Claim Missing Document
Check
Articles

Found 21 Documents
Search

Severe preeclampsia-eclampsia and their associated factors Bahri, syamsul; Suheimi, Donel
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.311 KB) | DOI: 10.32771/inajog.v7i2.897

Abstract

Abstract Objective: To analyze factors associated with severe preeclampsia and preeclampsia at Arifin Achmad General Hospital, Pekanbaru. Methods: This was a cross-sectional study.  Data on women who were diagnosed with severe preeclampsia or eclampsia and delivered between January 2014 and December 2015 were collected. These included maternal age, educational level, gestational age, delivery method, parity and ANC provider. Data were then analyzed using chi-square test with multivariate logistic regression analysis. Results: There were 3294 deliveries happened between January and December 2015. Prevalence of severe preeclampsia during the study period was 14.54% and that of eclampsia was 3.28%.  Mothers aged >35 have more than twice the risk of developing severe preeclampsia and eclampsia (95% CI 1.1- 4.6, p = 0.0001). Gestational age has the strongest association with eclampsia (Adjusted OR 2.4, p = 0.002, 95% CI 1.3-4.2). Severe preeclamptic-eclamptic mothers were at least five times as likely as the non-preeclamptic/eclamptic to have Cesarean Section or operative vaginal delivery (p = 0.0001). Conclusions: Prevalence of severe preeclampsia was 14.54% and that of eclampsia was 3.28% in the period between January 2014 and December 2015. Mothers aged >35 were three times as likely as those age ≤35 to develop severe preeclampsia – eclampsia, Term pregnancy had higher risk of severe preeclampsia – eclampsia compared with preterm pregnancy; however, preterm pregnancy has 2.4 times as likely as term pregnancy to develop a worsening severe preeclampsia/eclampsia. Finally, mothers with severe preeclampsia or eclampsia have a five times greater risk of having delivered via Cesarean Section or operative vaginal delivery compared to the non-preeclamptic – non-eclamptic ones. Keywords: eclampsia ,educational level, gestational age, parity, severe preeclampsia.   Abstrak Tujuan: Untuk menganalisa faktor-faktor yang berhubungan dengan preeklamsia berat dan eklampsia di RSUD Arifin Achmad Pekanbaru. Metode: Penelitian ini merupakan penelitian potong lintang. Data yang diambil yaitu perempuan yang didiagnosis dengan preeklamsia atau eklampsia dan melahirkan pada Januari 2014hingga Desember 2015. Usia ibu, tingkat pendidikan, usia kehamilan, metode persalinan, paritas dan pemberi layanan ANC juga disertakan. Data kemudian dianalisis menggunakan uji chi-squaredengan analisis regresi logistik multivariate. Hasil: Terdapat 3.294 kelahiran padaJanuari 2014 hingga Desember 2015. Prevalensi preeklamsia berat selama penelitian ini yaitu 14.54% dan eklampsia sebesar 3.28%. Usia ibu>35tahun memiliki risiko dua kali lebih besar untuk terjadinya preeklamsia berat dan eklampsia (95% CI 1.1- 4.6, p = 0.0001). Usia kehamilan memiliki hubungan yang paling kuat dengan eklampsia (Adjusted OR 2.4, p = 0.002, 95% CI 1.3-4.2). Ibu dengan preeklamsia-eklampsia lima kali lebih besar untuk dilakukan seksio Cesarean ataupersalinan pervaginam dengan bantuan alat dibandingkan dengan pasien tanpa preeklamsia/eklampsia. (p = 0.0001). Kesimpulan: Prevalensi preeklamsia berat adalah 14.54% dan eklampsia 3.28% pada periode Januari 2014 sampai Desember 2015. Usia ibu >35 tahun memiliki tiga kali lebih besar risiko untuk terjadinya preeklampsoa-eklampsia. Kehamilan cukup bulan memiliki risiko lebih tinggi untuk terjadinya preeklamsia-eklampsia dibandingkan dengan kehamilan preterm; namun, kehamilan preterm memiliki risiko 2.4 kali lebih besar untuk mengalami perburukan preeklamsia/eklampsia dibandingkan pada kehamilan cukup bulan. Ibu dengan preeklamsia atau eklampsia memiliki risiko lima kali lebih besar untuk melahirkan dengan seksio Cesarean atau pervaginam dengan bantuan alat dibandingkan dengan pasien tanpa preeklamsia atau eklampsia. Kata kunci : eklamsia, paritas, preeklamsia berat, tingkat pendidikan, usia kehamilan    
PENCEGAHAN DAN PENATALAKSANAAN INFEKSI HIV/AIDS PADA KEHAMILAN Suhaimi, Donel; Savira, Maya; Krisnadi, Sofie R.
Majalah Kedokteran Bandung Vol 41, No 2
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Acquired immunodeficiency syndrome (AIDS) adalah penyakit yang disebabkan oleh infeksi virus human immunodeficiency virus (HIV). AIDS dikarakteristikkan sebagai penyakit imunosupresif berat yang sering dikaitkan dengan infeksi oportunistik dan tumor ganas serta degenerasi susunan saraf pusat. Penyebaran HIV ini berkembang dengan cepat dan mengenai wanita dan anak-anak. AIDS menyebabkan kematian lebih dari 20 juta orang setahun. Tahun 2003 diperkirakan 700.000 bayi baru lahir terinfeksi HIV di seluruh dunia. Angka morbiditas dan mortalitas yang disebabkan oleh HIV semakin meningkat dan merupakan masalah kesehatan masyarakat yang paling penting di semua negara. Penggunaan obat antivirus seperti highly active antiretroviral therapy (HAART) dan persalinan berencana dengan seksio sesaria telah menurunkan angka transmisi perinatal mother to child trasmission (MTCT) penyakit ini dari 30% menjadi 20%. Manejemen antenatal, persalinan, dan perawatan pascasalin yang terkontrol dengan baik pada ibu hamil dengan HIV dapat mencegah transmisi perinatal.Kata kunci : AIDS, HAART, MTCTPREVENTION AND MANAGEMENT OF HIV INFECTION (AIDS) IN PREGNANCYAcquired immunodeficiency syndrome (AIDS) is a disease which caused by human immunodeficiency virus (HIV). Characteristic of AIDS is due to severe immunosupresive disease which related to opportunistic infection, malignant tumour and central nervous system degeneration. HIV spread widely and mostly infect women and children. Mortality rate of AIDS are more than 20 million people per year. In 2003, 700,000 newborn were infected by HIV in the world. Morbidity and mortality rate of HIV are highly increase dan become an important public health problem in all around the world. Using of antiviral drugs like highly active antiretroviral therapy (HAART) and ceasarean labor has decreased the perinatal transmission (mother-to-child trasmission=MTCT) rate of this disease from 30% to 20%. The intensive control in management of antenatal care, labor and delivery for the pregnant women with HIV can prevent the perinatal transmission.Key words: AIDS, HAART, MTCT DOI: http://dx.doi.org/10.15395/mkb.v41n2.184
Amniotic Band Syndromewith Unique Clinical Presentations: A Case Report Donel Suhaimi; Maya Savira; ShintaPuja Tilusari
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16839

Abstract

Amniotic band syndromeis a rare congenital disorder which associated with physical abnormalities suchas disruption, deformation, and malformations of organs. The most common abnormalities usually involvethe limbs that could range from simple constriction rings to complete amputation.In this case report, wereport anamniotic band syndrome with unique clinical presentations. The case was a new born male babywho was normally delivered and presented with a ring-like constriction at over middle right lower limband fusion (syndactyly) of left lower limb and right arm. In this report we also discuss different diagnosticmodalities which could be used in diagnosingamniotic band syndrome, the risk factors, type of amnioticband syndrome, post-natal diagnose, as well as the therapy.
PROTEIN P53 SEBAGAI FAKTOR RISIKO TERJADINYA KETUBAN PECAH DINI Donel Suhaimi
Indonesian Journal of Applied Sciences Vol 2, No 2 (2012)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (76.695 KB) | DOI: 10.24198/ijas.v2i2.2738

Abstract

Premature rupture of fetal membrane (PROM) is a complication in pregnancy that is an important problem in obstetrics. Manyteory have been explaining that cause of PROM, but the etiology is still unknown. Premature rupture of fetal membrane might be caused by apoptosis. The mechanism of PROM due to the apoptosis might cause the extracellular matrix degradation. The apoptosis is influenced by the signal from extracellular and intracellular protein. The intracellular factor is p53. This factors will cause a fetal membrane damage which induce increasing of caspase-3, so that the increasing of apoptosis in fetal membrane will cause the PROM. The present study is an observational analysis designed as a case-control study. The study was carried out in Dr. Hasan Sadikin Hospital and Central Laboratorium of Medical School of Padjadjaran University. The case group consist of 81 patients of PROM selected based on appropriate acceptance and rejection criteria taken by consecutive sampling. The control group consist of 81 patients with normal pregnancies at the age of ?37-<42 weeks gestation are taken by matching technique. Basic data included protein level of p53 by ELISA. Analysis of test results was conducted using bivariable analysis (Shapiro Wilk test, independent t test, Chi-square test, ANOVA test, Pearson analysis correlation and regression test) and multivariable (multiple logistic regression test). It was found that protein level of p53 was higher (>9,734 U/ml) than the normal pregnancy with p<0,0. The conclusion, there is a relationship protein level of p53 in the incidence of PROM. Protein levels of p53 was > 0,97 U/ml would increased in the incidence of PROM more than thirty times
Gambaran Komplikasi Kehamilan dengan Penyakit Jantung di RSUD Arifin Achmad Provinsi Riau Periode 2013-2017 Muhammad Arif Syafei; Donel Suhaimi; Irwan Irwan
Jurnal Ilmu Kedokteran Vol 13, No 2 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v13i2.2019.27-35

Abstract

Heart disease is the major non-obstetric cause of morbidity and mortality in pregnancy. Several studies showed that pregnancy with heart diseases are related to maternal and perinatal complications such as mortality, heart failure, arrhytmias, pulmonary oedema, low birth weight, and prematurity. The aim of this study is to know the incidence, characteristic, and complications of pregnancy with heart disease. This study was using descriptive retrospective design with total sampling technique. The sources of data were medical records of patients in January 2013 – December 2017 with number of sample is 37 patients. Cardiac complications was found in 19 (57,6%) cases that was composed of arrhytmias (24,2%), prematurity (21,2%), pulmonary oedema and low birth weight both 15,2%, and heart failure (9,1%).
Studi Awal Analisis Molekuler Human Papillomavirus dari Apusan Glans dan Batang Penis Maya Savira; Resty Yuwandari; Yossi Maryanti; Rahmat Azhari Kemal; Donel S
Jurnal Kesehatan Andalas Vol 9, No 4 (2020): Online December 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i4.1493

Abstract

Pria juga dapat mengalami keganasan akibat infeksi Human Papillomavirus (HPV) serta bertindak sebagai reservoir virus. Metode skrining HPV pada wanita telah terstandardisasi, namun belum ada standar metode skrining pada pria di Indonesia. Beberapa studi pada populasi pria di luar negeri menunjukkan potensi sampling pada daerah genitalia eksterna untuk skrining HPV. Tujuan: mengoptimasi metode skrining HPV secara molekuler pada pria. Metode: Responden adalah partner seksual wanita pansien kanker serviks di RSUD Arifin Achmad Provinsi Riau. Apusan dari glans dan batang penis diambil menggunakan nylon-flocked swab yang kemudian dimasukkan ke dalam 350µl viral transport medium terpisah. DNA diisolasi dari sampel yang kemudian dianalisis untuk mendeteksi gen human β-globin dan HPV. Hasil: Optimasi awal menunjukkan gen β-globin dapat terdeteksi dari hasil ekstraksi dengan kit Zeesan Viral RNA Extraction. Pita HPV hasil PCR dengan primer MY09 dan MY11 dapat muncul namun masih tipis. Simpulan: Studi awal ini menunjukkan bahwa apusan glans dan batang penis dapat digunakan untuk deteksi HPV secara molekuler pada pria, namun proses pengambilan sampel, ekstraksi DNA, dan PCR masih perlu dioptimasi.Kata kunci: apusan, glans, HPV, penis
Severe preeclampsia-eclampsia and their associated factors: Preeklamsia Berat-Eklamsia dan Faktor-Faktor Terkait Syamsul Bahri; Donel Suheimi
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.311 KB) | DOI: 10.32771/inajog.v7i2.897

Abstract

Abstract Objective: To analyze factors associated with severe preeclampsia and preeclampsia at Arifin Achmad General Hospital, Pekanbaru. Methods: This was a cross-sectional study. Data on women who were diagnosed with severe preeclampsia or eclampsia and delivered between January 2014 and December 2015 were collected. These included maternal age, educational level, gestational age, delivery method, parity and ANC provider. Data were then analyzed using chi-square test with multivariate logistic regression analysis. Results: There were 3294 deliveries happened between January and December 2015. Prevalence of severe preeclampsia during the study period was 14.54% and that of eclampsia was 3.28%. Mothers aged >35 have more than twice the risk of developing severe preeclampsia and eclampsia (95% CI 1.1- 4.6, p = 0.0001). Gestational age has the strongest association with eclampsia (Adjusted OR 2.4, p = 0.002, 95% CI 1.3-4.2). Severe preeclamptic-eclamptic mothers were at least five times as likely as the non-preeclamptic/eclamptic to have Cesarean Section or operative vaginal delivery (p = 0.0001). Conclusions: Prevalence of severe preeclampsia was 14.54% and that of eclampsia was 3.28% in the period between January 2014 and December 2015. Mothers aged >35 were three times as likely as those age ≤35 to develop severe preeclampsia – eclampsia, Term pregnancy had higher risk of severe preeclampsia – eclampsia compared with preterm pregnancy; however, preterm pregnancy has 2.4 times as likely as term pregnancy to develop a worsening severe preeclampsia/eclampsia. Finally, mothers with severe preeclampsia or eclampsia have a five times greater risk of having delivered via Cesarean Section or operative vaginal delivery compared to the non-preeclamptic – non-eclamptic ones. Keywords: eclampsia ,educational level, gestational age, parity, severe preeclampsia. Abstrak Tujuan: Untuk menganalisa faktor-faktor yang berhubungan dengan preeklamsia berat dan eklampsia di RSUD Arifin Achmad Pekanbaru. Metode: Penelitian ini merupakan penelitian potong lintang. Data yang diambil yaitu perempuan yang didiagnosis dengan preeklamsia atau eklampsia dan melahirkan pada Januari 2014hingga Desember 2015. Usia ibu, tingkat pendidikan, usia kehamilan, metode persalinan, paritas dan pemberi layanan ANC juga disertakan. Data kemudian dianalisis menggunakan uji chi-squaredengan analisis regresi logistik multivariate. Hasil: Terdapat 3.294 kelahiran padaJanuari 2014 hingga Desember 2015. Prevalensi preeklamsia berat selama penelitian ini yaitu 14.54% dan eklampsia sebesar 3.28%. Usia ibu>35tahun memiliki risiko dua kali lebih besar untuk terjadinya preeklamsia berat dan eklampsia (95% CI 1.1- 4.6, p = 0.0001). Usia kehamilan memiliki hubungan yang paling kuat dengan eklampsia (Adjusted OR 2.4, p = 0.002, 95% CI 1.3-4.2). Ibu dengan preeklamsia-eklampsia lima kali lebih besar untuk dilakukan seksio Cesarean ataupersalinan pervaginam dengan bantuan alat dibandingkan dengan pasien tanpa preeklamsia/eklampsia. (p = 0.0001). Kesimpulan: Prevalensi preeklamsia berat adalah 14.54% dan eklampsia 3.28% pada periode Januari 2014 sampai Desember 2015. Usia ibu >35 tahun memiliki tiga kali lebih besar risiko untuk terjadinya preeklampsoa-eklampsia. Kehamilan cukup bulan memiliki risiko lebih tinggi untuk terjadinya preeklamsia-eklampsia dibandingkan dengan kehamilan preterm; namun, kehamilan preterm memiliki risiko 2.4 kali lebih besar untuk mengalami perburukan preeklamsia/eklampsia dibandingkan pada kehamilan cukup bulan. Ibu dengan preeklamsia atau eklampsia memiliki risiko lima kali lebih besar untuk melahirkan dengan seksio Cesarean atau pervaginam dengan bantuan alat dibandingkan dengan pasien tanpa preeklamsia atau eklampsia. Kata kunci : eklamsia, paritas, preeklamsia berat, tingkat pendidikan, usia kehamilan
Pelaksanaan Program Deteksi Dini Kanker Cerviks (Ca Cervix) dengan Metode Inspeksi Visual Asam Asetat (IVA) di Kabupaten Kampar satiti rahayu; Donel Suhaimi; Jasrida Yunita; Zainal Abidin; Syamsul Bahri Riva'i
Jurnal Kesehatan Komunitas Vol 4 No 2 (2018): Journal of Community Health
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (771.223 KB) | DOI: 10.25311/keskom.Vol4.Iss2.184

Abstract

ABSTRACT Implementation of early detection of cervical cancer with IVA method is a policy of the Government of the Republic of Indonesia in an effort to anticipate and reduce the incidence of cervical cancer. The low coverage of early detection of cervical cancer in 2016 in Kampar district is only 1,165 women of childbearing age (wus) from the target number of 110,236 people or only 6% of the target 100%. The purpose of this research is to know how the implementation of early detection program of cervical cancer with IVA method. The research method used is qualitative method with narrative research. Data analysis is done is content analysis with Triangulation. Informants in this study amounted to 12 people. The results showed that the implementation of early detection program of cervical cancer with IVA method has been implemented but not yet maximal. Implementation of the program is carried out by Puskesmas and posyandu and midwife as executive staff only 31 people who have been trained. Financing for early detection of cervical cancer is in the burden on the Fund Operasinal Health Assistance Puskesmas and National Health Insurance fund. Midwives as executors have worked according to the SOP that is set although still not maximal due to the limited facilities available. The role of linear sector well vertical and horizontal is good enough. Level of knowledge about cervical cancer is low, shame, fear and worry of WUS as the target IVA is a constraint that is still in encounter and must be in tackling.
DETERMINAN PARTISIPASI PRIA DALAM KELUARGA BERENCANA DI WILAYAH KERJA PUSKESMAS TENAYAN RAYA PEKANBARU TAHUN 2018: Determinan Partisipasi Pria Dalam Keluarga Berencana Di Wilayah Kerja Puskesmas Tenayan Raya Pekanbaru Tahun 2018 sidri rizqi yuniati; Donel Suheimi; Nurhapipa Nurhapipa; Oktavia Dewi; Nurlisis Nurlisis
Jurnal Kesehatan Komunitas Vol 5 No 1 (2019): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (639.669 KB) | DOI: 10.25311/keskom.Vol5.Iss1.279

Abstract

A family planning program is a program to help couples or someone to prevent unwanted pregnancies and reduce the incidence of high-risk pregnancies, morbidity, and mortality, create quality and affordable services, increase male participation and responsibility in family planning practices. The purpose of this study was to determine the determinants of male participation in family planning. Methods: This research is quantitative analytic using an observational method with a type of case-control design. This study was conducted in August-September 2018 in the working area of the inpatient health care center. The population of all men of childbearing age who are in the working area of the puskesmas is the large population of the case population of 712 people and the control population of 21,480 people.Research sample of 360 men couples of reproductive age divided into 2 groups, namely the case 180 group and the control group 180. purposive sampling sampling technique Data analysis was carried out in univariate, bivariate and multivariate. Results: This research is quantitative analytic using an observational method with a type of case-control design. This study was conducted in August-September 2018 in the working area of the inpatient health care center. The population of all men of childbearing age who are in the working area of the puskesmas is the large population of the case population of 712 people and the control population of 21,480 people.Research sample of 360 men couples of reproductive age divided into 2 groups, namely the case 180 group and the control group 180. purposive sampling technique Data analysis was carried out in univariate, bivariate and multivariate. Conclusion: Conclusion The dominant variable with male participation in family planning is the attitude variable. Suggestions Health workers are expected to do more counseling about male family planning, putting up posters, and leaflets about male family planning.
Three-Month Iron Supplementation as Treatment for Microcytic Hypochromic Anemia in Pregnancy Donel Donel; Dhini Aiyulie Novri; Ruza Prima Rustam; Maya Savira
Majalah Kedokteran Bandung Vol 53, No 2 (2021)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v53n2.2245

Abstract

In pregnant women there is a twofold increase in iron requirements due to increased blood volume without the expansion of plasma volume. Pregnant women are very prone to suffering from iron deficiency anemia. Iron deficiency anemia generally has an erythrocyte index which represents  hypochromic microcytic. This study aimed to determine the effect of three-month iron tablet supplementation as a therapy against microcytic hypochromic anemia in pregnancy. This was a quantitative quasi-experimental study using pre-test and post-test design. The study was conducted in May-September 2020 at the Arifin Achmad Regional General Hospital, Riau Province, Indonesia. Subjects were 30 pregnant women with microcytic hypochromic anemia. Primary data were analyzed using statistical paired sample t-tests. Results showed that there was an increase in hemoglobin levels after the supplementation of iron tablet from an average of 9.1 ± 1.2 gr/dl to 11.8 ± 1.0 g/dl. This change was significant based on the results of the T-test (p-0.003) Thus, iron supplementation for three month significantly increases hemoglobin levels in pregnant women.