Martadiansyah, Abarham
Division Of Maternal Fetal Medicine, Department Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Sriwijaya / Mohammad Hoesin General Hospital, Palembang, Indonesia

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Prevalence and Distribution of Risk Factors for Preterm Labor in RSUP DR. Mohammad Hoesin Palembang Period January 1 2020 – December 31 2023 Beumaputra, Adyatma Utama; Martadiansyah, Abarham; Nurwany, Raissa; Mirani, Putri; Putra, Hadrians Kesuma
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.825

Abstract

Objective: This study aims to determine the prevalence and distribution of risk factors for preterm labor.Methods: This is a descriptive observational study with a cross-sectional design. The data used in this study were secondary data obtained with the total sampling method from the medical records of Dr. Mohammad Hoesin Palembang Hospital from January 1, 2020 to December 31, 2023.Results: This study found 1,654 cases of preterm labor from January 1, 2020 to December 31, 2023. The analysis of risk factors among mothers indicated that those within the high-risk age categories (<20 years and >35 years) constituted 31.7%. Multiparous and grand multiparous women represented 41.7%, while multiple pregnancies accounted for 6.6%. A history of premature rupture of membranes was noted in 25.4% of cases, polyhydramnios was observed in 1.3%, and a history of cesarean delivery was found in 25.4%. Furthermore, 33% suffered from hypertension, and 2.5% had diabetes. Anemia was prevalent in 47.9% of the mothers, and infection was reported in 42.8%. A history of preterm delivery was noted in 13.7%, risky gestational distance was found in 10.6%, and 25% had a history of antepartum hemorrhage. Finally, obesity was observed in 14.5% of the mothers.Conclusion: The number of deliveries continued to decrease, but the prevalence of preterm labor increased from 2020 to 2023. Anemia is the most common risk factor found in mothers with preterm labor.Prevalensi dan Distribusi Faktor Risiko Persalinan Prematur di RSUP Dr. Mohammad Hoesin Palembang dalam Tiga TahunAbstrakTujuan: Penelitian ini bertujuan untuk mengetahui prevalensi serta distribusi faktor risiko persalinan prematur.Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan desain cross-sectional. Data yang digunakan dalam penelitian ini merupakan data sekunder dengan metode total sampling dari data rekam medik RSUP Dr. Mohammad Hoesin Palembang periode 1 Januari 2020 – 31 Desember 2023.Hasil: Terdapat 1654 kasus persalinan prematur dengan periode 1 Januari 2020 – 31 Desember 2023. Distribusi faktor risiko didapatkan ibu dengan usia berisiko (<20 tahun dan >35) tahun (31,7%), paritas multipara dan grandemultipara (41,7%), kehamilan multipel (6,6%), riwayat ketuban pecah dini (25,4%), polihidramnion (1,3%), riwayat persalinan sesar (25,4%), hipertensi (33%), diabetes (2,5%), anemia (47,9%), infeksi (42,8%), riwayat persalinan prematur (13,7%), jarak kehamilan berisiko (10,6%), riwayat perdarahan antepartum (25%), obesitas (14,5%). Kesimpulan: Jumlah persalinan terus mengalami penurunan, namun prevalensi kejadian persalinan prematur terus mengalami peningkatan dari tahun 2020-2023. Anemia menjadi faktor risiko paling banyak yang ditemukan pada ibu dengan persalinan prematur.Kata kunci: Prevalensi, Persalinan Prematur, Faktor Risiko
COVID-19 in pregnancy: Maternal and perinatal outcomes at Dr. Mohammad Hoesin Hospital, Palembang, Indonesia Martadiansyah, Abarham; Mirani, Putri; Ridwan, Metta Rania; Hartati; Andriyani Liberty, Iche; Stevanny, Bella
Majalah Obstetri & Ginekologi Vol. 33 No. 1 (2025): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I12025.11-20

Abstract

HIGHLIGHTS COVID-19 increases the likelihood of adverse maternal outcomes throughout pregnancy, including pneumonia, cesarean section, and ICU admission. Prompt diagnosis and treatment of COVID-19 may improve maternal outcomes. COVID-19 does not increase the likelihood of adverse perinatal outcomes. Reassurance can be provided to expectant mothers.   ABSTRACT Objective: The objective of this study was to analyze the maternal and perinatal outcomes of COVID-19 in pregnancy at Dr. Mohammad Hoesin Hospital, Palembang, Indonesia. Materials and Methods: This retrospective cohort study was carried using medical records of pregnant mothers who delivered at Dr. Mohammad Hoesin Hospital Palembang from March 2020 to August 2021. The subjects were into two groups: pregnant women with and without COVID-19. Pearson Chi-Square test was used for bivariate analysis to determine the associations between COVID-19 and maternal as well as neonatal outcomes. The data were analysed using the Stata 15 statistical software. Multivariate analysis was done using the cox regression test to determine whether maternal characteristics affected those associations. P-value of < 0.05 were considered statistically significant. Results: The study analyzed 220 subjects, including 62 COVID-19-positive (28.18%) and 158 COVID-19-negative (71.82%) patients. Among expectant mothers with COVID-19, caesarean sections were the most common maternal outcome (82.26%), while fetal distress was the most frequent perinatal outcome (12.13%). Significant associations were found between COVID-19 and maternal outcomes, including pneumonia (RR = 12.76), caesarean section (RR = 2.74), and ICU hospitalization (RR = 6.90). These associations remained significant after adjusting for maternal characteristics. However, no significant association was found between COVID-19 and perinatal outcomes. Conclusion: COVID-19 increases the likelihood of adverse maternal outcomes throughout pregnancy.
Preterm Multigravida with Two Previous Cesarean Deliveries and a Fetus with Asymmetric IUGR and Cleft Lip and Palate: A Case Report Jhonatan, Senna Moca; Martadiansyah, Abarham; Bernolian, Nuswil; Mirani, Putri; Lestari, Peby Maulina; Agustria, Rizky; Arjanggi, Kiagus Irawan Satria
Sriwijaya Journal of Medicine Vol. 8 No. 2 (2025): Vol 8, No 2, 2025
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v8i2.336

Abstract

Cleft lip and palate and intrauterine growth restriction (IUGR) are common congenital conditions and may suggest subtle genetic abnormalities. When no chromosomal defects are detected through standard testing, this combination presents a diagnostic challenge in prenatal care. . This case report presents a 33-year-old multigravida woman at 34 weeks of gestation, referred for suspected fetal growth restriction and cleft palate. Serial ultrasound examinations confirmed asymmetric IUGR along with a complete cleft involving the lip, alveolus, and palate. Elective cesarean delivery of pregnancy was performed at 36 weeks of gestation via cesarean section, with the infant diagnosed with unilateral cleft lip and palate. This case underlines the importance of considering advanced genetic testing in non-syndromic cases of CLP with IUGR. This case highlighting a gap in standard prenatal diagnostics and emphasizing the need for a broader genetic approach in such cases. Clinicians should remain alert and pursue early, comprehensive evaluation and multidisciplinary planning to ensure accurate diagnosis, timely intervention, and better neonatal outcomes.
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