Irene Leha, J. C. Mose, Budi Handono, A. D. Anwar, Zulvayanti Zulvayanti, Hanom Husni Syam
{"title":"Perbandingan Faktor Determinan, Morbiditas dan Mortalitas Ibu dan Bayi Preeklamsi di Rumah Sakit Hasan Sadikin Bandung Periode Sebelum dan Saat Program Jaminan Kesehatan Nasional Dilaksanakan","authors":"Irene Leha, J. C. Mose, Budi Handono, A. D. Anwar, Zulvayanti Zulvayanti, Hanom Husni Syam","doi":"10.24198/OBGYNIA.V2N1.102","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V2N1.102","url":null,"abstract":"","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"222 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131751126","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}
Faizal Arif Caropeboka, Tono Djuwantono, Dian Tjahyadi, J. Effendi, A. D. Anwar, Amillia Siddiq
{"title":"Perbedaan Morfologi dan Fragmentasi DNA Sperma sebelum dan sesudah Kriopreservasi dengan Metode Slow Cooling di Klinik Aster RSUP Dr. Hasan Sadikin Bandung","authors":"Faizal Arif Caropeboka, Tono Djuwantono, Dian Tjahyadi, J. Effendi, A. D. Anwar, Amillia Siddiq","doi":"10.24198/OBGYNIA.V1N2.75","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V1N2.75","url":null,"abstract":"Abstrak Tujuan : Penelitian ini bertujuan untuk mengetahui perbedaan parameter fragmentasi DNA, morfologi sperma pasca proses pembekuan dengan metode slow cooling. Metode : Penelitian ini merupakan penelitian obervasional analitik dengan pendekatan pre-post design. Subjek penelitian adalah sperma dengan hasil analisis yang normal sesuai dengan standar WHO (n=25). Penelitian dilakukan di Klinik Aster RSUP Dr. Hasan Sadikin Bandung pada bulan Juli hingga Agustus 2017. Hasil : Setelah proses kriopreservasi, terdapat peningkatan fragmentasi DNA tiga kali lipat (nilai p<0,05) dan terdapat penurunan jumlah morfologi normal sebesar 50% (nilai p<0,05). Kesimpulan : Terdapat penurunan kualitas sperma pasca proses kriopreservasi dengan metode slow cooling. Kata kunci : Fragmentasi DNA, morfologi, slow cooling, spermatozoa Abstract Objective : Of this study was to compare sperm quality parameters including DNA fragmentation and morphology after cryopreservation with slow-cooling method. Method : This was an analytical observational study with pre and post design. Subjects were men whose sperm analysis met the WHO criteria of being normal (n=25). The study was conducted at the Aster Clinic of Dr. Hasan Sadikin General Hospital Bandung from July to August 2017. Results : After cryopreservation, there was a three fold increase of DNA fragmentation (with p value <0.05) and a decrease in morphology 50% (with p value <0.05). Conclusion: There is a decrease in sperm quality after cryopreservation with slow-cooling method. Key words : DNA fragmentation, morphology, slow cooling, spermatozoa","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125896391","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}
Annissa Qatrunnada, Puja Agung Antonius, Yusrawati Yusrawati
{"title":"Faktor Risiko dan Luaran Maternal Plasenta Akreta di RSUP Dr. M. Djamil Padang","authors":"Annissa Qatrunnada, Puja Agung Antonius, Yusrawati Yusrawati","doi":"10.24198/OBGYNIA.V1N2.94","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V1N2.94","url":null,"abstract":"Abstrak Tujuan : Penelitian ini bertujuan untuk mengetahui frekuensi kejadian, hubungan faktor risiko, dan luaran maternal dengan plasenta akreta. Metode : Penelitian ini adalah analitik observasional dengan desain cross sectional. Penelitian dilakukan di bagian rekam medis RSUP Dr. M. Djamil Padang dari Januari 2016 sampai Desember 2017 dengan sampel penelitian berjumlah 84 orang yang terbagi dalam 2 kelompok, yaitu kelompok suspek plasenta akreta dan kelompok kontrol. Hasil : Hasil penelitian didapatkan sebanyak 64 orang (4,3%) terdiagnosa suspek plasenta akreta. Terdapat hubungan yang bermakna antara usia, paritas, riwayat seksio sesarea, dan plasenta previa (p 7 hari, butuh transfusi darah, dan histerektomi (p 7 hari, butuh transfusi darah, dan histerektomi. Kata kunci : Plasenta akreta, seksio sesarea, plasenta previa Abstract Objective : This study aims to determine the frequency of occurrence, association of risk factors, and maternal outcomes with placenta accreta. Method : This is an observational analytic with a cross-sectional design. This study was conducted in the medical record Dr. M. Djamil Padang General Hospital from January 2016 until December 2017 with total samples of the study were eighty four people and divided into 2 groups, suspected placenta accreta group and control group. Result : The result showed 64 people (4.3%) were diagnosed with suspect placenta accreta. There were significant association between age, parity, prior cesarean section, and placenta previa (p<0.05) with placenta accreta. The dominant factor in placenta accreta is ≥ 2 prior cesarean section (OR 6,038, 95% CI 2,145-16,995). There were significant association between length of stay more than 7 days, need blood transfusion, and hysterectomy (p<0,05) with placenta accreta. Conclusion : Prior cesarean section, placenta previa, maternal age, and parity are risk factors for placenta accreta with maternal morbidity such as length of hospital stay more than 7 days, requires blood transfusion, and hysterectomy. Key words : Placenta accreta, cesarean section, placenta previa","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127030990","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}
M. R. Arev Sukarsa, Bharata Yudha, Tita Husnitawati Madjid, Jusuf Sulaeman Effendi, Benny Hasan Purwara, Muhammad Alamsyah Aziz
{"title":"Korelasi antara Kadar 25 Hidroksi Vitamin D3 dengan Kekuatan Levator Ani pada Primipara 42 Hari Pascapersalinan Spontan","authors":"M. R. Arev Sukarsa, Bharata Yudha, Tita Husnitawati Madjid, Jusuf Sulaeman Effendi, Benny Hasan Purwara, Muhammad Alamsyah Aziz","doi":"10.24198/OBGYNIA.V1N2.68","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V1N2.68","url":null,"abstract":"Abstrak Tujuan : Menganalisis korelasi antara kadar 25 hidroksi vitamin D3 dengan kekuatan kontraksi levator ani pada primipara 42 hari pasca persalinan spontan. Metode : Penelitian observasional analitik dilakukan pada primipara pasca persalinan spontan yang memenuhi kriteria inklusi penelitian (n=48). Penelitian dilakukan di Poliklinik Obstetri dan Laboratorium Patologi Klinik Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin bulan Agustus-September 2017. Dilakukan pengukuran kadar vitamin D serum, serta pemeriksaan perineometer tonus basal dan kontraksi maksimal levator ani subjek. Data yang didapat diolah menggunakan SPSS 23 untuk windows. Hasil : Terdapat korelasi positif antara kadar vitamin D dengan tonus basal levator ani (r=0,76, r2 = 0,58) dan antara kadar vitamin D dengan kontraksi maksimal levator ani (r=0,803, r2 = 0,645) yang bermakna secara statistik (p <0,05). Penelitian ini menunjukkan terdapat korelasi kuat dengan arah korelasi positif antara kadar 25 hidroksi vitamin D3 dengan kekuatan kontraksi levator ani pada primipara 42 hari pasca persalinan spontan. Kesimpulan : Kadar vitamin D yang tinggi diduga akan meningkatkan kontraksi levator ani pada primipara pasca persalinan spontan. Kata kunci : 25 Hidroksi vitamin D3, kontraksi levator ani, perineometer Abstract Objective : To analyze the correlation between 25 hydroxy vitamin D3 levels with the strength of levator ani contraction at primipara 42 days post-spontaneous delivery. Method: Observational analytic study was conducted on spontaneous postpartum primiparas meeting the inclusion criteria (n=48). The research was conducted in Obstetric Polyclinic and Clinical Serology Clinical Pathology Laboratory of Faculty of Medicine Universitas Padjadjaran/ Dr. Hasan Sadikin General Hospital in August-September 2017. A serum vitamin D assay was performed, vaginal resting tone and maximum contraction of the levator ani was measured with the perineometer on the subject. Data was analyzed by SPSS 23 for windows. Results : There were positive correlation between vitamin D level and vaginal resting tone (r=0,76, r2=0,58) and between vitamin D level with maximum contraction of levator ani (r=0,803, r2=0,645) which was statistically significant (p<0.05). The study showed that there was a strong positive correlation between the levels of 25 hydroxy vitamin D3 with the strength of levator ani contraction in primipara 42 days post-spontaneous delivery. Consclusion : High levels of vitamin D can supposedly improve levator ani contraction in primipara post spontaneous delivery. Key words : 25 Hydroxy vitamin D3, levator ani contraction, perineometer","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115598241","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}
A. Novianti, Benny Hasan Purwara, Yudi Mulyana Hidayat, Sofie Rifayani Krisnadi, Maringan Diapari Lumban Tobing, Edwin Armawan
{"title":"Perbandingan Fungsi Berkemih pada 3 Hari dan 5 Hari Katerisasi Urin Pascaoperasi Histerektomi Radikal pada Wanita Penderita Keganasan Serviks Stadium Awal","authors":"A. Novianti, Benny Hasan Purwara, Yudi Mulyana Hidayat, Sofie Rifayani Krisnadi, Maringan Diapari Lumban Tobing, Edwin Armawan","doi":"10.24198/OBGYNIA.V1N2.88","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V1N2.88","url":null,"abstract":"Abstrak Tujuan : Menganalisis perbandingan fungsi berkemih pada pemakaian kateter urin selama 3 hari dan 5 hari pasca operasi histerektomi radikal. Metode : Non-inferiority randomized controlled trial. Subjek penelitian adalah penderita kanker serviks di Rumah Sakit Hasan Sadikin Bandung yang dilakukan operasi histerektomi radikal. Dilakukan penilaian fungsi berkemih dan kejadian infeksi saluran kemih sebelum dan setelah operasi hari ke−3 (kelompok intervensi) dan hari ke−5 (kelompok kontrol). Hasil : Pascaoperasi terjadi penurunan fungsi sensorik 8,5% pada kelompok intervensi dan 13,5% pada kelompok kontrol dan penurunan fungsi motorik 87,5% pada kelompok intervensi dan 150% pada kelompok kontrol. Kejadian infeksi saluran kemih meningkat 6,7% pada kelompok kontrol. Kesimpulan : Penggunaan kateter urin selama 3 hari pasca histerektomi radikal tidak lebih buruk dari 5 hari dan dapat digunakan sebagai manajemen pada penderita kanker serviks pasca histerektomi radikal. The Comparison of 3 Days and 5 Days Catheterization Following Radical Hysterectomy in Women with Early Stage Cervical Cancer: A Non-Inferiority Randomized Controlled Trial Abstract Objective : To compare the urinary function after radical hysterectomy with catheter usage for 3 days and 5 days. Method : A non-inferiority randomized controlled trial. Subjects were women diagnosed with cervical cancer that underwent radical hysterectomy in Hasan Sadikin Hospital Bandung. The study conducted by comparing urinary function and urinary tract infection in 3 days catheterization and 5 days catheterization after radical hysterectomy. Result : Post operation, there was decreased 8,5% sensory function in intervention group and 13,5% in control group and decreased 87,5% motoric function in intervention group and 150% in control group. The urinary tract infection increased about 6,7% in control group. Conclusion :3-days urethral catheterization following radical hysterectomy is non inferior to 5 days urethral catheterization and could be used for management of women with early stage cervical cancer after radical hysterectomy. Key words : Urinary dysfunction after radical hysterectomy, 3 and 5 days catheterization after radical hysterectomy, urinary tract infection","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"37 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116787789","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}
Nenny Yoanitha, Firman F. Wirakusumah, Rizkar Arev Sukarsa
{"title":"Gambaran Rasionalitas Penggunaan Antibiotik berdasarkan Kriteria Gyssens di Bangsal Obstetri dan Ginekologi RSUP Dr. Hasan Sadikin Bandung","authors":"Nenny Yoanitha, Firman F. Wirakusumah, Rizkar Arev Sukarsa","doi":"10.24198/OBGYNIA.V1N2.37","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V1N2.37","url":null,"abstract":"Abstrak Tujuan : Penggunaan antibiotik yang tidak rasional terjadi di banyak rumah sakit dan dikaitkan dengan peningkatan jumlah resistensi antibiotik di seluruh dunia. WHO telah menggambarkan bahwa saat ini sedang terjadi “krisis” resistensi antibiotik yang berpotensi menyebabkan musibah secara global. Di Indonesia termasuk RSUP Dr. Hasan Sadikin Bandung data penelitian yang menggambarkan kualitas penggunaan antibiotik masih terbatas. Metode : Penelitian ini merupakan jenis penelitian deskriptif eksploratif dengan desain cross sectional dilaksanakan di RSUP Dr. Hasan Sadikin Bandung pada periode September–November 2016 pada pasien rawat inap di bangsal Obstetri dan Ginekologi. Rasionalitas penggunaan antibiotik diukur berdasarkan kriteria Gyssens yang mengklasifikasikan kasus penggunaan antibiotik berdasarkan suatu alur memuat indikasi, jenis antibiotik, dosis, rute, interval, dan waktu pemberiannya. Hasil : Dari 150 kasus mayoritas merupakan kasus obstetri (62,7%) dengan kelompok umur terbanyak antara 21−35 tahun (73,3%). Berdasarkan kriteria gyssens didapatkan terbanyak adalah kategori V (40,3%), sedangkan kategori 0 (antibiotik rasional) didapatkan sebanyak (22%). Kesimpulan : Penggunaan antibiotik yang tidak rasional berdasarkan kriteria Gyssens masih tinggi ditemukan di bangsal Kandungan dan Kebidanan Kata kunci : Antibiotik, kualitas penggunaan antibiotik, kriteria gyssens Abstract Objective : The use of irrational antibiotics occurs in many hospitals and is associated with an increase of antibiotic resistance worldwide. WHO has described that there is currently a “crisis” of antibiotic resistance that has the potential to cause a global disaster. In Indonesia, including dr. Hasan Sadikin Hospital research data describing the quality of antibiotic use is still limited. Method : This study is a descriptive explorative research with cross sectional design that was conducted in dr. Hasan Sadikin Hospital on September until November 2016 with the sample was all inpatient that trated in the Obstetric and Gynecology ward.. The rationality of antibiotic use is measured by the Gyssens criteria that classify cases of antibiotic use based on a path containing indications, type of antibiotics, doses, routes, intervals, and time of administration. Result : Of the 150 cases the majority were obstetric cases (62.7%) with the most age group between 21-35 years (73.3%). Based on the criteria gyssens obtained the most is category V (40.3%), while category 0 (rational antibiotics) obtained as much (22%). Conclusion : The use of irrational antibiotics based on the Gyssens criterion is still high in the Obstetric and Gynecology ward Key words : Antibiotics, quality of antibiotic use, criteria gyssens","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116806914","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":"EDITORIAL: Tata Laksana Infertilitas yang Rasional dan Efisien untuk Mempersingkat \"Time to Pregnancy\"","authors":"Hartanto Bayuaji","doi":"10.24198/obgynia.v1n2.91","DOIUrl":"https://doi.org/10.24198/obgynia.v1n2.91","url":null,"abstract":"Abstrak Tujuan : Memberikan pandangan kepentingan melakukan penatalaksanaan infertilitas yang efisien untuk mempersingkat time to pregnancy . Metode : Telaah pustaka dan basis bukti. Hasil : Kunci mempersingkat time to pregnancy pada penanganan infertilitas adalah melakukan work-up yang efisien dan rasional. Terdapat beberapa pemeriksaan yang mempunyai manfaat jelas berdasarkan basis bukti. Hari-hari tertentu pada siklus menstruasi seorang wanita dapat dimanfaatkan untuk melakukan beberapa pemeriksaan terpilih. Fokus pemeriksaan adalah identifikasi latar belakang kesehatan suami dan istri, mengetahui adanya ovulasi dan cadangan ovarium, tes patensi tuba, evaluasi anatomik uterus dan peritoneum, serta analisis sperma. Setelah data dasar tersebut diperoleh, dilakukan evaluasi komprehensif untuk mengetahui program penanganan yang sesuai. Saat ini telah terdapat panduan nasional praktik kedokteran penanganan infertilitas sebagai dasar untuk dapat menangani infertilitas secara efisien. Kesimpulan : Time to pregnancy dapat dipersingkat dengan proses diagnostik dan penanganan yang berbasis bukti dengan memanfaatkan waktu-waktu tertentu dari siklus menstruasi. Kata kunci : Infertilitas, time to pregnancy, penanganan infertilitas, rujukan Abstract Objective : Provide an insight of the importance of conducting efficient and rational infertility management to shorten time to pregnancy. Method : Literature and evidence base review. Results : The key to shortening time to pregnancy in infertility management is to do an efficient and rational work-up. There are several examination that have clear benefits. Certain days of a woman's menstrual cycle can be used to do some selected examinations. The focus of the examination is identification of the health background of husband and wife, ovulation documentation and ovarian reserve assay, tubal patency tests, anatomic evaluation of the uterus and peritoneum, and sperm analysis. After the basic data is obtained, a comprehensive evaluation is carried out to find out the appropriate management program. Currently there is a national guide to the practice of medical treatment of infertility as a basis for infertility management efficiently. Conclusion : Time to pregnancy can be shortened by an evidence-based diagnostic and treatment process by utilizing certain times of the menstrual cycle. Key words : Infertility, time to pregnancy, infertility management, referral system.","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"204 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124571934","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}
Santi Maria Burhanuddin, Sofie Rifayani Krisnadi, Dini Pusianawati
{"title":"Gambaran Karakteristik dan Luaran pada Preeklamsi Awitan Dini dan Awitan Lanjut Di RSUP Dr. Hasan Sadikin Bandung","authors":"Santi Maria Burhanuddin, Sofie Rifayani Krisnadi, Dini Pusianawati","doi":"10.24198/obgynia.v1n2.12","DOIUrl":"https://doi.org/10.24198/obgynia.v1n2.12","url":null,"abstract":"Abstrak Tujuan : Meneliti karakteristik dan luaran pada preeklamsia awitan dini dan awitan lambat di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung. Metode : Penelitian deskriptif dengan pendekatan potong lintang. Data diambil dari rekam medis. Hasil : Terdapat 347 pasien preeklamsi, 137 preeklamsi awitan dini, 192 awitan lambat dan 18 eklamsi. Distribusi umur preeklamsi awitan dini 20 sampai 35 tahun 45 orang (32,85%), pada awitan lambat tersering pada umur >35 tahun 64 orang (33,33%). Distribusi paritas preeklamsi awitan dini paritas 1−3 yaitu 102 orang (74,5%) dan awitan lambat 118 orang (61,5%). Luaran bayi menunjukkan bayi yang lahir sesuai usia kehamilan pada preeklamsi awitan dini sebanyak 83,9% dan awitan lambat sebanyak 77,6% dan nilai APGAR 1 menit 7-10 pada preeklamsi awitan dini adalah 46% dan awitan lambat adalah 72,4%. Sindrom HELLP parsial adalah komplikasi terbanyak, yaitu 64 kasus (18,44%), 39 kasus pada preeklamsi awitan dini, dan 22 kasus pada preeklamsi awitan lambat. Kesimpulan : Tidak ada perbedaan signifikan luaran bayi antara preeklamsia awitan dini dan awitan lambat. Komplikasi tersering adalah sindroma HELLP parsial. Kata kunci : Karakteristik, luaran, preeklamsia awitan dini, awitan lambat. Abstract Objective : To describe the characteristics and outcome in early onset and late onset pre-eclampsia at Dr. Hasan Sadikin General Hospital Bandung. Method : A cross sectional study with retrospective approach by examining medical record at Dr. Hasan Sadikin General Hospital. Result : Showed 347 patients preeclampsia,137 early-onset preeclampsia, 192 late-onset and 18 eclampsia. Distribution by age in early-onset preeclampsia by age group 20 to 35 years ie 45 women (32.85%), late onset age group >35 years ie 64 women (33.33. Distribution based on parity in early onset preeclampsia in the 1−3 parity group of 102 women (74.5%) and late-onset of 118 women (61.5%). Infant outcome average for gestational age at early-onset of 83.9% and late-onset of 77.6% and APGAR value of 1 min 7−10 in early-onset was 46% and late-onset was 72.4%. The partial HELLP syndrome was the most common complication, ie 64 cases (18.44%), with the occurrence of early-onset preeclampsia 39 cases, in the late-onset 22 cases. Conclusion : No significant difference was found in infant outcome between the two groups . The most common complication is partial HELLP syndrome. Key words : Characteristics, outcomes, early onset preeclampsia, late onset preeclampsia.","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121078181","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}
Romy Ade Putra, Hadi Susiarno, Anita Rachmawati, Windi Nurdiawan
{"title":"Karakteristik Ibu Hamil dengan HIV/AIDS di RSUP Dr. Hasan Sadikin Bandung Periode 2014 ̶ 2016","authors":"Romy Ade Putra, Hadi Susiarno, Anita Rachmawati, Windi Nurdiawan","doi":"10.24198/OBGYNIA.V1N2.17","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V1N2.17","url":null,"abstract":"Abstrak Tujuan : Untuk mengetahui karakter HIV/AIDS selama kehamilan di Rumah Sakit Dr. Hasan Sadikin Bandung sejak Januari 2014 sampai Desember 2016. Metode : Studi retrospektif terhadap HIV/AIDS selama kehamilan di Klinik Rawat Jalan Teratai di Rumah Sakit Dr. Hasan Sadikin Bandung, dengan mengumpulkan data dari rekam medis pasien baru mulai bulan Januari 2014 sampai Desember 2016. Ciri khasnya adalah usia, pekerjaan, tingkat pendidikan, cara transmisi, tempat tinggal, status perkawinan dan sejarah pengobatan anti retroviral. Hasil : Terdapat 102 kasus wanita hamil dengan HIV/AIDS sejak Januari 2014 sampai Desember 2016. Sebagian besar kasus ditemukan pada usia 30-39 tahun, 63 kasus (61,8%). 69 (67,6%) pasien adalah ibu rumah tangga. Sebanyak 55 (53,9%) pasien telah menyelesaikan sekolah menengah atas. Sebagian besar kasus adalah transmisi heteroseksual 95 (93,13%) dan 96 (94,1%) pasien sudah menikah. Kesimpulan : Terdapat perubahan karakteristik wanita hamil dengan infeksi HIV / AIDS di Rumah Sakit Dr.Hasan Sadikin Bandung. The Characteristics of Pregnant Women with HIV/AIDS Infection in Dr. Hasan Sadikin General Hospital Bandung in 2014−2016 Abstract Objective : To find the characterics of HIV/AIDS during pregnancy in Dr. Hasan Sadikin Hospital Bandung since January 2014 to December 2016. Method : Retrospective study of HIV/AIDS during pregnancy in Teratai Outpatient Clinic of Dr.HasanSadikin Hospital Bandung, by collecting data from the medical record of new patients from January 2014 to December 2016. The characteristics are age, occupation, education level, mode of transmission, residence, marital status and history of anti retroviral treatment. Result : there are 102 cases of pregnant women with HIV/AIDS since January 2014 to December 2016. The most cases are found in 30-39 years old, 63 cases (61.8%). 69 (67.6%) patients are housewife. 55 (53.9%) patients had completed senior high school. The most cases are heterosexual transmission 95 (93.13%). 96 (94.1%) patients are married. Conclusion : There are changes in characteristics of pregnant women with HIV infection /AIDS in Dr.Hasan Sadikin Hospital Bandung. Key words : HIV/AIDS, pregnancy","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124810470","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":"Evaluasi Tindakan Operatif pada Kanker Serviks, Endometrium, dan Ovarium di RSUP Dr. Hasan Sadikin Bandung Tahun 2015-2016","authors":"R. Indriani, M. A. Ritonga, Dodi Suardi","doi":"10.24198/OBGYNIA.V1N2.49","DOIUrl":"https://doi.org/10.24198/OBGYNIA.V1N2.49","url":null,"abstract":"Abstrak Tujuan : Mengetahui hasil luaran tindakan operatif pada kanker serviks, endometrium dan ovarium di RSUP Dr. Hasan Sadikin. Metode : Jenis penelitian dengan mengevaluasi data pasien kanker serviks, endometrium dan ovarium dengan tindakan operatif dari Bagian Rekam Medik RSUP Dr. Hasan Sadikin, Bandung dari Januari 2015−Desember 2016. Variabel yang dievaluasi berupa usia, BMI, paritas, asal kanker, jenis dan komplikasi tindakan operasi. Hasil : Terdapat 560 kasus yang sesuai dengan kriteria inklusi dari Januari 2015−Desember 2016. Nilai tengah usia pasien 45 tahun, dengan 222 pasien (39,6%) memiliki BMI normal dan 413 pasien (73,8%) dengan kanker ovarium. Perdarahan >2000 cc terdapat pada 141 kasus (25,2%). Durasi operasi terbanyak 3−4 jam pada 208 kasus (37,1%). Komplikasi saluran gastrointestinal sebanyak 40 kasus (7,1 %) dan saluran genitourinaria sebanyak 28 kasus (5%). Nilai tengah length of stay selama 7 hari, dengan 47 pasien (8,4%) memerlukan ICU dan kematian terjadi pada 20 kasus (3,6%). Kesimpulan : komplikasi tersering adalah perdarahan. Tindakan operatif pada kanker serviks lebih berkaitan dengan cedera saluran genitourinaria, sedangkan tindakan operatif pada kanker ovarium lebih berkaitan dengan cedera saluran gastrointestinal. Kata kunci : Kanker ginekologi, operasi dan komplikasi Abstract Objectives : To evaluate the post-operative outcomes in patients with cervical, endometrial, and ovarian cancers in Dr. Hasan Sadikin General Hospital in 2015−2016. Method : We retrospectively evaluated cross-sectionally the charts of these three cancer patients who underwent operative procedures from January 2015 to December 2016 in Dr. Hasan Sadikin Hospital. The following study variables were noted for evaluation: age, BMI, parity, cancer origin, type of surgery, and operative complications. Results : A total of 560 oncologic surgery from these three cancers was undertaken and met the inclusion criteria from January 2015 to December 2016. Median age was 45 years old, with 222 (39,6%) patients had normal BMI and 413 (73,8%) patients belonged to ovarian cancer. Operative complications such as bleeding >2000cc were reported in 141 (25,2%) cases. The most common length of surgery time was 3−4 hours in 208 (37,1%) patients. A total of 40 (7,1%) gastrointestinal and 28 (5%) genitourinary tract injuries were encountered. Median length of stay was 7 days, post-operative staying at ICU was noted in 47 (8,4%) patients and 20 (3,6%) had intraoperative-related deaths. Conclusion : The most common complication is bleeding.The operative procedure of cervical cancer is more related to injury to the genitourinary tract, while gastrointestinal tract injury mostly occurs in the operative procedure of ovarian cancer Key words : Gynecological oncology, surgery and complication","PeriodicalId":210732,"journal":{"name":"Indonesian Journal of Obstetrics & Gynecology Science","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130219810","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}