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}
Pub Date : 2020-09-29DOI: 10.24198/OBGYNIA/V3N2.206
D. Wulandari, Budi Handono, Anita Rachmawati, D. Hidayat
Tujuan : Penelitian ini bertujuan untuk mengetahui dan membandingkan luaran kehamilan dari setiap penyebab infertilitas pada pasien yang dilakukan teknologi reproduksi berbantu. Metode : Penelitian ini merupakan penelitian analisis komparatif yang dilakukan secara longitudinal retrospektif. Data didapatkan dari rekam medik pasien dengan infertilitas terkait endometriosis, faktor tuba, dan unexplained infertility, setelah menjalani prosedur in vitro fertilization dan intra cytoplasmic sperm injection pada Januari 2013− Desember 2018. Luaran yang dinilai pada penelitian ini adalah kehamilan, abortus, dan kehamilan ektopik. Hasil : Sebanyak 94 pasien menjadi subjek penelitian ini. Infertilitas karena faktor tuba menjadi penyebab infertilitas terbanyak (74,5%) dan unexplained infertility menjadi penyebab terjarang (8,5%). Intra cytoplasmic sperm injection merupakan metode reproduksi berbantu yang paling sering dilakukan (78,7%). Luaran kehamilan dengan persalinan terjadi pada 65 subjek (69,1%) sementara sisanya abortus. Tidak terdapat kejadian kehamilan ektopik. Tidak terdapat perbedaan bermakna dalam luaran kehamilan berdasarkan penyebab infertilitasnya (p=0,21). Kesimpulan : Tidak terdapat perbedaan luaran kehamilan baik partus ataupun abortus pada pasien yang dilakukan teknologi reproduksi berbantu berdasarkan penyebab infertilitasnya. Pregnancy Outcomes in Patients with Infertility Related to Endometriosis, Infertility due to Tubal Factors, and Unexplained Infertility, After Undergoing IVF/ICSI Procedures in Aster Clinic General Hospital Dr. Hasan Sadikin Bandung Abstract Objective : This study was aimed to describe and compare the pregnancy outcomes in each cause of infertility on patients who get assisted-reproduction technology procedure. Method : This was an analytic comparative study, that conducted longitudinal-retrospectively. The data were obtained from medical records of patients with endometriosis associated infertility, tubal factors associated infertility, and unexplained infertility after got either in vitro fertilization or intra cytoplasmic sperm injection procedure from January 2013–December 2018. The pregnancy outcomes consisted of delivery, abortion, or ectopic pregnancy. Result : A total of 94 patients were enrolled in this study. Tubal factors was the commonest cause of infertility (74.5%) and unexplained infertility was the most rarely cause of infertility (8.5%). Intra cytoplasmic sperm injection was the most frequent procedures (78.7%). Labor were occurred in 65 subjects (69.1%) and the remains aborted. Ectopic pregnancy was not occurred. There was no significant difference in pregnancy outcomes according the causes of infertility. (p=0,21). Conclusion : Pregnancy outcomes, both labor and abortion, were not different based on the cause of infertility among patients who get assisted-reproduction technology procedure. Key words : assisted-reproduction technology, in vitro fertilization, infertility, intra cytoplasmic sper
{"title":"Luaran Kehamilan pada Pasien dengan Infertilitas Berkaitan dengan Endometriosis, Infertilitas karena Faktor Tuba, dan Unexplained Infertility, setelah Menjalani Prosedur IVF / ICSI di Klinik Aster RSUP Dr. Hasan Sadikin Bandung","authors":"D. Wulandari, Budi Handono, Anita Rachmawati, D. Hidayat","doi":"10.24198/OBGYNIA/V3N2.206","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.206","url":null,"abstract":"Tujuan : Penelitian ini bertujuan untuk mengetahui dan membandingkan luaran kehamilan dari setiap penyebab infertilitas pada pasien yang dilakukan teknologi reproduksi berbantu. Metode : Penelitian ini merupakan penelitian analisis komparatif yang dilakukan secara longitudinal retrospektif. Data didapatkan dari rekam medik pasien dengan infertilitas terkait endometriosis, faktor tuba, dan unexplained infertility, setelah menjalani prosedur in vitro fertilization dan intra cytoplasmic sperm injection pada Januari 2013− Desember 2018. Luaran yang dinilai pada penelitian ini adalah kehamilan, abortus, dan kehamilan ektopik. Hasil : Sebanyak 94 pasien menjadi subjek penelitian ini. Infertilitas karena faktor tuba menjadi penyebab infertilitas terbanyak (74,5%) dan unexplained infertility menjadi penyebab terjarang (8,5%). Intra cytoplasmic sperm injection merupakan metode reproduksi berbantu yang paling sering dilakukan (78,7%). Luaran kehamilan dengan persalinan terjadi pada 65 subjek (69,1%) sementara sisanya abortus. Tidak terdapat kejadian kehamilan ektopik. Tidak terdapat perbedaan bermakna dalam luaran kehamilan berdasarkan penyebab infertilitasnya (p=0,21). Kesimpulan : Tidak terdapat perbedaan luaran kehamilan baik partus ataupun abortus pada pasien yang dilakukan teknologi reproduksi berbantu berdasarkan penyebab infertilitasnya. Pregnancy Outcomes in Patients with Infertility Related to Endometriosis, Infertility due to Tubal Factors, and Unexplained Infertility, After Undergoing IVF/ICSI Procedures in Aster Clinic General Hospital Dr. Hasan Sadikin Bandung Abstract Objective : This study was aimed to describe and compare the pregnancy outcomes in each cause of infertility on patients who get assisted-reproduction technology procedure. Method : This was an analytic comparative study, that conducted longitudinal-retrospectively. The data were obtained from medical records of patients with endometriosis associated infertility, tubal factors associated infertility, and unexplained infertility after got either in vitro fertilization or intra cytoplasmic sperm injection procedure from January 2013–December 2018. The pregnancy outcomes consisted of delivery, abortion, or ectopic pregnancy. Result : A total of 94 patients were enrolled in this study. Tubal factors was the commonest cause of infertility (74.5%) and unexplained infertility was the most rarely cause of infertility (8.5%). Intra cytoplasmic sperm injection was the most frequent procedures (78.7%). Labor were occurred in 65 subjects (69.1%) and the remains aborted. Ectopic pregnancy was not occurred. There was no significant difference in pregnancy outcomes according the causes of infertility. (p=0,21). Conclusion : Pregnancy outcomes, both labor and abortion, were not different based on the cause of infertility among patients who get assisted-reproduction technology procedure. Key words : assisted-reproduction technology, in vitro fertilization, infertility, intra cytoplasmic sper","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"124 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":"116293654","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/V3N2.199
T. H. Madjid, Rose Dita Prasetyawati, Nathania Nathania, Wulan Ardhana Iswari, M. Aziz, Dini Pusianawati, J. Effendi
Objective : Preterm labor (PTL) is related to neonatal morbidity and mortality. The etiology of PTL is multifactorial, however maternal inflammation is suspected to play a large role. Research has indicated a relationship between the increase of C-reactive protein (CRP), a biomarker of general tissue inflammation to the incidence of preterm labor. This study aimed at examining the relationship between preterm labor and CRP levels. Method : This was a case-control retrospective study. Cases were patients presenting with preterm labor who came to the Department of Obstetrics and Gynecology of Hasan Sadikin Hospital Bandung. Patients were classified into very early preterm, early preterm, late preterm; control group was taken from patients without delivery complication (n=20/group). CRP serum was examined using immunoassay method. Result : CRP median value in the early preterm group was greater than very early preterm, early preterm, and control (8.15 mg/L vs 6.5 mg/L vs 5.6 mg/L vs 5.75 mg/L, respectively) but statistical significance was not achieved (p> 0.05). Further comparisons between the very early, early preterm vs control and late preterm vs control groups were performed and no statistical significance was found. Conclusion : Further research is required to investigate the link between maternal CRP and preterm labor. Konsentrat Protein C-Reaktif (PCR) pada Persalinan Prematur Sangat Awal, Awal, dan Terlambat Abstrak Tujuan : Persalinan prematur memiliki kaitan yang erat dengan morbiditas dan mortalitas neonatus. Etiologi persalinan prematur ini dipengaruhi oleh multifaktor. Namun, inflamasi maternal menjadi salah satu faktor yang dicurigai paling mempengaruhi. Beberapa penelitian melihat adanya hubungan antara peningkatan Protein C-Reaktif (PCR), biomarker untuk inflamasi jaringan secara umum, dengan insidensi persalinan prematur. Penelitian ini bertujuan untuk melihat relasi antara kadar PCR dengan kejadian persalinan prematur. Metode : Penelitian ini menggunakan metode kasus kontrol (case control). Kasus berasal dari pasien dengan persalinan prematur yang datang ke Departemen Obstetri dan Ginekologi RS Dr. Hasan Sadikin Bandung. Pasien dikelompokkan menjadi 3 kategori, yaitu persalinan prematur sangat awal, awal, dan terlambat. Kelompok kontrol diambil dari pasien yang menjalani persalinan tanpa komplikasi (n=20/kelompok). Serum PCR dianalisa menggunakan metode uji imunoserologi (immunoassay). Hasil : Nilai median PCR pada kelompok prematur awal lebih besar daripada kelompok prematur sangat awal, awal, dan kontrol (secara berurutan, 8.15 mg/L vs 6.5 mg/L vs 5.6 mg/L vs 5.75 mg/L), namun tidak signifikan secara statistik (p>0,05). Perbandingan lebih lanjut antara prematur sangat awal, awal, dengan kelompok kontrol serta prematur terlambat dengan kelompok kontrol dilakukan dan tidak signifikan secara statistik. Kesimpulan : Penelitian lebih lanjut dibutuhkan untuk melihat hubungan antara kadar PCR maternal dengan persalinan prematur. Kata
目的:早产(PTL)与新生儿发病率和死亡率有关。PTL的病因是多因素的，但母体炎症被怀疑起重要作用。研究表明，一般组织炎症的生物标志物c反应蛋白(CRP)的增加与早产的发生率之间存在关系。本研究旨在探讨早产与CRP水平之间的关系。方法:采用病例-对照回顾性研究。病例是来到万隆哈桑萨迪金医院妇产科的早产患者。患者分为极早期早产、早期早产、晚期早产;对照组为无分娩并发症的患者(n=20/组)。采用免疫分析法检测CRP血清。结果:早期早产组CRP中位值高于极早期早产儿、早期早产儿和对照组(分别为8.15 mg/L vs 6.5 mg/L vs 5.6 mg/L vs 5.75 mg/L)，但差异无统计学意义(p> 0.05)。进一步比较极早期组、早期早产儿组与对照组、晚期早产儿组与对照组，没有发现统计学意义。结论:母体CRP与早产的关系有待进一步研究。【摘要】图juan: Persalinan premature memiliki kaitan yang ereran morbiditas dan mortalitas neonatus。早产儿的病因是多因素的。Namun，炎症母性menjadi salah的状态因子为yang dicurigai paling mempengaruhi。【摘要】黄芪多糖蛋白C-Reaktif (PCR)是黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖、黄芪多糖的生物标志物。Penelitian ini bertujuan untuk melihat relasantara kadar PCR与kejadian percenan premature的关系。方法:Penelitian ini menggunakan方法(病例对照)。妇产科医师Hasan Sadikin万隆博士为我们介绍了Kasus berassari pasenen denan peren早产杨大唐。Pasien dikelompokkan menjadi 3 kategori, yitu persalinan早产sangat awal, awal, dan terlambat。克伦波克防治双雄虫病(n=20/克伦波克)。血清PCR分析蒙古那坎方法免疫血清学(免疫测定)。Hasil: Nilai中位PCR对龙柏早春、龙柏早春、龙柏早春、龙柏早春、龙柏早春、龙柏对照(龙柏，8.15 mg/L vs 6.5 mg/L vs 5.6 mg/L vs 5.75 mg/L)，龙柏差异有统计学意义(p> 0.05)。Perbandingan lebih lanjut antara早生，早生，早生，早生，早生，早生，早生，早生，早生。Penelitian lebih lanjut dibutuhkan untuk melihat hubungan antara kadar PCR母母邓根(persalan)早产。Kata kunci:蛋白质C-reaktif，早产儿
{"title":"C-Reactive Protein Concentration in Very Early, Early and Late Preterm Labour","authors":"T. H. Madjid, Rose Dita Prasetyawati, Nathania Nathania, Wulan Ardhana Iswari, M. Aziz, Dini Pusianawati, J. Effendi","doi":"10.24198/OBGYNIA/V3N2.199","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.199","url":null,"abstract":"Objective : Preterm labor (PTL) is related to neonatal morbidity and mortality. The etiology of PTL is multifactorial, however maternal inflammation is suspected to play a large role. Research has indicated a relationship between the increase of C-reactive protein (CRP), a biomarker of general tissue inflammation to the incidence of preterm labor. This study aimed at examining the relationship between preterm labor and CRP levels. Method : This was a case-control retrospective study. Cases were patients presenting with preterm labor who came to the Department of Obstetrics and Gynecology of Hasan Sadikin Hospital Bandung. Patients were classified into very early preterm, early preterm, late preterm; control group was taken from patients without delivery complication (n=20/group). CRP serum was examined using immunoassay method. Result : CRP median value in the early preterm group was greater than very early preterm, early preterm, and control (8.15 mg/L vs 6.5 mg/L vs 5.6 mg/L vs 5.75 mg/L, respectively) but statistical significance was not achieved (p> 0.05). Further comparisons between the very early, early preterm vs control and late preterm vs control groups were performed and no statistical significance was found. Conclusion : Further research is required to investigate the link between maternal CRP and preterm labor. Konsentrat Protein C-Reaktif (PCR) pada Persalinan Prematur Sangat Awal, Awal, dan Terlambat Abstrak Tujuan : Persalinan prematur memiliki kaitan yang erat dengan morbiditas dan mortalitas neonatus. Etiologi persalinan prematur ini dipengaruhi oleh multifaktor. Namun, inflamasi maternal menjadi salah satu faktor yang dicurigai paling mempengaruhi. Beberapa penelitian melihat adanya hubungan antara peningkatan Protein C-Reaktif (PCR), biomarker untuk inflamasi jaringan secara umum, dengan insidensi persalinan prematur. Penelitian ini bertujuan untuk melihat relasi antara kadar PCR dengan kejadian persalinan prematur. Metode : Penelitian ini menggunakan metode kasus kontrol (case control). Kasus berasal dari pasien dengan persalinan prematur yang datang ke Departemen Obstetri dan Ginekologi RS Dr. Hasan Sadikin Bandung. Pasien dikelompokkan menjadi 3 kategori, yaitu persalinan prematur sangat awal, awal, dan terlambat. Kelompok kontrol diambil dari pasien yang menjalani persalinan tanpa komplikasi (n=20/kelompok). Serum PCR dianalisa menggunakan metode uji imunoserologi (immunoassay). Hasil : Nilai median PCR pada kelompok prematur awal lebih besar daripada kelompok prematur sangat awal, awal, dan kontrol (secara berurutan, 8.15 mg/L vs 6.5 mg/L vs 5.6 mg/L vs 5.75 mg/L), namun tidak signifikan secara statistik (p>0,05). Perbandingan lebih lanjut antara prematur sangat awal, awal, dengan kelompok kontrol serta prematur terlambat dengan kelompok kontrol dilakukan dan tidak signifikan secara statistik. Kesimpulan : Penelitian lebih lanjut dibutuhkan untuk melihat hubungan antara kadar PCR maternal dengan persalinan prematur. Kata","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"5 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":"117307295","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/V3N2.218
R. T. Rumanti, Akhmad Yogi Pramatirta, Ali Budi Harsono, J. Effendi
Tujuan : Tujuan penelitian ini adalah untuk mengetahui bagaimana hubungan kualitas hidup dan kebutuhan perawatan paliatif pada pasien kanker ginekologi. Metode : Subjek penelitian ini adalah seluruh pasien kanker ginekologi yang dirawat di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan November-Desember 2018. Penelitian ini merupakan studi analitik dengan rancangan cross sectional. Data yang diperoleh dianalisis secara bivariat dengan menggunakan chi square dengan α = 0,05, untuk mengetahui hubungan antara kualitas hidup dengan kebutuhan perawatan paliatif. Hasil : Karakteristik subjek terbanyak berusia > 50 tahun (65,67%), pendidikan dasar (70,15%), ibu rumah tangga (89,55%), pendapatan di atas upah minimum regional (61,19 %), tujuan rawat inap kemoterapi (47,76%) dan tipe kanker karsinoma serviks (43,28%). Subjek penelitian dengan skor paliatif ≥ 4 sebanyak 25 orang (37,31%). Keluhan yang terbanyak adalah berat badan turun dan tidak nafsu makan (86,57 %). Kualitas hidup pasien kategori baik sebanyak 29 orang, sedang 36 orang, dan kurang 2 orang. Kualitas hidup pasien kanker ginekologi berhubungan dengan kebutuhan perawatan paliatif dengan nilai signifikansi p 0,004. Simpulan : Kualitas hidup berhubungan dengan skor paliatif. Semakin rendah skor paliatif maka kualitas hidup semakin baik. Relations of Quality of Life and Characteristics of Gynecological Cancer Patients In Hasan Sadikin Hospital Abstract Objective : The purpose of this study was to determine the characteristics of gynecological cancer patients, determine the quality of life of all gynecological cancer patients and to asses the correlation of quality of life and palliative care needs in gynecological cancer patients. Method : The subjects of this study were all gynecological cancer patients who were treated at Dr. Hasan Sadikin Hospital Bandung in November-December 2018. This study was an analytic study with a cross sectional design. Data obtained from the study were analyzed bivariately using chi square with α = 0.05, to determine the relationship between quality of life and palliative care needs. Results : The most characteristics of the subjects were with age> 50 years (65.67%), primary education (70.15%), housewives (89.55%) with income above the regional minimum wage (61.19%), the main goal of hospitalization is chemotherapy (47.76%) and the most types of cancer are cervical carcinoma (43.28%). The research subjects who had a palliative score of ≥ 4 were 25 people (37.31%). The most complaints were weight loss and no appetite (86.57%). The quality of life of patients with good category was 29 people, medium category was 36 people and poor category was 2 people. The quality of life of gynecological cancer patients has correlation with palliative care needs with a significance value of p 0.004. Conclusion : Quality of life has correlation with palliative scores, the lower the palliative score, the better the quality of life. Key words : Gynecological cancer; quality of l
目的:本研究旨在了解妇科癌症患者的生活质量与治疗需求之间的平衡关系。方法:该研究对象是2018年11月至12月在Hasan Sadikin万隆医院接受治疗的所有妇科癌症患者。本研究是交叉设计的分析研究。二元地获得的数据分析,用志广场和α= 0。05,知道生活质量和姑息治疗需求之间的关系。结果:研究对象的特点:年龄最多的> 50岁(65.67%)、基础教育(70.15%)、家庭主妇(89.55%)、区域最低工资(61.19%)、化疗住院项目(47.76%)和宫颈癌类型(43.28%)。研究对象缓和的分数≥4 25人(37,31%)。最常见的抱怨是体重下降和食欲不全(86.57)。患者的生活质量最好是29人，中等是36人，更少是2人。妇科癌症患者的生活质量与具有p . 004价值的临床治疗需求有关。总结:生活质量与姑息分数有关。平衡性分数越低，生活质量就越好。关系of The supreme Quality of Life and Characteristics of Gynecological癌症病人在医院哈桑Sadikin抽象客观:这个研究的目的是为了个重大The Characteristics of Gynecological癌症病人,个重大所有Gynecological癌症病人的生活质量》到屁股之相关的品质生活和palliative care需要在Gynecological癌症病人。本项研究的题目是2018年11月- 12月哈桑萨德金万隆医院接受治疗的所有妇科医生。这是一项具有交叉设计的分析研究。获得数据从《study是analyzed bivariately用志广场和α= 0。05,到个重大质量之间的关系》和palliative护理需求。结果:该研究对象的大多数特点在于年龄> 50年(65.67%)、初级教育(70.15%)、家庭主妇(89.5.5%)、最低区域的影响范围(61.19%)、主要目标是化疗(47.76%)、主要目标是癌症治疗(43.28%)。之研究subjects谁有一只palliative得分≥4是25人(37发电量)。大多数抱怨都很重要，没有吸引力(86.57%)。优质病人的生活质量是29人，媒体分类是36人，穷人分类是2人。妇科巨蟹座病人生命的质量与善意的关怀相关，需要0.004的意义。结论:生命的质量与谬误分数、下毒手分数、更好的生活质量有关。癌症;生命的品质;palliative得分
{"title":"Hubungan Kualitas Hidup dan Kebutuhan Perawatan Paliatif Pasien Kanker Ginekologi di Rumah Sakit Dr. Hasan Sadikin","authors":"R. T. Rumanti, Akhmad Yogi Pramatirta, Ali Budi Harsono, J. Effendi","doi":"10.24198/OBGYNIA/V3N2.218","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.218","url":null,"abstract":"Tujuan : Tujuan penelitian ini adalah untuk mengetahui bagaimana hubungan kualitas hidup dan kebutuhan perawatan paliatif pada pasien kanker ginekologi. Metode : Subjek penelitian ini adalah seluruh pasien kanker ginekologi yang dirawat di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan November-Desember 2018. Penelitian ini merupakan studi analitik dengan rancangan cross sectional. Data yang diperoleh dianalisis secara bivariat dengan menggunakan chi square dengan α = 0,05, untuk mengetahui hubungan antara kualitas hidup dengan kebutuhan perawatan paliatif. Hasil : Karakteristik subjek terbanyak berusia > 50 tahun (65,67%), pendidikan dasar (70,15%), ibu rumah tangga (89,55%), pendapatan di atas upah minimum regional (61,19 %), tujuan rawat inap kemoterapi (47,76%) dan tipe kanker karsinoma serviks (43,28%). Subjek penelitian dengan skor paliatif ≥ 4 sebanyak 25 orang (37,31%). Keluhan yang terbanyak adalah berat badan turun dan tidak nafsu makan (86,57 %). Kualitas hidup pasien kategori baik sebanyak 29 orang, sedang 36 orang, dan kurang 2 orang. Kualitas hidup pasien kanker ginekologi berhubungan dengan kebutuhan perawatan paliatif dengan nilai signifikansi p 0,004. Simpulan : Kualitas hidup berhubungan dengan skor paliatif. Semakin rendah skor paliatif maka kualitas hidup semakin baik. Relations of Quality of Life and Characteristics of Gynecological Cancer Patients In Hasan Sadikin Hospital Abstract Objective : The purpose of this study was to determine the characteristics of gynecological cancer patients, determine the quality of life of all gynecological cancer patients and to asses the correlation of quality of life and palliative care needs in gynecological cancer patients. Method : The subjects of this study were all gynecological cancer patients who were treated at Dr. Hasan Sadikin Hospital Bandung in November-December 2018. This study was an analytic study with a cross sectional design. Data obtained from the study were analyzed bivariately using chi square with α = 0.05, to determine the relationship between quality of life and palliative care needs. Results : The most characteristics of the subjects were with age> 50 years (65.67%), primary education (70.15%), housewives (89.55%) with income above the regional minimum wage (61.19%), the main goal of hospitalization is chemotherapy (47.76%) and the most types of cancer are cervical carcinoma (43.28%). The research subjects who had a palliative score of ≥ 4 were 25 people (37.31%). The most complaints were weight loss and no appetite (86.57%). The quality of life of patients with good category was 29 people, medium category was 36 people and poor category was 2 people. The quality of life of gynecological cancer patients has correlation with palliative care needs with a significance value of p 0.004. Conclusion : Quality of life has correlation with palliative scores, the lower the palliative score, the better the quality of life. Key words : Gynecological cancer; quality of l","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"101 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":"124616902","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/V3N2.82
Yudi Mulyana Hidayat, Putu Giri Saputro, Dodi Suardi, Gatot N. A. Winarno, Siti Salima, Ali Budi Harsono
Tujuan : Penelitian ini adalah untuk menganalisis peranan pemberian vaksin bacille calmette-guerin (BCG) terhadap proses regresi seluler pada lesi prakanker serviks uteri derajat rendah Metode : Penelitian ini merupakan penelitian eksperimental dengan rancangan pretest (IVA dan Histopatologi) - posttest (IVA dan Test HPV DNA) with control design di Poliklinik Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Desember 2017-Maret 2018. Hasil : Untuk pemeriksaan IVA bulan ke-0 pada kelompok BCG kategori positif sebanyak 9 (100.0%) sedangkan untuk pemeriksaan IVA bulan ke-3 pada kelompok BCG kategori positif sebanyak 3 (33.3%) dan negatif menjadi sebanyak 6 (66.7%), pemeriksaan tes HPV DNA bulan ke 12 pada kelompok BCG kategori positif HPV DNA High Risk tidak ditemukan ( 0 % ). Hasil uji statistik pada kelompok perlakuan diperoleh nilai p 0.05. Kesimpulan : Terdapat peranan pemberian vaksin BCG terhadap regresi seluler lesi prakanker serviks derajat rendah. The effect of Bacille Calmette-Guerin vaccine on regression of cervical intraepithelial neoplasia-1 Abstract Objective : The aim of this study was to analyze the role of Baccile Calmete Guerin (BCG) vaccines delivery in low grade precancerous cervical lesions. Methods : The design of the study was a pretest and posttest experimental with control, done at Hasan Sadikin Hospital Bandung Outpatient Clinic during December 2017–March 2018. Result : Patients with positive VIA test in the intervention group in month-0 were 9 patients (100.0%), in month-3 were 3 patients (33.33%) and the other 6 patients (66.7%) changed into negative. Patients with positive VIA test in the control group in month-0 were 9 patients (100.0%), in month 3 were 8 patients (88.9%) and the other 1 patients (11.1%) changed into negative. The result of statistical analysis in the intervention group was p 0.05. Conclusion : : there is a role of BCG vaccine in low grade precancerous cervical lesions. Key words : BCG vaccine, VIA test, Low grade cervical precancerous lesions.
{"title":"Pengaruh Vaksin BCG dalam Meningkatkan Proses Segresi Seluler pada Lesi Prakanker Serviks Uteri Derajat Rendah","authors":"Yudi Mulyana Hidayat, Putu Giri Saputro, Dodi Suardi, Gatot N. A. Winarno, Siti Salima, Ali Budi Harsono","doi":"10.24198/OBGYNIA/V3N2.82","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N2.82","url":null,"abstract":"Tujuan : Penelitian ini adalah untuk menganalisis peranan pemberian vaksin bacille calmette-guerin (BCG) terhadap proses regresi seluler pada lesi prakanker serviks uteri derajat rendah Metode : Penelitian ini merupakan penelitian eksperimental dengan rancangan pretest (IVA dan Histopatologi) - posttest (IVA dan Test HPV DNA) with control design di Poliklinik Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan Desember 2017-Maret 2018. Hasil : Untuk pemeriksaan IVA bulan ke-0 pada kelompok BCG kategori positif sebanyak 9 (100.0%) sedangkan untuk pemeriksaan IVA bulan ke-3 pada kelompok BCG kategori positif sebanyak 3 (33.3%) dan negatif menjadi sebanyak 6 (66.7%), pemeriksaan tes HPV DNA bulan ke 12 pada kelompok BCG kategori positif HPV DNA High Risk tidak ditemukan ( 0 % ). Hasil uji statistik pada kelompok perlakuan diperoleh nilai p 0.05. Kesimpulan : Terdapat peranan pemberian vaksin BCG terhadap regresi seluler lesi prakanker serviks derajat rendah. The effect of Bacille Calmette-Guerin vaccine on regression of cervical intraepithelial neoplasia-1 Abstract Objective : The aim of this study was to analyze the role of Baccile Calmete Guerin (BCG) vaccines delivery in low grade precancerous cervical lesions. Methods : The design of the study was a pretest and posttest experimental with control, done at Hasan Sadikin Hospital Bandung Outpatient Clinic during December 2017–March 2018. Result : Patients with positive VIA test in the intervention group in month-0 were 9 patients (100.0%), in month-3 were 3 patients (33.33%) and the other 6 patients (66.7%) changed into negative. Patients with positive VIA test in the control group in month-0 were 9 patients (100.0%), in month 3 were 8 patients (88.9%) and the other 1 patients (11.1%) changed into negative. The result of statistical analysis in the intervention group was p 0.05. Conclusion : : there is a role of BCG vaccine in low grade precancerous cervical lesions. Key words : BCG vaccine, VIA test, Low grade cervical precancerous lesions.","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"221 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":"132468132","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 : 2020-03-29DOI: 10.24198/OBGYNIA/V3N1.183
Aisah Djumadisstsaniah, Yusrawati Yusrawati, A. Friadi
Tujuan : Penelitian ini bertujuan untuk mengetahui perbandingan uji hemostasis pada preeklamsia antara awitan dini (PEAD) dengan awitan lambat (PEAL) Metode : Penelitian ini adalah penelitian analitik observasional dengan pendekatan potong lintang dengan menggunakan data rekam medis pasien preeklamsia yang dirawat dan atau melahirkan di RSUP DR M Djamil Padang. Analisis univariate disajikan dalam bentuk tabel distribusi frekuensi dan analisis univariate menggunakan uji T tidak berpasangan dan uji Mann-Whitney Hasil : PT (Prothrombine Time) dan APTT (Activated Partial Thromboplastin Time) lebih rendah pada PEAD daripada PEAL (p>0,05), D-dimer lebih tinggi PEAD daripada PEAL(p>0,05), dan jumlah trombosit lebih rendah PEAD daripada PEAL(p<0,05) Kesimpulan : Pada penelitian ini tidak terdapat perbedaan yang bermakna dari parameter faal pembekuan darah berupa PT, APTT, dan D-dimer, tetapi terdapat perbedaan yang bermakna pada jumlah trombosit antara PEAD dan PEAL dengan jumlah trombosit PEAD lebih rendah daripada PEAL Comparison of Hemostatic Test Result Between Cases of Early and Late Onset Preeclampsia Abstract Objective : This study aimed to compare haemostatic test of early onset preeclampsia and late onset preeclampsia Method : This study was observational analytic study using cross-sectional design that collected data from medical records patients of preeclampsia who were hospitalized and/or giving birth in RSUP DR M Djamil Padang. Data were analized using Univariate analysis were presented in the form of frequency distribution table and Bivariate data were tested with Independent T-Test and Mann-Whitney Test Result : In this study, there was no differences in prothrombin time, activated partial thromboplastine time and D-dimer but thrombocyte count were different between early and late onset Preeclampsia Conclusion : On this research thrombocyte count is lower in early than late onset Preeclampsia and there is significantly different between early and late onset Preeclampsia Key words : prothrombin time, activated partial thromboplastin time, D-dimer, thrombocyte count, early and late onset preeclampsia
目的:本研究旨在确定前期妊娠期与后周妊娠期之间的溶血止血比较方法:本研究是一种分析观察方法，使用经治疗和分娩前病人的医疗记录数据，以减少纬度。分析univariate univariate使用频率分布表形式呈现和分析测试没有配对和Mann-Whitney测试结果:PT (Prothrombine时间)和APTT(激活部分Thromboplastin时间)比没有联合国PEAD上较低(p > 0。05),D-dimer比没有联合国更高PEAD (p > 0。05),血小板的数量比自己低PEAD没有联合国(p < 0。05)结论:参数的这项研究并没有出现有意义的差异faal血栓PT、APTT D-dimer,但有意义的血小板数量区别PEAD和血小板数量没有联合国PEAD低于没有联合国不那么可怜Hemostatic测试论点的案子子痫前期由于早起和晚发性的抽象之间客观:由于这study aimed到可以把haemostatic比作测试的早发性子痫前期和子痫前期由于晚发性方法:这一研究是一种观察分析研究，使用交叉分段设计，收集来自preeclampsia医疗记录病人的数据，他们已被证实并/或在Djamil字段博士的生命。是用Univariate analized数据分析是由in the form of频率distribution桌是测试数据和Bivariate T-Test独立和Mann-Whitney测试研究论点:在这个时代,没有分歧都是在prothrombin,激活部分thromboplastine时间和D-dimer但thrombocyte伯爵是不同的:在子痫前期由于早起和晚发性之间历史性在这个研究中，thrombocyte伯爵的病情早于子午线发病，早期和过期的关键字之间有明显的不同
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Pub Date : 2020-03-29DOI: 10.24198/obgynia/v3n1.155
Annissa Kallista Amyranti, Evalina Silalahi
Tujuan : Preeklamsia adalah sebuah gangguan dan meliputi banyak organ, yang sampai saat ini masih menjadi penyebab kematian ibu tertinggi kedua di dunia dan di Indonesia. Peningkatan kadar asam urat sering ditemukan pada pasien preeklamsia. Diketahui penyebabnya adalah akibat penurunan fungsi ginjal, penurunan kerusakan jaringan, dan peningkatan kerja enzim xantin oksidase. Metode : Penelitian ini dilakukan dengan metode cross-sectional dari data rekam medis pasien preeklamsi berat di RSUP Fatmawati Jakarta. Hasil : Pasien preeklamsia berat di RSUP Fatmawati 60% diantaranya pada kelompok usia 20–35 tahun, dengan IMT ³ 30 sebanyak 42,4%, dan 68,5% pada pasien primi dan multi para. Analisis penelitian penggunakan uji hipotesis chi square, menunjukan terdapat hubungan antara kadar asam urat darah dengan perburukan preeklampsia berat (p=0,000<0,005). Kesimpulan : Terdapat hubungan antara kadar asam urat darah dengan awitan perburukan preeklamsia berat. Clinical and Laboratory Characteristics of Early and Late Onset Severe Preeclampsia Patients in Fatmawati General Hospital Jakarta 2016-2017 Abstract Objective : Preeclampsia is disorder that affects many organs, which until now is still the highest cause of maternal death in the world and in Indonesia. Increased uric acid levels are often found in preeclamsy patients. The causes are known to decrease kidney function, decrease tissue damage, and increase the work of the xanthine oxidase enzyme. Methods : This research was conducted by cross-sectional method by taking medical records of severe preeclampsia patients at Fatmawati General Hospital, Jakarta. Result : Patients with severe preeclampsia in the Fatmawati General Hospital were 60% approved in the age group 20-35 years, with BMI ³ 30 as many as 42.4% , and 68,5% of them were primiparous and multiparous women. The analysis of the study used the chi square hypothesis test, showed that blood uric acid levels has a relationship on the onset of worsening severe preeclampsia (p=0,000<0,005). Conclusion : This analysis showed that there was a relationship between blood uric acid levels and the onset of worsening severe preeclampsia . Key words : Severe preeclampsia , uric acid, early onset, late onset.
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Pub Date : 2020-03-29DOI: 10.24198/OBGYNIA/V3N1.193
J. C. Mose
Tujuan : Menyimpulkan beberapa hasil penelitian tentang preeklamsi dan upaya menurunkan kematian ibu di negara maju maupun berkembang termasuk di Indonesia dan RSHS Bandung untuk menyusun strategi menurunkan kematian ibu karena preeklamsi. Metode : Dilakukan penelitian potong silang dengan rancangan observasional analitik dengan membandingkan data ibu hamil dengan preeklamsi/eklamsi yang melahirkan di RS Hasan sadikin Bandung periode Maret sampai September 2012 (sebelum JKN) dan 1 Januari 2016 sampai 31 Desember 2017(saat JKN dilaksanakan). Data dianalisis menggunakan uji statistik chi kuadrat untuk membandingkan perbedaan dengan kemaknaan nilai p 4, and evidence of hypertension and cardiac complications before and during the implementation of NHIP. Discussion : The strategies for reducing maternal mortality due to preeclampsia are as follows : supporting the government programs to overcome poverty, education and transportation; socializing signs and symptoms of preeclampsia to the community; early detection of risk factors, blood pressure measurement and urine protein followed by administration of low dose aspirin and calcium tablets for prevention; training on Doppler examination of uterine arteries for OBGYN specialist and socializing standard guidelines and protocol for the management of preeclampsia; and training for a ‘preeclampsia special team’ in referral hospitals. Key words : Preeclampsia, maternal mortality, strategy for reducing maternal mortality.
目的:总结一些关于产前和发展中国家(包括印度尼西亚和万隆)降低产前和发展中国家母亲死亡的研究，为产前准备制定降低母亲死亡的战略。方法:做数据交叉切设计观测分析与比较研究孕妇在医院分娩的preeklamsi - eklamsi哈桑sadikin万隆JKN之前从2012年9月(3月)时期和2016年1月1日至2017年12月31日(当JKN)执行。数据是通过二次检验来比较p - 4值的有效性，以及在NHIP实施之前和期间支持高强度和cardiac的证据。受到质疑:reducing的策略对子痫前期是对子女的不朽帐款as follows:《政府项目supporting to overcome贫穷、教育和运输;将会聚符号和对社区的解释结合起来;早期detection of factors,血压力风险的测量和尿液中蛋白质跟着由管理局为预防顶得上低剂量的阿司匹林和钙;培训上的多普勒来晚uterine arteries妇产科医生专家和私有化的标准版及与子痫前期的管理协议》;子痫前期和training for a”特别团队’in hospitals转诊。Key words:子痫前期,对子女的不朽,为reducing个会对子女的不朽。
{"title":"Strategi Menurunkan Kematian Ibu Karena Preeklamsi dan Eklamsi","authors":"J. C. Mose","doi":"10.24198/OBGYNIA/V3N1.193","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N1.193","url":null,"abstract":"Tujuan : Menyimpulkan beberapa hasil penelitian tentang preeklamsi dan upaya menurunkan kematian ibu di negara maju maupun berkembang termasuk di Indonesia dan RSHS Bandung untuk menyusun strategi menurunkan kematian ibu karena preeklamsi. Metode : Dilakukan penelitian potong silang dengan rancangan observasional analitik dengan membandingkan data ibu hamil dengan preeklamsi/eklamsi yang melahirkan di RS Hasan sadikin Bandung periode Maret sampai September 2012 (sebelum JKN) dan 1 Januari 2016 sampai 31 Desember 2017(saat JKN dilaksanakan). Data dianalisis menggunakan uji statistik chi kuadrat untuk membandingkan perbedaan dengan kemaknaan nilai p 4, and evidence of hypertension and cardiac complications before and during the implementation of NHIP. Discussion : The strategies for reducing maternal mortality due to preeclampsia are as follows : supporting the government programs to overcome poverty, education and transportation; socializing signs and symptoms of preeclampsia to the community; early detection of risk factors, blood pressure measurement and urine protein followed by administration of low dose aspirin and calcium tablets for prevention; training on Doppler examination of uterine arteries for OBGYN specialist and socializing standard guidelines and protocol for the management of preeclampsia; and training for a ‘preeclampsia special team’ in referral hospitals. Key words : Preeclampsia, maternal mortality, strategy for reducing maternal mortality.","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122293319","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 : 2020-03-29DOI: 10.24198/OBGYNIA/V3N1.177
Febyan Febyan, Ida Bagus Rumbawa Pemaron
Tujuan : Kejadian hipertensi dalam kehamilan dapat dipengaruhi oleh berbagai faktor, yaitu; Primigravida, nulliparitas, usia ibu ( 35 tahun), dan Indeks Massa Tubuh, yang merupakan bagian dari faktor risiko terjadinya penyakit hipertensi dalam kehamilan. Penelitian ini bertujuan untuk mengetahui faktor-faktor risiko yang berhubungan dengan hipertensi dalam kehamilan di departemen Obstetri dan Ginekologi Rumah Sakit Bhayangkara Denpasar, Periode Oktober – Desember 2018. Metode : Penelitian ini merupakan studi observasional dengan metode potong lintang, variabel yang digunakan berupa usia maternal, graviditas, indeks massa tubuh terhadap kejadian hipertensi dalam kehamilan. Sampel penelitian ini adalah ibu hamil yang datang ke Poli Rawat Jalan Departemen Obstetri dan Ginekologi Rumah Sakit Bhayangkara, Denpasar, pada bulan Oktober – Desember 2018. Sampel didapatkan dengan teknik total sampling, sebanyak 43 orang dari 531 ibu mengalami hipertensi dalam kehamilan. Hasil : Berdasarkan hasil penelitian ini, didapatkan bahwa tidak ada hubungan antara variabel graviditas dengan kejadian hipertensi dalam kehamilan (p=0,077), selanjutnya variabel indeks massa tubuh (OR = 2,602; p = 0,005) dan variabel usia maternal (OR=2,774; p =0,004) menunjukkan bahwa ada hubungan yang signifikan dengan kejadian hipertensi dalam kehamilan. Hasil analisis multivariate menunjukan bahwa, variabel usia maternal merupakan faktor risiko paling besar (p=0,003) terjadinya hipertensi dalam kehamilan. Simpulan : Terdapat hubungan antara indeks massa tubuh, dan usia maternal dengan kejadian hipertensi dalam kehamilan, dan tidak ada hubungan yang bermakna, antara graviditas dengan kejadian hipertensi dalam kehamilan. Abstract Objective : To review some risk factors of the recurrence of hypertension in pregnancy disorder. The incidence of hypertension in pregnancy can be affected by several factors: Primigravida, nulliparitas, maternal age and increased body mass index are the risk factors for hypertension in pregnancy. Methods : This study was an observational study with cross-sectional the variable used were maternal age, gravidity and body mass index (BMI) on the incidence of hypertension in pregnancy. The samples were pregnant women who came to Clinic of Obstetrics and Gynecology Departement, Bhayangkara Hospital Denpasar during October to December 2018. Statistical test used was chi square factor exact tes. Result : The most important risk factors for hypertension in pregnancy such as, body mass index (OR 2,60 95% CI 1,36-4,95 p = 0,005) and maternal age (OR 2,74 95% CI 1,41-5,43 p =0,004) mean while gravidity (OR 1,58 95% CI 0,70-3,57 p=0,077) is not a significant risk factor. Conclusion : There is a correlation between maternal age and body mass index with hypertension in pregnancy and no correlation between gravidity with hypertension in pregnancy.
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Pub Date : 2020-03-29DOI: 10.24198/OBGYNIA/V3N1.192
Ali Budi Harsono
Tujuan artikel ini adalah untuk mereview sejarah dan implikasi kanker ovarium dengan bahasa metafora pembunuh diam-diam atau “ Silent Killer ” sehingga akan meningkatkan kesadaran tentang kanker ovarium. Pada abad kedua puluh, metafora pembunuh diam-diam sering dikaitkan dengan kata berbahaya yang menggambarkan kanker ovarium. Istilah " silent killer " sebetulnya sering digunakan untuk menggambarkan kanker lain dan juga diterapkan pada penyakit seperti hipertensi dan diabetes. Kanker ovarium sering disebut sebagai pembunuh diam-diam karena diyakini sebagian besar pasien didiagnosis pada stadium lanjut dan sering tidak ditemukan gejala yang jelas pada stadium awal
{"title":"Kanker Ovarium : “The Silent Killer”","authors":"Ali Budi Harsono","doi":"10.24198/OBGYNIA/V3N1.192","DOIUrl":"https://doi.org/10.24198/OBGYNIA/V3N1.192","url":null,"abstract":"Tujuan artikel ini adalah untuk mereview sejarah dan implikasi kanker ovarium dengan bahasa metafora pembunuh diam-diam atau “ Silent Killer ” sehingga akan meningkatkan kesadaran tentang kanker ovarium. Pada abad kedua puluh, metafora pembunuh diam-diam sering dikaitkan dengan kata berbahaya yang menggambarkan kanker ovarium. Istilah \" silent killer \" sebetulnya sering digunakan untuk menggambarkan kanker lain dan juga diterapkan pada penyakit seperti hipertensi dan diabetes. Kanker ovarium sering disebut sebagai pembunuh diam-diam karena diyakini sebagian besar pasien didiagnosis pada stadium lanjut dan sering tidak ditemukan gejala yang jelas pada stadium awal","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122784591","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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