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Yusuf, Dwiyanarsi
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Luaran Bayi dari Ibu dengan Tuberkulosis Resistan Multi Obat Yusuf, Dwiyanarsi; Lisnawati, Yuyun
Majalah Kedokteran Indonesia Vol 69 No 4 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.4-2019-69

Abstract

Introduction: Multidrug-resistant TB (MDR-TB) is described as Mycobacterium tuberculosis infection resistant to rifampicin and isoniazide with or with-out resistance to other drugs. MDR-TB, if left untreated or undiagnosed inpregnancy, is associated with higher maternal morbidity, mortality, and increased risk of vertical transmission. There are increased risk of obstetrical complications like spontaneous abortions, fetal growth restriction, oligohydram-nios, preterm labor and increased neonatal mortality. Objective: This study was intended to present a case series of MDR-TB treat-ment among pregnancies and fetal outcome in our hospital. Methods: Evaluation of 3 pregnant woman who had been diagnosed with MDR-TB. Data were obtained by history taking, physical examinations, laboratory results and outcome of the neonates. Results: Two out of 3 pregnant woman were known resistant to rifampicin andwere given ethionamide and levofloxacin for more than a month. C-sectionwere performed in all pregnancies at 32 weeks, 36 weeks and 36 weeks withbaby weight 1450 gr, 2350 gr, and 2600 gr respectively. There was no congeni-tal abnormality found in all neonates. Conclusion: Case series of MDR-TB in pregnancy has been reported. Two outof 3 patients were received ethionamide and levofloxacin treatment during pregnancy, showed no deformity or congenital abnormality in the neonates. Low birth weight neonates were found in two patients.
Haruskah Plasenta Perkreta disertai Lakuna Bizarre? Yusuf, Dwiyanarsi; Khonsa, Oni; Apriliawan, Tri; Lisnawati, Yuyun
Majalah Kedokteran Indonesia Vol 69 No 8 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.8-2019-189

Abstract

Background: Placenta percreta is a life-threatening condition that requires multidisciplinary management. The incidence of placenta percreta increases with increasing incidence of cesarean section. Antenatal diagnosis is an important point to prevent morbidity and mortality in both mother and baby. Ultrasonography (USG) is one of the relatively cheaper and easier modalities for diagnosing placenta percreta. Objective: To identify the optimal ultrasonographic criteria for the diagnosis of placenta percreta.Methods: We followed 2 cases, which performed antenatal care (ANC). Both patients then performed an ultrasound examination according to the placenta accrete index (PAI) method. The ultrasound assessment findings are then compared with intraoperative clinical findings and histological features. Results: From two cases, we did not find any Bizarre lacuna, but a thin retroplacental myometrial layer was found accompanied by loss of clear zone. The findings on ultrasonography are in accordance with intraoperative findings and histological features, where the appearance of the placenta percreta is clearly visible.Conclusion: It is different from the assessment of PAI, where the presence of lacuna is the biggest predictive factor for placenta adhesiva, in both cases, a thin myometrial layer of retroplacenta accompanied by a clear clear zone, although no lacuna was found, sufficiently describe the placenta percreta
Co-Authors Khonsa, Oni Lisnawati, Yuyun TRI APRILIAWAN, TRI