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/V3N2.203
Aditya Wibowo, M. A. Aziz, J. Effendi, Dian Tjahyadi
Tujuan : Mengevaluasi penggunaan antibiotik dengan metode Gyssens pada pasien seksio sesarea di RSUP Hasan Sadikin Bandung pada periode Januari–Desember 2018. Mengevaluasi ketepatan waktu penggunaan antibiotik profilaksis pada pasien seksio sesarea di RSUP Hasan Sadikin Bandung pada periode Januari–Desember 2018. Mengetahui keuntungan penghematan yang diperoleh jika metode Gyssens digunakan pada periode Januari– Desember 2018. Metode : Penelitian ini merupakan penelitian deskriptif eksploratif retrospektif yang dilaksanakan di RSUP dr. Hasan Sadikin Bandung pada pasien yang dilakukan seksio sesarea. Data diambil dari rekam medis bulan Januari–Desember 2018 Hasil : Pasien yang sesuai dengan metode Gyssens sebanyak 451 atau sebesar 59,5%. Untuk pasien yang menggunakan antibiotik profilaksis pre-op sebanyak 722 atau sebesar 95,3%. Sedangkan ketepatan antibiotik profilaksis yang diberikan 30 menit sebelum operasi seksio sesarea 618 pasien atau 81,5%. Penghematan yang dapat diperoleh selama tahun 2018 jika menerapkan metode Gyssens sebesar Rp 73.144.200. Kesimpulan : Penggunaan antibiotik ditemukan masih banyak yang tidak rasional, sehingga kualitas penggunaan antibiotik pada bagian obstetri Rumah Sakit dr. Hasan Sadikin Bandung masih perlu ditingkatkan. Rationalism Evaluation of the Use of Antibiotics with the Gyssens Method in Caesarean Section Patients at Hasan Sadikin General Hospital Bandung Period January - December 2018 Abstract Objective : To evaluate the use of antibiotics by the Gyssens method in cesarean section patients at Hasan Sadikin General Hospital Bandung in the January-December 2018 period. Evaluate the timeliness of prophylactic antibiotic use in cesarean section patients at Hasan Sadikin General Hospital Bandung in the January-December 2018 period. which is obtained if the Gyssens method is used in the period January - December 2018. Method : This research was a retrospective explorative descriptive study carried out at the RSUP dr. Hasan Sadikin Bandung in patients who performed cesarean section. Data is taken from medical records from January to December 2018. Result : 451 patients or 59.5% according to Gyssens V method. For patients using prophylaxis antibiotic were 722 or 95.3%. While the accuracy of prophylactic antibiotics given 30 minutes before cesarean section was 618 patients or 81.5%. The savings that can be obtained during 2018 if applying the gyssens method is Rp. 73,144,200. Conclusion : The use of antibiotics was found to still be a lot of irrational, so that the quality of antibiotic use in the obstetrics department of Dr. Hasan Sadikin Bandung still needs to be improved. Key words : Antibiotics, quality of antibiotic use, Gyssen
{"title":"Evaluasi Rasionalisme Penggunaan Antibiotik dengan Metode Gyssens pada Pasien Seksio Sesarea di RSUP Dr. Hasan Sadikin Bandung Periode Januari – Desember 2018","authors":"Aditya Wibowo, M. A. Aziz, J. Effendi, Dian Tjahyadi","doi":"10.24198/OBGYNIA/V3N2.203","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.203","url":null,"abstract":"Tujuan : Mengevaluasi penggunaan antibiotik dengan metode Gyssens pada pasien seksio sesarea di RSUP Hasan Sadikin Bandung pada periode Januari–Desember 2018. Mengevaluasi ketepatan waktu penggunaan antibiotik profilaksis pada pasien seksio sesarea di RSUP Hasan Sadikin Bandung pada periode Januari–Desember 2018. Mengetahui keuntungan penghematan yang diperoleh jika metode Gyssens digunakan pada periode Januari– Desember 2018. Metode : Penelitian ini merupakan penelitian deskriptif eksploratif retrospektif yang dilaksanakan di RSUP dr. Hasan Sadikin Bandung pada pasien yang dilakukan seksio sesarea. Data diambil dari rekam medis bulan Januari–Desember 2018 Hasil : Pasien yang sesuai dengan metode Gyssens sebanyak 451 atau sebesar 59,5%. Untuk pasien yang menggunakan antibiotik profilaksis pre-op sebanyak 722 atau sebesar 95,3%. Sedangkan ketepatan antibiotik profilaksis yang diberikan 30 menit sebelum operasi seksio sesarea 618 pasien atau 81,5%. Penghematan yang dapat diperoleh selama tahun 2018 jika menerapkan metode Gyssens sebesar Rp 73.144.200. Kesimpulan : Penggunaan antibiotik ditemukan masih banyak yang tidak rasional, sehingga kualitas penggunaan antibiotik pada bagian obstetri Rumah Sakit dr. Hasan Sadikin Bandung masih perlu ditingkatkan. Rationalism Evaluation of the Use of Antibiotics with the Gyssens Method in Caesarean Section Patients at Hasan Sadikin General Hospital Bandung Period January - December 2018 Abstract Objective : To evaluate the use of antibiotics by the Gyssens method in cesarean section patients at Hasan Sadikin General Hospital Bandung in the January-December 2018 period. Evaluate the timeliness of prophylactic antibiotic use in cesarean section patients at Hasan Sadikin General Hospital Bandung in the January-December 2018 period. which is obtained if the Gyssens method is used in the period January - December 2018. Method : This research was a retrospective explorative descriptive study carried out at the RSUP dr. Hasan Sadikin Bandung in patients who performed cesarean section. Data is taken from medical records from January to December 2018. Result : 451 patients or 59.5% according to Gyssens V method. For patients using prophylaxis antibiotic were 722 or 95.3%. While the accuracy of prophylactic antibiotics given 30 minutes before cesarean section was 618 patients or 81.5%. The savings that can be obtained during 2018 if applying the gyssens method is Rp. 73,144,200. Conclusion : The use of antibiotics was found to still be a lot of irrational, so that the quality of antibiotic use in the obstetrics department of Dr. Hasan Sadikin Bandung still needs to be improved. Key words : Antibiotics, quality of antibiotic use, Gyssen","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"152 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":"134373875","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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