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All Journal Majalah Obstetri dan Ginekologi Majalah Kedokteran Sriwijaya Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) SRIWIJAYA JOURNAL OF MEDICINE Jurnal Pengabdian Masyarakat: Humanity and Medicine Bioscientia Medicina : Journal of Biomedicine and Translational Research Indonesian Journal of Perinatology
Martadiansyah, Abarham
Division Of Maternal Fetal Medicine, Department Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Sriwijaya / Mohammad Hoesin General Hospital, Palembang, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Prevalensi dan Faktor Risiko Persalinan Preterm di RSUP Dr. Mohammad Hoesin Palembang Periode 1 Januari 2015 - 31 Desember 2017 Yusdela Trisa; Abarham Martadiansyah; Riana Sari Puspita Rasyid
Sriwijaya Journal of Medicine Vol. 2 No. 2 (2019): Vol 2, No 2, 2019
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v2i2.40

Abstract

Persalinan preterm adalah persalinan kurang dari 37 minggu usia kehamilan. Preterm menyumbang sekitar 50% dari semua kematian neonatal. Indonesia merupakan salah satu negara penyumbang persalinan preterm terbanyak pada tahun 2010. Penyebab persalinan preterm adalah kombinasi dari berbagai macam keadaan, seperti obstetrik, sosiodemografi, dan faktor medik. Penelitian ini bertujuan untuk mengetahui prevalensi dan hubungan faktor risiko dengan persalinan preterm di RSUP Dr. Mohammad Hoesin Palembang. Penelitian ini adalah penelitian analitik observasional. Sebanyak 505 sampel ibu bersalin diambil dengan teknik simple random sampling. Data dicatat dan diobservasi dari rekam medik berupa usia, jarak kehamilan, riwayat persalinan preterm, tingkat pendidikan, kehamilan multipel, ketuban pecah dini, dan riwayat perdarahan antepartum. Lalu data dianalisis dengan uji chi square. Pada penelitian ini dijumpai angka kejadian persalinan preterm sebanyak 497 (20,7%) ditahun 2015, 687 (29,4%) ditahun 2016, dan 578 (26,9%) ditahun 2017. Secara statistik terdapat hubungan yang signifikan antara riwayat persalinan preterm, kehamilan multipel, ketuban pecah dini, dan perdarahan antepartum (p <0,05). Sedangkan variabel usia, jarak kehamilan, dan tingkat pendidikan tidak terdapat hubungan yang signifikan dengan kejadian persalinan preterm. Dari analisis mutivariat didapatkan variabel yang paling berpengaruh adalah kehamilan multipel. Terdapat hubungan yang signifikan antara variabel riwayat persalinan preterm sebelumnya, kehamilan multipel, ketuban pecah dini, dan perdarahan antepartum dengan kejadian persalinan preterm.
Level of maternal zinc serum as risk factor of preeclampsia Tian Kaprianti; Putri Mirani; Abarham Martadiansyah; Peby M. Lestari; Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1616

Abstract

Objective : To know the relationship of serum zinc levels with preeclampsia (PE) Method: This observational research uses a type of case control research. The population of this study is all pregnant women with a single pregnancy, gestational age of 28-42 weeks who were treated at the Department of Obstetrics and Gynecology of RSUP Dr. Mohammad Hoesin Palembang from August 2020 to November 2020. The study divided into 2 group, a case group of 30 pregnant women with PE and a control group of 60 pregnant women non PE. Serum zinc level examination is performed on all samples that match the research criteria. The data is processed by using SPSS software program version 20.0 Windows. Result: Both case and control groups had no meaningful differences to the general characteristics of the patient. There were significant differences in average zinc levels of maternal serum in both research groups (p=0.013; 43.90 plus-minus 15.79 pg/dL). The value of serum zinc levels that have the best sensitivity and specificity is at 45.5 pg/dL. Conclusion: There is a meaningful relationship between serum zinc levels and PE events. Pregnant women with serum zinc levels greater than or equal to 45.5 pg /dL were significantly at 3.2 times more risk of PE than pregnant women with serum zinc levels less than or equal to 45.5 pg/dL. In this case it is necessary to supplement zinc earlier in pregnancy to reduce the risk of preeclampsia. Keywords: preeclampsia, zinc, case-control studies
THE DIAGNOSTIC METHODS OF PLACENTA ACCRETA SPECTRUM DISORDERS Alia Desmalia; Nuswil Bernolian; Abarham Martadiansyah; Theodorus Theodorus; Citra Dewi; Putri Mirani; Peby Maulina Lestari; Cindy Kesty
Majalah Kedokteran Sriwijaya Vol 54, No 3 (2022): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/mks.v54i3.19655

Abstract

Placenta Accreta Spectrum Disorder (PASD) is abnormal trophoblast invasion of part or all of the placenta into the myometrium of the uterine wall. Magnetic resonance imaging (MRI) examination is one of the tools that can help diagnosing PASD earlier, so that maternal morbidity and mortality can be reduced. This study aims to determine the prevalence, risk factors of PASD and the accuracy of Placenta Accreta Index Score (PAIS) and MRI, with histopathological examination in diagnosing PASD at dr. Mohammad Hoesin General Hospital (RSMH) Palembang during the 2018–2021. A descriptive study with a survey design on pregnant and intrapartum women with suspected PASD was performed at Department of Obstetrics and Gynecology at RSMH Palembang from 2018 until 2021. There were 72 study subjects who met the inclusion criteria. The relationship between the independent and dependent variables was analyzed using Chi Square and Fisher Exact. The cut-off point of the PAIS scores was analyzed using the Receiver Operating Curve (ROC). The comparison of the diagnostic value of PAIS and MRI scores used the Youden Index. Data was analyzed with SPPS version 22.0 From 72 subjects, 60 subjects (83.3%) were PASD and 12 subjects (16.7%) were not PASD. The risk factors of PASD in this study was surgical history more than once (PR = 4.600 (95% CI 1.261–16.781); p = 0.037). Youden Index values and PAIS accuracy were 0.782 and 0.953 while Youden Index values and MRI accuracy were 0.333 and 0.886. PAIS and MRI could be considered as diagnostic tools for PASD. However, overall, PAIS had a better diagnostic value than MRI.
Upaya menjaga kesehatan ibu hamil di masa pandemi COVID-19 Syifa, Syifa; Martadiansyah, Abarham; Kusuma, Hadrians; Kurniati, Ardesy Melizah; Fatimah , Nyimas
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 2 No 3 (2021): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V2I3.65

Abstract

The early 2021 rise in COVID-19 cases, as well as the advent of novel types due to mutations, tightened social activities. To avoid transmission of the virus between pregnant women, health workers, and other visitors, service adjustments are required to assist pregnant women in doing prenatal checkups. Every day at home, efforts to maintain the maternal can be made, including normal physical activity and managing dietary intake. To boost pregnant women's understanding, community service activities such as counseling on antenatal care, physical exercise, and particular dietary intake are carried out. In total, 92 expectant mothers took part in webinars. Prior to the webinar, a pretest was used to measure initial knowledge; the average result was in the "Good" category. The activity went off without a hitch, and the attendees were eager to ask questions. The post-test score increased to the "Very Good" level, according to the evaluation data. This webinar activity will help pregnant women gain a better understanding of how to stay healthy during the COVID-19 pandemic.
Pendampingan santri Pondok Pesantren Nurul Qomar dalam pencegahan dan penatalaksanaan penyakit akibat parasit Azhari, Dalilah; Anwar, Chairil; Prasasty, Gita Dwi; Handayani, Dwi; Santoso, Budi; Purnomo, Abdul Harits; Shiddiq, Abdul Halim; Nahrani, Ulya; Izzulhaq, Muhammad Agung; Martadiansyah, Abarham
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 4 No 1 (2023): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V4I1.107

Abstract

Assistance for Nurul Qomar Islamic Boarding School Student in Prevention and Management of Diseases Due to Parasites. Indonesia, which has a tropical climate, causes problems in terms of health, namely the existence of tropical infectious parasitic diseases such as pediculosis capitis and scabies. Pediculosis capitis and scabiasis often occur in high residential densities, including Islamic boarding schools. Community service activities are carried out by diagnosing, treating and educating pediculosis capitis and scabies regarding disease definitions, disease symptoms, transmission, and disease prevention. Disease education and outreach events were held in the hall of the Nurul Qomar Islamic Boarding School using LCD projectors and posters as media. A total of 161 people who were present during the education consisted of 154 students, consisting of 58 male students and 96 female students, 2 ustadz and 5 ustadzah who are also teaching teachers at Islamic boarding schools. As many as 40 people (15 female students and 25 male students) clinically suffered from scabies. Meanwhile, in the examination of head lice from 154 students, 30 students were found to be infested with pediculosis capitis. Treatment was carried out for every student with positive indications of scabies and pediculosis, as well as students who had other skin diseases due to bacterial and fungal infections.
Edukasi gizi dan persiapan menyusui pada kelompok ibu hamil binaan Puskesmas Taman Bacaan Kesuma, Putri Zalika; Kurniati, Ardesy Melizah; Purnamasari, Septi; Husin, Syarif; Yusnita, Heni; Sari, Putri Maya; Yulistiana, Sisca; Martadiansyah, Abarham
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 3 No 3 (2022): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V3I3.108

Abstract

Kenaikan berat badan yang tidak sesuai selama kehamilan bisa menjadi petunjuk mengenai kurangnya gizi ibu hamil dan juga berdampak pada ibu maupun janin. Status gizi pada masa prahamil, saat hamil dan masa menyusui tersebut menjadi faktor yang memengaruhi keberhasilan ibu menyusui ASI eksklusif selama 6 bulan. Keberhasilan menyusui tersebut juga dipengaruhi oleh kegiatan Inisiasi Menyusu Dini (IMD). Kegiatan pengabdian masyarakat ini berlokasi di Puskesmas Taman Bacaan. Melalui kegiatan ini diharapkan masyarakat khususnya para ibu hamil bisa mendapatkan pengetahuan mengenai status gizi ibu hamil, pentingnya ASI Eksklusif dan IMD. Kegiatan awal adalah pemberian pre-test untuk mengetahui tingkat pengetahuan, dilanjutkan dengan penyuluhan tentang topik-topik tersebut. Kegiatan penyuluhan ini sangat dibutuhkan untuk memperbaiki tingkat pengetahuan ibu hamil, terutama pada ibu yang memiliki risiko malnutrisi. Peserta mengikuti kegiatan dengan baik dan berdiskusi aktif. Penyuluhan ini merupakan salah satu langkah pendahuluan bagi para ibu hamil yang nantinya bisa dilanjutkan dengan pemantauan peningkatan status gizi dan selama hamil dan pascapersalinan.
Pulmonary hypertension in pregnancy Bernolian, Nuswil; Kesty, Cindy; Mirani, Putri; Lestari, Peby Maulina; Martadiansyah, Abarham; Agustria, Rizky
Indonesian Journal of Perinatology Vol. 5 No. 1 (2024): Available online: 1 June 2024
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v5i1.36

Abstract

Pulmonary hypertension (PH) is a persistent increase in mean pulmonary arterial pressure (mPAP) of at least 20–25 mm Hg during right cardiac catheterization. For every million patients, there were 97 PH cases. Women are more likely than men (1.7:1) to receive a diagnosis, with a mean age of 37 years. The classification, pathophysiology, mechanism, and management of postpartum hemorrhage (PH) are the main aims of this review study. Pulmonary artery hypertension (PAH), pulmonary hypertension (PH) associated with left heart disease, pulmonary hypoxia and/or lung illnesses, chronic thromboembolic PH, and PH with unknown multifactorial processes are the five categories into which PH is divided. Women, particularly those of reproductive age, make up about 80% of individuals with idiopathic PAH. Pregnancy-related PH is one of the long-standing heart conditions with a significant morbidity and mortality rate. Its estimated death rate ranges from 30.56%. Pregnancy is therefore not advised in PH patients. Treating people with PH requires early diagnosis and effective treatment. These patients have optimism because of the impending PH medications (phosphodiesterase type 5 inhibitors, nitric oxide, endothelin receptor antagonists, and calcium channel blockers) as well as the advancements in hemodynamic monitoring and intensive care in PH specialty facilities. Pregnant women with PH should be treated with a multidisciplinary approach, such as obstetricians, cardiologists, intensivists, and neonatologists.
Pencegahan Abortus pada Awal Kehamilan Bernolian, Nuswil; Pangemanan, Wim T.; Syamsuri, Ahmad Kurdi; Ansyori, M. Hatta; Mirani, Putri; Lestari, Peby Maulina; Martadiansyah, Abarham; Kesty, Cindy
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 3 November 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v6i3.403

Abstract

Abortus merupakan suatu kejadian terminasi kehamilan dengan usia kehamilan <20 minggu dan berat janin <500 g. Angka kejadian abortus disebutkan sekitar 15% dari seluruh kehamilan. Terdapat beberapa faktor risiko abortus yaitu faktor risiko yang dapat dimodifikasi dan tidak dapat dimodifikasi. Beberapa faktor risiko yang dapat dimodifikasi yaitu faktor nutrisi, konsumsi kafein, alkohol, kebiasaan merokok, infeksi, paparan radiasi, beban kerja, dan pengaruh obat-obatan. Beberapa faktor risiko yang tidak dapat dimodifikasi, yaitu genetik, kelainan kongenital, dan lain-lain. Dengan mengetahui faktor risiko tersebut, dokter dapat melakukan pencegahan dan intervensi yang sesuai dengan kondisi masing-masing pasien yang mengalami abortus. Metode yang digunakan adalah tinjauan pustaka dengan menggunakan beberapa database seperti Pubmed, Wiley Online Library, dan ScienceDirect dari 10 tahun terakhir.Prevention of Miscarriage in Early PregnancyAbstractMiscarriage is an event of termination of pregnancy with < 20 weeks of gestation and fetal weight < 500 grams. The incidence of miscarriage is around 15% of all pregnancies. There are several risk factors for miscarriage, namely modifiable and non-modifiable risk factors. Some modifiable risk factors are nutritional factors, consumption of caffeine, alcohol, smoking habit, infection, radiation exposure, workload, and the influence of drugs. Several risk factors that can not be modified, namely genetics, congenital abnormalities, and others. By knowing these risk factors, doctors can carry out prevention and intervention according to the conditions of each patient who undergoes miscarriage. The method used is a literature review using several databases such as Pubmed, Wiley Online Library, and ScienceDirect from the last 10 years.Key words: miscarriage, prevention, risk factors, pregnancy.
Multigravida 37 Weeks Pregnant Not in Labour with Carotid Cavernous Fistula Life Single Fetus Head Presentation: Case Report Puspitasari, Dwi Cahya; Bernolian, Nuswil; Pangemanan, Wim Theodorus; Syamsuri, Ahmad Kurdi; Ansyori, Muhammad Hatta; Mirani, Putri; Lestari, Peby Maulina; Martadiansyah, Abarham
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.611

Abstract

Background: Carotid cavernous fistula (CCF) is an abnormal shunt from the carotid artery to the cavernous sinus. The management of pregnant patients with CCF is individualized. The aims of this case report are to document a rare presentation of a multigravida at 37 weeks of gestation with a carotid cavernous fistula, describe clinical symptoms and management, report outcomes, and contribute insights to the medical literature.Case Report: The referred patient, G2P1A0, who was 37 weeks pregnant with a live single fetus in cephalic presentation, presented with left eye swelling persisting since the first pregnancy at 6 months gestation, associated with headaches. The patient underwent neurosurgical intervention at Mohammad Hoesin Hospital, including digital subtraction angiography (DSA). Currently, experiencing preterm labor symptoms, the management includes inpatient care, blood transfusion (Hb > 10 g/dL), and termination via the perabdominal approach.Discussion: A multigravida at 37 weeks pregnant in labor with carotid cavernous fistula and a live single fetus in head presentation, as existing literature suggests, has no clear link between maternal carotid cavernous fistula history and fetal outcomes. Despite concerns about potential fetal abnormalities and cancer risk from endovascular embolization therapy during pregnancy, postpartum follow-up with advanced digital subtraction angiography (DSA) is planned.Conclusion: The complexity of managing a multigravida at 37 weeks pregnant in labor with carotid cavernous fistula and a live single fetus in head presentation emphasizes the importance of a multidisciplinary approach for optimal maternal and fetal outcomes.Multigravida Hamil 37 Minggu Belum Inpartu dengan Fistula Cavernosa Karotis Janin Tunggal Hidup Presentasi Kepala: Laporan KasusAbstrakLatar belakang: Fistula kavernosus karotis (CCF) adalah celah/ lubang abnormal dari arteri karotis ke sinus kavernosus. Penatalaksanaan pasien hamil dengan CCF bersifat individual. Tujuan dari laporan kasus ini adalah untuk mendokumentasikan presentasi langka seorang multigravida pada usia kehamilan 37 minggu dengan fistula kavernosus karotis, mendeskripsikan gejala klinis dan penatalaksanaannya, melaporkan hasil, dan menyumbangkan wawasan untuk literatur medis.Laporan Kasus: Pasien yang dirujuk, G2P1A0, pada usia kehamilan 37 minggu dengan janin tunggal hidup dengan presentasi kepala, datang dengan pembengkakan mata kiri yang berlangsung sejak kehamilan pertama pada usia kehamilan 6 bulan, yang berhubungan dengan sakit kepala. Pasien menjalani intervensi bedah saraf di Rumah Sakit Mohammad Hoesin, termasuk Digital Subtraction Angiography (DSA). Saat ini, mengalami gejala persalinan prematur, penatalaksanaan yang dilakukan meliputi rawat inap, transfusi darah (Hb > 10 g/dL), dan terminasi melalui pendekatan perabdominal.Diskusi: Seorang multigravida dengan usia kehamilan 37 minggu yang melahirkan dengan fistula kavernosa karotis dan janin tunggal hidup dengan presentasi kepala, merupakan kasus yang jarang terjadi, karena literatur yang ada menunjukkan tidak ada hubungan yang jelas antara riwayat fistula kavernosa karotis ibu dan hasil janin. Meskipun ada kekhawatiran mengenai potensi kelainan janin dan risiko kanker dari terapi embolisasi endovaskular selama kehamilan, tindak lanjut pascapersalinan dengan angiografi pengurangan digital (DSA) lanjutan direncanakan.Simpulan: Kompleksitas pengelolaan multigravida dengan usia kehamilan 37 minggu dalam persalinan dengan fistula kavernosa karotis dan janin tunggal hidup dengan presentasi kepala, menekankan pentingnya pendekatan multidisiplin untuk luaran ibu yang optimal. Perlunya pendektanan multidispilin keilmuan memeberiksan hasil yanga baik pada ibu dan bayinya.Kata kunci: Fistula Kavernosa Karotis, Angiografi Pengurangan Digital
Congenital Diaphragmatic Hernia Anomaly in Multigravida at 36 Weeks Gestation with One Previous Cesarean Section, Single Live Fetus, Cephalic Presentation: Case Report Putri, Asri Indriyani; Martadiansyah, Abarham; Bernolian, Nuswil; Al Farisi Sutrisno, Muhammad; Nisfita, Rizania Raudhah; Maharsi, Rahma
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 2 Juli 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i2.613

Abstract

Background: Case of a multigravida at 36 weeks of gestation with one previous cesarean section carrying a single fetus was diagnosed with diaphragmatic hernia. This case aims to address the challenges posed by this complex scenario of diaphragmatic hernia and the importance of specialized care to ensure optimal maternal and fetal outcomes.Case Report: Referred from Muhammadiyah Hospital Palembang, the patient at 36 weeks of gestation with G3P2A0 status present a single live fetus and was diagnosed with diaphragmatic hernia. Following prior midwife care where fetal heartbeats were not detected, the patient was referred to Dr. Mohammad Hoesin Central General Hospital Palembang. The management plan includes a one-week follow-up and folic acid, calcium carbonate, and iron supplementation.Discussion: Congenital diaphragmatic hernia (CDH) is a developmental defect causing diaphragmatic discontinuity, diagnosed prenatally with 40% to 90% accuracy via ultrasound. The treatment aims to minimize lung hypoplasia and reduce mortality, typically performed at 26-28 weeks for severe cases and 30-32 weeks for moderate ones. The optimal delivery timing for CDH remains controversial, with lung-to-head ratio as a widely used prognostic indicator.Conclusion: Congenital diaphragmatic hernia (CDH) exhibits lower survival rates on the right side (50% vs. 75%), with lung area to head circumference ratio (LHR) as a common prognostic parameter. Recent minimally invasive techniques like FETO aim to improve prognosis by reducing pulmonary hypoplasia and mortality.Laporan Kasus: Multigravida Hamil 36 Minggu Belum Inpartu Bekas Seksio Sesarea Satu Kali Janin Tunggal Hidup Presentasi Kepala Dengan Anomali Kongenital Hernia DiafragmatikAbstrakLatar Belakang: Kasus multigravida hamil 36 minggu dengan riwayat operasi caesar janin tunggal hidup yang didiagnosis hernia diafragma. Tujuan laporan kasus ini untuk mengatasi tantangan yang ditimbulkan oleh skenario kompleks hernia diafragma dan menunjukkan pentingnya perawatan khusus untuk memastikan hasil akhir ibu dan janin yang optimal.Laporan Kasus: Pasien usia kehamilan 36 minggu dengan status G3P2A0 janin hidup tunggal dengan diagnosis hernia diafragma dirujuk dari RS Muhammadiyah Palembang setelah sebelumnya diperiksa oleh bidan dan tidak terdeteksi detak jantung janinnya sehingga memerlukan rujukan ke RSUP Dr. Mohammad Hoesin Palembang. Rencana penatalaksanaannya mencakup tindak lanjut selama satu minggu, bersamaan dengan suplementasi asam folat, kalsium karbonat, dan zat besi.Diskusi: Hernia diafragma kongenital (CDH) merupakan kelainan perkembangan yang menyebabkan diskontinuitas diafragma dan didiagnosis sebelum lahir dengan akurasi 40% hingga 90% melalui ultrasonografi. Tatalaksana bertujuan untuk meminimalkan hipoplasia paru-paru dan mengurangi angka kematian, biasanya dilakukan pada minggu ke 26 sampai 28 untuk kasus yang parah dan 30 - 32 minggu untuk kasus yang sedang. Waktu persalinan yang optimal untuk CDH masih kontroversial, dengan rasio paru-paru sebagai indikator prognosis yang banyak digunakan.Kesimpulan: Hernia diafragmatika kongenital (CDH) menunjukkan tingkat kelangsungan hidup yang lebih rendah pada sisi kanan (50% vs. 75%), dengan rasio area paru terhadap lingkar kepala (LHR) sebagai parameter prognosis yang umum; teknik invasif minimal terkini bertujuan untuk meningkatkan prognosis dengan mengurangi hipoplasia paru dan kematian.Kata kunci: Hernia Diafragma Kongenital, Riwayat Operasi Caesar Sebelumnya, Multigravida 
Co-Authors A. Kurdi Syamsuri Adnan Abadi Agustria, Rizky Al Farisi Sutrisno, Muhammad Alia Desmalia Anang Ansyori Andriyani Liberty, Iche Ansyori, Muhammad Hatta Ardesy Melizah Kurniati Arjanggi, Kiagus Irawan Satria Azhari, Dalilah Bernolian, N Bernolian, N Beumaputra, Adyatma Utama Budi Santoso Chairil Anwar Cindy Kesty Citra Dewi Dwi Budi Santoso Dwi Handayani Erwin Sukandi Fatimah , Nyimas Febi Stevi Aryani Feisal Moulana Firmansyah Basir Gita Dwi Prasasty HARTATI Heni Yusnita, Heni Iche Andriani Liberty Izzulhaq, Muhammad Agung Jhonatan, Senna Moca Kesty, Cindy Kesuma, Putri Zalika Kusuma, Hadrians M. Hatta Ansyori Maharsi, Rahma Maulani, H Maulani, H Murwani Emasrissa Latifah Muwarni Emasrissa Latifah Nahrani, Ulya Ni Made Dyah Gayatri Nisfita, Rizania Raudhah Nurwany, Raissa Nuswil Bernolian Pangemanan, W T Pangemanan, W T Pangemanan, Wim Theodorus Peby M. Lestari Peby Maulina Peby Maulina Lestari, Peby Maulina Purnamasari, Septi Purnomo, Abdul Harits Puspitasari, Dwi Cahya Putra, Hadrians Kesuma Putri Maya Sari Putri Mirani Putri Mirani Putri Mirani Putri Mirani Putri Mirani Putri, Asri Indriyani Qalbi, Anugrah Qalbi, Anugrah Rasyid, Riana Sari Puspita Rasyid, Riana Sari Puspita Riana Sari Puspita Rasyid Ridwan, Metta Rania Rizky Agustria Shiddiq, Abdul Halim Stevanny, Bella Sugianto Mukmin Syamsuri, Ahmad Kurdi Syarif Husin Syifa, Syifa Theodorus Theodorus Theodorus Theodorus Theodorus Tia Kaprianti tian kaprianti Trisa, Yusdela Trisa, Yusdela Wim T. Pangemanan Wim T. Pangemanan Win T. Pangemanan Yulistiana, Sisca Yusdela Trisa