Indonesian Journal of Obstetrics & Gynecology Science, 2022
Tujuan: Mengetahui karakteristik pasien infeksi luka operasi (ILO) bidang Obstetri dan mendeskrip... more Tujuan: Mengetahui karakteristik pasien infeksi luka operasi (ILO) bidang Obstetri dan mendeskripsikan gambaran pola kuman serta kepekaan antibiotiknya di Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional yang bersifat retrospektif dari rekam medis pasien obstetri yang terdiagnosis infeksi luka operasi di RSUP Dr. Hasan Sadikin Bandung selama periode Juli 2020 - Juni 2021. Karakteristik subjek meliputi usia, berat badan, tinggi badan, body mass index (BMI), dan paritas. Dalam penelitian ini digunakan tingkat ketelitian (α) 5%, tingkat kepercayaan 95% sehingga diperoleh nilai Z = 1,96. Deskripsi karakteristik dan status pasien ditampilkan dalam bentuk tabel. Data kategorik dideskripsikan dengan jumlah (n) dan persentase (%). Hasil: Hasil penelusuran rekam medis didapatkan sebanyak 20 pasien yang didiagnosis dengan ILO. Seluruh pasien yang mengalami ILO merupakan pasien pasca s...
Tujuan : Tujuan penelitian ini adalah untuk mengetahui validasi ultrasonografi transabdominal dal... more 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 k...
Indonesian Journal of Obstetrics & Gynecology Science, 2021
Abstrak Tujuan untuk mengetahui lebih dalam tentang turun peranakan atau prolaps alat genitalia d... more Abstrak Tujuan untuk mengetahui lebih dalam tentang turun peranakan atau prolaps alat genitalia dapat disamakan dengan suatu hernia, dimana suatu organ genitalia turun ke dalam vagina, bahkan mungkin keluar liang vagina. Hal ini karena kelemahan otot fasia dan ligamen penyokongnya. Kerusakan pada penyangga vagina dapat terjadi dalam satu lokasi saja (misalnya, dinding vagina anterior saja), tetapi lebih sering terjadi kombinasi. Metode merangkum daftar referensi terupdate sebagai bahan artikel yang dapat menjadi pedoman dan tatalaksana prolaps organ panggul. Hasil tidak semua prolaps alat genitalia membutuhkan terapi, karena banyak penderita tidak mempunyai keluhan, terutama stadium I dan kadang-kadang stadium II. Pada mereka yang mempunyai keluhan tentu perlu penanganan dengan tepat agar penderita merasa lebih baik. Prolaps uteri stadium II dan III dipilih vaginal histerektomi dan disertai dengan kolporafi anterior dan kolpoperineorafi, Hal ini terutama bila penderita sudah mengala...
Indonesian Journal of Obstetrics and Gynecology, 2020
Objective: To determine the benefi ts of post-partum vitamin D supplementation on striated muscle... more Objective: To determine the benefi ts of post-partum vitamin D supplementation on striated muscle strength. Methods: This is a pre-post quasi-experimental study on postpartum vitamin D3 supplement provision in primiparous women with vitamin D3 defi ciency. The effect of vitamin D3 supplement was assessed through the measurement of pelvic floor muscle strength before and after 3 months of vitamin D3 supplementation. Thirty-three primiparous postpartum women with spontaneous vaginal delivery who met inclusion criteria participated in this study. Serum vitamin D3 level, basal tone, and maximum levator ani contraction were measured by perimetry prior to and after vitamin D3 supplementation. This study was conducted in the Obstetric Clinic and Clinical Serology Laboratory of Clinical Pathology Department, Dr. Hasan Sadikin General Hospital/ Faculty of Medicine, Universitas Padjadjaran from March 1 to May 31, 2018.Results: Data analysis using the Wilcoxon test showed an increase in serum ...
Indonesian Journal of Obstetrics and Gynecology, 2019
Objective: To compare vitamin D level in non-pregnantreproductive age women and first-trimester p... more Objective: To compare vitamin D level in non-pregnantreproductive age women and first-trimester pregnant women. Methods: This was acomparative cross-sectional study. The vitamin D serum level of two groups, the first one wasnon-pregnantreproductive age women (18-35 years), and the second one was first-trimester pregnant women,was collected. Samples were examined by Electro Chemiluminescence Immunoassay (ECLIA) method. The study was conducted in Dr. Hasan Sadikin Hospital in February-April 2018. Results: The mean of vitamin D level in the non-pregnantreproductive age women group was 18.73 (6.93) ng/mL, while the first-trimester pregnant women group was 13.87 (4.04) ng/mL. The difference in mean of vitamin D level in both groups was significant with p-value<0.001. Conclusion: Vitamin D level in the non-pregnantreproductive age women group is higher than the first-trimester pregnant women group. Keywords: first-trimester pregnant women, non-pregnantreproductive-age women, vitamin D ...
Indonesian Journal of Obstetrics & Gynecology Science, 2021
Tujuan: Terdapat 50-70% kasus sindrom ovarium polikistik yang berkaitan dengan adanya resistensi ... more Tujuan: Terdapat 50-70% kasus sindrom ovarium polikistik yang berkaitan dengan adanya resistensi insulin. Peran agen sensitisasi insulin seperti metformin diharapkan dapat memperbaiki kondisi lemak dan testosteron bebas yang tinggi sehingga memperbaiki gejala klinis pasien dengan sindrom ovarium polikistik. Penelitian ini bertujuan mengetahui perbedaan indeks androgen bebas (sebagai representasi kadar testosteron) dan lemak viseral pasien sindrom ovarium polikistik sebelum dan sesudah diberi pengobatan metformin. Metode: Populasi penelitian didapatkan dari data penelitian DLBS (Dexa Laboratories of Biomolecular Sciences) 3233 yaitu 29 kasus wanita sindrom ovarium polikistik yang datang untuk berobat di Klinik Aster RSUP Dr. Hasan Sadikin Bandung periode Januari 2013 - Desember 2017, dengan menggunakan metode experimental design dengan pendekatan one group pretest-posttest design. Pengambilan sampel penelitian dilakukan secara purposing sampling yang diambil secara retrospektif pada ...
Indonesian Journal of Obstetrics and Gynecology, Dec 17, 2012
Abstract Objective: To determine the effect of epidural analgesia in labor on the grade of perine... more Abstract Objective: To determine the effect of epidural analgesia in labor on the grade of perineal laceration and Apgar scores of the babies. Method: Experiment was done by conducting clinical trials of single blind randomized controlled design (randomized, single-blind clinical trial). Sampling was done by a randomized block permutation. Research conducted on the grouped primigravidae in labor in two groups, namely treatment and without treatment. Treatment group was given epidural analgesia and the group without treatment was not given epidural analgesia. The next step is assessing the grade of perineal laceration and Apgar scores of the babies. Sample size is determined based on the formula test of the hypothesis of two proportions and obtained a total sample of 42 people. Data was processed using the Statistical Package For Social Sciences (SPSS) For Windows Version 17.0 program. Result: There is an influence of epidural analgesia to the grade of perineal laceration in primigravidae in labor with the significant p value = 0.005 (p-value ≤ 0.05), another influence of epidural analgesia was also found on the baby’s Apgar score born one minute in primigravidae parturien with a value of p = 0.047 (p-value ≤ 0.05), but there is no significant effect of epidural analgesia on Apgar scores of babies born to 5 minutes in primigravidae in labor to the value p = 0.105 (p value > 0.05). Conclusion: The primigravidae in labor who received epidural analgesia group showed that there is an effect of decreasing grade of perineal laceration in a spontaneous vaginal delivery compared with the group who did not receive epidural analgesia, and influence of epidural analgesia was found on the 1 minute Apgar scores of the babies, but there is no influence of epidural analgesia on a 5-minute Apgar scores of babies born. [Indones J Obstet Gynecol 2011; 35-4:199-203] Keywords: epidural analgesia, perineal laceration, Apgar
Indonesian Journal of Obstetrics & Gynecology Science, 2022
Tujuan: Mengetahui karakteristik pasien infeksi luka operasi (ILO) bidang Obstetri dan mendeskrip... more Tujuan: Mengetahui karakteristik pasien infeksi luka operasi (ILO) bidang Obstetri dan mendeskripsikan gambaran pola kuman serta kepekaan antibiotiknya di Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional yang bersifat retrospektif dari rekam medis pasien obstetri yang terdiagnosis infeksi luka operasi di RSUP Dr. Hasan Sadikin Bandung selama periode Juli 2020 - Juni 2021. Karakteristik subjek meliputi usia, berat badan, tinggi badan, body mass index (BMI), dan paritas. Dalam penelitian ini digunakan tingkat ketelitian (α) 5%, tingkat kepercayaan 95% sehingga diperoleh nilai Z = 1,96. Deskripsi karakteristik dan status pasien ditampilkan dalam bentuk tabel. Data kategorik dideskripsikan dengan jumlah (n) dan persentase (%). Hasil: Hasil penelusuran rekam medis didapatkan sebanyak 20 pasien yang didiagnosis dengan ILO. Seluruh pasien yang mengalami ILO merupakan pasien pasca s...
Tujuan : Tujuan penelitian ini adalah untuk mengetahui validasi ultrasonografi transabdominal dal... more 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 k...
Indonesian Journal of Obstetrics & Gynecology Science, 2021
Abstrak Tujuan untuk mengetahui lebih dalam tentang turun peranakan atau prolaps alat genitalia d... more Abstrak Tujuan untuk mengetahui lebih dalam tentang turun peranakan atau prolaps alat genitalia dapat disamakan dengan suatu hernia, dimana suatu organ genitalia turun ke dalam vagina, bahkan mungkin keluar liang vagina. Hal ini karena kelemahan otot fasia dan ligamen penyokongnya. Kerusakan pada penyangga vagina dapat terjadi dalam satu lokasi saja (misalnya, dinding vagina anterior saja), tetapi lebih sering terjadi kombinasi. Metode merangkum daftar referensi terupdate sebagai bahan artikel yang dapat menjadi pedoman dan tatalaksana prolaps organ panggul. Hasil tidak semua prolaps alat genitalia membutuhkan terapi, karena banyak penderita tidak mempunyai keluhan, terutama stadium I dan kadang-kadang stadium II. Pada mereka yang mempunyai keluhan tentu perlu penanganan dengan tepat agar penderita merasa lebih baik. Prolaps uteri stadium II dan III dipilih vaginal histerektomi dan disertai dengan kolporafi anterior dan kolpoperineorafi, Hal ini terutama bila penderita sudah mengala...
Indonesian Journal of Obstetrics and Gynecology, 2020
Objective: To determine the benefi ts of post-partum vitamin D supplementation on striated muscle... more Objective: To determine the benefi ts of post-partum vitamin D supplementation on striated muscle strength. Methods: This is a pre-post quasi-experimental study on postpartum vitamin D3 supplement provision in primiparous women with vitamin D3 defi ciency. The effect of vitamin D3 supplement was assessed through the measurement of pelvic floor muscle strength before and after 3 months of vitamin D3 supplementation. Thirty-three primiparous postpartum women with spontaneous vaginal delivery who met inclusion criteria participated in this study. Serum vitamin D3 level, basal tone, and maximum levator ani contraction were measured by perimetry prior to and after vitamin D3 supplementation. This study was conducted in the Obstetric Clinic and Clinical Serology Laboratory of Clinical Pathology Department, Dr. Hasan Sadikin General Hospital/ Faculty of Medicine, Universitas Padjadjaran from March 1 to May 31, 2018.Results: Data analysis using the Wilcoxon test showed an increase in serum ...
Indonesian Journal of Obstetrics and Gynecology, 2019
Objective: To compare vitamin D level in non-pregnantreproductive age women and first-trimester p... more Objective: To compare vitamin D level in non-pregnantreproductive age women and first-trimester pregnant women. Methods: This was acomparative cross-sectional study. The vitamin D serum level of two groups, the first one wasnon-pregnantreproductive age women (18-35 years), and the second one was first-trimester pregnant women,was collected. Samples were examined by Electro Chemiluminescence Immunoassay (ECLIA) method. The study was conducted in Dr. Hasan Sadikin Hospital in February-April 2018. Results: The mean of vitamin D level in the non-pregnantreproductive age women group was 18.73 (6.93) ng/mL, while the first-trimester pregnant women group was 13.87 (4.04) ng/mL. The difference in mean of vitamin D level in both groups was significant with p-value<0.001. Conclusion: Vitamin D level in the non-pregnantreproductive age women group is higher than the first-trimester pregnant women group. Keywords: first-trimester pregnant women, non-pregnantreproductive-age women, vitamin D ...
Indonesian Journal of Obstetrics & Gynecology Science, 2021
Tujuan: Terdapat 50-70% kasus sindrom ovarium polikistik yang berkaitan dengan adanya resistensi ... more Tujuan: Terdapat 50-70% kasus sindrom ovarium polikistik yang berkaitan dengan adanya resistensi insulin. Peran agen sensitisasi insulin seperti metformin diharapkan dapat memperbaiki kondisi lemak dan testosteron bebas yang tinggi sehingga memperbaiki gejala klinis pasien dengan sindrom ovarium polikistik. Penelitian ini bertujuan mengetahui perbedaan indeks androgen bebas (sebagai representasi kadar testosteron) dan lemak viseral pasien sindrom ovarium polikistik sebelum dan sesudah diberi pengobatan metformin. Metode: Populasi penelitian didapatkan dari data penelitian DLBS (Dexa Laboratories of Biomolecular Sciences) 3233 yaitu 29 kasus wanita sindrom ovarium polikistik yang datang untuk berobat di Klinik Aster RSUP Dr. Hasan Sadikin Bandung periode Januari 2013 - Desember 2017, dengan menggunakan metode experimental design dengan pendekatan one group pretest-posttest design. Pengambilan sampel penelitian dilakukan secara purposing sampling yang diambil secara retrospektif pada ...
Indonesian Journal of Obstetrics and Gynecology, Dec 17, 2012
Abstract Objective: To determine the effect of epidural analgesia in labor on the grade of perine... more Abstract Objective: To determine the effect of epidural analgesia in labor on the grade of perineal laceration and Apgar scores of the babies. Method: Experiment was done by conducting clinical trials of single blind randomized controlled design (randomized, single-blind clinical trial). Sampling was done by a randomized block permutation. Research conducted on the grouped primigravidae in labor in two groups, namely treatment and without treatment. Treatment group was given epidural analgesia and the group without treatment was not given epidural analgesia. The next step is assessing the grade of perineal laceration and Apgar scores of the babies. Sample size is determined based on the formula test of the hypothesis of two proportions and obtained a total sample of 42 people. Data was processed using the Statistical Package For Social Sciences (SPSS) For Windows Version 17.0 program. Result: There is an influence of epidural analgesia to the grade of perineal laceration in primigravidae in labor with the significant p value = 0.005 (p-value ≤ 0.05), another influence of epidural analgesia was also found on the baby’s Apgar score born one minute in primigravidae parturien with a value of p = 0.047 (p-value ≤ 0.05), but there is no significant effect of epidural analgesia on Apgar scores of babies born to 5 minutes in primigravidae in labor to the value p = 0.105 (p value > 0.05). Conclusion: The primigravidae in labor who received epidural analgesia group showed that there is an effect of decreasing grade of perineal laceration in a spontaneous vaginal delivery compared with the group who did not receive epidural analgesia, and influence of epidural analgesia was found on the 1 minute Apgar scores of the babies, but there is no influence of epidural analgesia on a 5-minute Apgar scores of babies born. [Indones J Obstet Gynecol 2011; 35-4:199-203] Keywords: epidural analgesia, perineal laceration, Apgar
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