenital abnormalities","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115667401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.233
Nurul Husna, Vita Murniati Tarawan, Dwi Prasetyo
Tujuan : Melihat hubungan antara pola kardiotokografi dan hasil luaran (cara persalinan dan status asfiksia neonatus). Metode : Penelitian ini observasional analitik retrospektif dengan desain case-control. Penelitian melibatkan pasien-pasien yang melahirkan di RS Hasan Sadikin Bandung antara 2019-2020. Kriteria inklusi adalah pasien dengan kehamilan normal dan/atau dengan kehamilan patologis, pasien dengan usia gestasi 37-40 minggu, kehamilan dengan janin tunggal dan pasien dengan induksi persalinan. Kriteria eksklusi mencakup data pemeriksaan tidak lengkap anamnesa, pemeriksaan fisik terkait kehamilan dan persalinan, rekaman kardiotokografi, dan skor APGAR menit ke-5; hambatan pertumbuhan janin intrauterine (IUGR); kelainan kongenital (cacat bawaan) dan infeksi/demam pada ibu. Penelitian ini menggunakan data sekunder dari rekam medis. Metode perekrutan sampel menggunakan consecutive admission sampling. Analisis data secara deskriptif dan analitik dilakukan. Hasil : Rerata usia pasien adalah 26,83±7 tahun. Pasien paling banyak memiliki latar belakang pendidikan tamat SMA (51,7%). 48,3% pasien belum pernah bersalin. 53,3% pasien sedang hamil 39-40 minggu saat bergabung dengan penelitian ini. Rata-rata berat bayi lahir sebesar 2923,33±385,229 gr. Untuk APGAR Score 5’ memiliki rata-rata sebesar 7,68±2,347. Ditemukan bahwa kategori kardiotokografi patologis secara signifikan meningkatkan terjadinya asfiksia (p=0,024). Kemudian, temuan kardiotokografi patologis juga secara signifikan meningkatkan pemilihan seksio sesarea sebagai metode persalinan (p<0,001). Kesimpulan : Pola kardiotokografi patologis secara signifikan meningkatkan risiko munculnya asfiksia pada neonatus. Association between Cardiotocographic traces, and mode of delivery and asphyxia Abstract Objective : the aim of this study is to evaluate the association between cardiotocographic traces and maternal and neonatal outcomes (mode of delivery and neonatal asphyxia status). Method : This is a retrospective observational analytical case-control study involving patients delivering at Hasan Sadikin General Hospital between 2019-2020. The inclusion criteria were patients with normal pregnancies and/or pathologic pregnancies at 37-40 weeks of gestation, singleton pregnancies and patients with induced labor. The exclusion criteria were the following: incomplete case notes (patient history, physical examination, CTG record and 5-minute APGAR score), intrauterine growth restriction (IUGR); fetal with congenital anomalies dan maternal infection and/or fever. This study utilized secondary data from patient case notes. This study employed consecutive admission sampling. Descriptive and analytical statistics were performed. Results : Mean patient age was 26,83 ±7 years. 51,7% patients were high-school graduates. 48,3% were nulliparous. 53,3% were at 39-40 weeks of gestation. Mean neonatal birth weight was 2923,33±385 gr. Mean 5-minute APGAR score was 7,68±2. Pathologic CTG traces significantly inc
{"title":"Hubungan antara Kategori Kardiotokografi dan Jenis Persalinan dan Asfiksia Neonatus","authors":"Nurul Husna, Vita Murniati Tarawan, Dwi Prasetyo","doi":"10.24198/OBGYNIA/V3N2.233","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.233","url":null,"abstract":"Tujuan : Melihat hubungan antara pola kardiotokografi dan hasil luaran (cara persalinan dan status asfiksia neonatus). Metode : Penelitian ini observasional analitik retrospektif dengan desain case-control. Penelitian melibatkan pasien-pasien yang melahirkan di RS Hasan Sadikin Bandung antara 2019-2020. Kriteria inklusi adalah pasien dengan kehamilan normal dan/atau dengan kehamilan patologis, pasien dengan usia gestasi 37-40 minggu, kehamilan dengan janin tunggal dan pasien dengan induksi persalinan. Kriteria eksklusi mencakup data pemeriksaan tidak lengkap anamnesa, pemeriksaan fisik terkait kehamilan dan persalinan, rekaman kardiotokografi, dan skor APGAR menit ke-5; hambatan pertumbuhan janin intrauterine (IUGR); kelainan kongenital (cacat bawaan) dan infeksi/demam pada ibu. Penelitian ini menggunakan data sekunder dari rekam medis. Metode perekrutan sampel menggunakan consecutive admission sampling. Analisis data secara deskriptif dan analitik dilakukan. Hasil : Rerata usia pasien adalah 26,83±7 tahun. Pasien paling banyak memiliki latar belakang pendidikan tamat SMA (51,7%). 48,3% pasien belum pernah bersalin. 53,3% pasien sedang hamil 39-40 minggu saat bergabung dengan penelitian ini. Rata-rata berat bayi lahir sebesar 2923,33±385,229 gr. Untuk APGAR Score 5’ memiliki rata-rata sebesar 7,68±2,347. Ditemukan bahwa kategori kardiotokografi patologis secara signifikan meningkatkan terjadinya asfiksia (p=0,024). Kemudian, temuan kardiotokografi patologis juga secara signifikan meningkatkan pemilihan seksio sesarea sebagai metode persalinan (p<0,001). Kesimpulan : Pola kardiotokografi patologis secara signifikan meningkatkan risiko munculnya asfiksia pada neonatus. Association between Cardiotocographic traces, and mode of delivery and asphyxia Abstract Objective : the aim of this study is to evaluate the association between cardiotocographic traces and maternal and neonatal outcomes (mode of delivery and neonatal asphyxia status). Method : This is a retrospective observational analytical case-control study involving patients delivering at Hasan Sadikin General Hospital between 2019-2020. The inclusion criteria were patients with normal pregnancies and/or pathologic pregnancies at 37-40 weeks of gestation, singleton pregnancies and patients with induced labor. The exclusion criteria were the following: incomplete case notes (patient history, physical examination, CTG record and 5-minute APGAR score), intrauterine growth restriction (IUGR); fetal with congenital anomalies dan maternal infection and/or fever. This study utilized secondary data from patient case notes. This study employed consecutive admission sampling. Descriptive and analytical statistics were performed. Results : Mean patient age was 26,83 ±7 years. 51,7% patients were high-school graduates. 48,3% were nulliparous. 53,3% were at 39-40 weeks of gestation. Mean neonatal birth weight was 2923,33±385 gr. Mean 5-minute APGAR score was 7,68±2. Pathologic CTG traces significantly inc","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115380278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.201
Indah Permata Noer Islami, Dodi Suardi, Hanom Husni Syam, M. A. Ritonga
Tujuan : Penelitian bertujuan mengetahui faktor risiko kejadian TTG pasca evakuasi, untuk memprediksi penderita molahidatidosa yang berkembang menjadi TTG atau kembali normal. Metode : Menggunakan studi case control retrospektif dalam waktu 1 Agustus 2013 - 1 Agustus 2018. Populasi penelitian, penderita molahidatidosa yang datang dan dirawat pada Obstetri dan Ginekologi RSUP Hasan Sadikin. Hasil : Terdapat 59 pasien high risk, dan 67 pasien low risk. Probabilitas <0,05 terdapat hubungan signifikan antara usia dengan kejadian TTG. Probabilitas 0,031, terdapat hubungan signifikan antara paritas dengan kejadian TTG. Dengan uji Fisher Exact terdapat hubungan bermakna antara kadar βHCG praevakuasi dengan kejadian TTG (p value =<0,001), dan hubungan bermakna antara gambaran PA dengan kejadian TTG (p value =<0,001). Dengan uji Spearman Correlation terdapat hubungan yang bermakna antara kadar βHCG Praevakuasi dengan gambaran PA (p value <0, 001). Kesimpulan : Terdapat hubungan yang bermakna antara usia, paritas, BHCG, Patologi Anatomi, dengan kejadian TTG pasca evakuasi molahidatidosa. Dari analisis multivariat dengan uji regresi logistic didapatkan bahwa BHCG dan PA yang merupakan faktor risiko TTG. Risk Factors Trofoblas Tumor of Post Evacuation Of Hydatidiform Mole in Dr. Hasan Sadikin General Hospital Bandung Period August 2013−August 2018 Period Abstract Objective : This study aims to determine the risk factors for GTT events after HM evacuation, used to predict patients who will develop into GTT or return to normal. Methods : Case control study (retrospective) was conducted from August 1st 2013 −August 1st 2018. Population of this study was all patients with HM who came and treated at the RSHS Obstetrics and Gynecology Department. Result : There are 59 high risk, 67 low risk patients. The probability value is 0.015, (<0.05) there is a significant relation between age and the incidence of GTT. The probability value of 0.031, there is a significant relationship between parity and the incidence of GTT. Fisher Exact test, significant relation between pre-evacuated βHCG levels and GTT events (p value = <0,001), and significant relation between Pathology Anatomy result and GTT events (p value =<0,001) was found. Spearman Correlation test, there was significant relation between levels of βHCG pre-evacuation with Pathology Anatomy result (p value <0, 001). Conclusion : There is a significant relation between age, parity, BHCG, Pathology Anatomic result, and the incidence of GTT after evacuation of HM. From multivariate analysis with logistic regression test, it was found that BHCG and pathology anatomic were risk factors for GTT. Key words : Molahidatidosa, Gestational Trophoblast Tumor.
目的:研究的目的是确定疏散后发生的风险因素，以预测已经发展成正常或回归正常的molahidatisin的风险因素。方法:采用案例控制回顾研究在2013年8月1日至2018年8月1日。研究人口，患有molahidatisin的人出现并接受了Hasan Sadikin妇产科的治疗。结果:有59名高风险患者和67名低风险患者。< 0.05的概率在年龄和事件之间有显著的关系。0.031的概率，帕里塔人和事件之间有重大联系。测试和Fisher确切praevakuasi HCGβ水平之间有意义的关系和《创世纪》的(价值= p < 0.001),和画面PA之间有意义的事件(价值= p < 0.001)。用Spearman相关试验Praevakuasi HCGβ水平之间有意义的关系形象与PA (p value < 0, 0.001)。结论:年龄、paritas、BHCG、解剖病理学和molahidatisin疏散后的事件之间存在着有意义的联系。从多变量与逻辑回归测试的分析中，可以发现BHCG和PA是危险因素。肿瘤风险Factors Trofoblas of Post Evacuation of Hydatidiform鼹鼠在哈桑博士的戏份Sadikin万隆期2018年八月2013年−八月期抽象研究客观:这个《风险Factors for GTT aims to个重大事件嗯Evacuation死后,世卫组织习惯预测病人威尔冲洗进GTT还是回到正常。控制方法:案例研究(retrospective)八月was conducted从2013年1月1−八月2018第一。这项研究的居民都很有耐心，他们都参加了RSHS妇产科部门的选拔。有59个高风险的，67个低风险的病人。可能值是015，(<0.05)在时代和GTT的意义上有一个重要的联系。031的可能性，党派和GTT的意义有重要的关系。Fisher确切测试,浓厚,pre-evacuated之间关系βHCG水平和GTT事件(价值= p < 0.001),浓厚,病理学(Anatomy论点之间关系和GTT事件(价值= p < 0.001)被发现。Spearman相关测试,有很浓厚,HCG水平之间关系的β和病理学(Anatomy pre-evacuation valuemore论点(p < 0, 0.001)。结论:在HM解散后，GTT的年龄、种族、BHCG、病理学家给出了一个重要的联系。从多次进行反射性分析分析来看，研究发现BHCG和病理学家是GTT的风险因素。儿童妊娠毒瘤，妊娠滋养恶性肿瘤。
{"title":"Faktor Risiko Kejadian Tumor Trofoblas Gestasional Pasca Evakuasi Molahidatidosa di RSUP Dr. Hasan Sadikin Bandung Periode Agustus 2013 – Agustus 2018","authors":"Indah Permata Noer Islami, Dodi Suardi, Hanom Husni Syam, M. A. Ritonga","doi":"10.24198/OBGYNIA/V3N2.201","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.201","url":null,"abstract":"Tujuan : Penelitian bertujuan mengetahui faktor risiko kejadian TTG pasca evakuasi, untuk memprediksi penderita molahidatidosa yang berkembang menjadi TTG atau kembali normal. Metode : Menggunakan studi case control retrospektif dalam waktu 1 Agustus 2013 - 1 Agustus 2018. Populasi penelitian, penderita molahidatidosa yang datang dan dirawat pada Obstetri dan Ginekologi RSUP Hasan Sadikin. Hasil : Terdapat 59 pasien high risk, dan 67 pasien low risk. Probabilitas <0,05 terdapat hubungan signifikan antara usia dengan kejadian TTG. Probabilitas 0,031, terdapat hubungan signifikan antara paritas dengan kejadian TTG. Dengan uji Fisher Exact terdapat hubungan bermakna antara kadar βHCG praevakuasi dengan kejadian TTG (p value =<0,001), dan hubungan bermakna antara gambaran PA dengan kejadian TTG (p value =<0,001). Dengan uji Spearman Correlation terdapat hubungan yang bermakna antara kadar βHCG Praevakuasi dengan gambaran PA (p value <0, 001). Kesimpulan : Terdapat hubungan yang bermakna antara usia, paritas, BHCG, Patologi Anatomi, dengan kejadian TTG pasca evakuasi molahidatidosa. Dari analisis multivariat dengan uji regresi logistic didapatkan bahwa BHCG dan PA yang merupakan faktor risiko TTG. Risk Factors Trofoblas Tumor of Post Evacuation Of Hydatidiform Mole in Dr. Hasan Sadikin General Hospital Bandung Period August 2013−August 2018 Period Abstract Objective : This study aims to determine the risk factors for GTT events after HM evacuation, used to predict patients who will develop into GTT or return to normal. Methods : Case control study (retrospective) was conducted from August 1st 2013 −August 1st 2018. Population of this study was all patients with HM who came and treated at the RSHS Obstetrics and Gynecology Department. Result : There are 59 high risk, 67 low risk patients. The probability value is 0.015, (<0.05) there is a significant relation between age and the incidence of GTT. The probability value of 0.031, there is a significant relationship between parity and the incidence of GTT. Fisher Exact test, significant relation between pre-evacuated βHCG levels and GTT events (p value = <0,001), and significant relation between Pathology Anatomy result and GTT events (p value =<0,001) was found. Spearman Correlation test, there was significant relation between levels of βHCG pre-evacuation with Pathology Anatomy result (p value <0, 001). Conclusion : There is a significant relation between age, parity, BHCG, Pathology Anatomic result, and the incidence of GTT after evacuation of HM. From multivariate analysis with logistic regression test, it was found that BHCG and pathology anatomic were risk factors for GTT. Key words : Molahidatidosa, Gestational Trophoblast Tumor.","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130787543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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