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Shariff, Fonda Octarianingsih
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Journal : Medula

 1 
G5P4A0 HAMIL 28 MINGGU DENGAN PARTUS PREMATURUS IMMINENS (PPI) Shariff, Fonda Octarianingsih; Irhamna, Teguh
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1020

Abstract

Prematurity Iminens is a threat to pregnancy where signs of labor appear at preterm gestational age (20 weeks – 37 weeks) and the baby's birth weight is less than 2500 grams. In a patient with G5P4A0 28 weeks pregnant with complaints of lower abdominal pain and cramps. Complaints accompanied by blood coming out of the birth canal at 14.00 WIB, BAK and defecation felt painful. Imminent premature parturition is a threat to pregnancy where signs of labor appear at preterm gestational age (20 weeks – 37 weeks) and the baby's birth weight is less than 2500 grams. Imminens premature labor is diagnosed with contractions that repeat at least once every 7-8 minutes, or 2-3 times within 10 minutes, pain in the lower back, spotting bleeding, feeling of pressure on the cervix. Pregnant women who are at risk of preterm labor and/or showing signs of preterm labor need intervention to improve neonatal outcomes. The conclusion has been established through a working diagnosis of G5P4A0 28 weeks pregnant with Partus Prematurus Imminens (PPI) based on clinical considerations, physical examination findings, and supporting examinations. Several types of drugs that can be given as tocolysis are calcium antagonists, for example Nifedipine 10 mg/oral repeated 2-3 times/hour, continued every 8 hours until contractions disappear and can be given again if contractions recur and the maintenance dose is 3 x 10 mg. Other alternative medications are other types of β-mimetics such as salbutamol, terbutaline, rithrodine and soxuprin or magnesic sulfate (MgSO4) and antiprostaglandins (indomethacin), but these are rarely used because of side effects on the mother or fetus. The aim of providing corticosteroid therapy is to mature fetal lung surfactant, reduce the incidence of RDS, prevent intraventricular bleeding, which ultimately can reduce the risk of neonatal death. Corticosteroids need to be given if the gestational age is <35 weeks. The drugs that can be given are dexamethasone (at a dose of 4 x 6 mg i.m with a 12 hour interval) or bexamethasone (at a dose of 2 x 12 mg i.m with a 24 hour administration interval).
Amenore Sekunder Shariff, Fonda Octarianingsih; Rizdanti, Fezagustia
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1022

Abstract

Primary amenorrhea is a condition where menstruation does not occur in women aged 16 years. This situation occurs in women of reproductive age 0.1-2.5%. Meanwhile, secondary amenorrhea is the absence of menstruation for three cycles or 6 cycles after previously having a normal menstrual cycle. The incidence rate is around 1 to 5% in women of reproductive age. Treatment or management of amenorrhea depends on the cause. If the cause is drastic weight loss or obesity, sufferers are advised to follow an appropriate diet. If the cause is excessive exercise, sufferers are advised to reduce it. If the cause is a tumor, then surgery is performed to remove the tumor. So basically treating amenorrhoea always requires the help of a doctor to help diagnose or find the cause. The patient came to the Pertamina Bintang Amin Husada Hospital polyclinic on February 6 2024 with complaints of no menstruation since 4 months accompanied by lower abdominal and back pain. The treatment obtained by the patient was observation of bleeding, checking vital signs regularly, norelut tab twice a day, 2 tablets for 5 days, the patient was advised to diet. The prognosis for this patient is dubia ad bonam. The working diagnosis in this case is secondary amenorrhea based on clinical considerations, physical examination findings, and supporting examinations.
Kista Bartholin: Laporan Kasus Rahman, M. Rizki; Shariff, Fonda Octarianingsih
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1233

Abstract

Bartholin's cyst is a type of cystic tumor that is located in the vulva and is formed due to blockage of the Bartholin's gland duct. This blockage causes fluid buildup and cystic enlargement. A report noted that a 43 year old woman came to the Obstetrics and Gynecology Polyclinic at Pertamina Bintang Amin Hospital in Bandar Lampung, complaining of a lump in the genital area that had appeared since a year ago, the size of a quail egg, but the patient stated that she did not feel any pain. The treatment given includes antibiotics and analgesics, and it is recommended to undergo a surgical procedure using the marsupialization technique. Marsupialization is a procedure in which stabilization is carried out, that is, the cyst must be stabilized and gently retracted using finger pressure applied on both sides of the affected labium, below the cyst. Then an incision is made over the body of the cyst and within the hymeneal loop, usually at the 4-5 or 7-8 o'clock position from the introitus. The incision is generally made in a cross manner and extended up to 2-3 cm according to the size of the cyst.
G3P2A0 Hamil 32 Minggu dengan Hipertensi Gestasional ardinda arlindova; Shariff, Fonda Octarianingsih
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1464

Abstract

Hypertension in pregnancy is defined as an increase in blood pressure ≥140/90 mmHg that appears after 20 weeks of gestation without a history of previous hypertension. This case report discusses the case of a 39-year-old woman (G3P2A0) with a gestational age of 32 weeks who was diagnosed with gestational hypertension. The patient was referred from a health center with a history of high blood pressure during ANC (Antenatal Care) and recurrent headaches since 20 weeks of gestation. Examination showed blood pressure of 157/91 mmHg without signs of severe preeclampsia, while proteinuria +1 was detected. Risk factors include age >35 years and a history of hypertension in previous pregnancies. The patient was given pharmacological therapy, namely nifedipine 10 mg 1x1 orally with regular blood pressure monitoring. This study emphasizes the importance of early detection and management of gestational hypertension to prevent complications for the mother and fetus.
Perdarahan Uterus Abnormal et causa Suspek Myoma Geburt+Anemia Sedang: Studi Kasus Shariff, Fonda Octarianingsih; Ningrum, Dewi
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1035

Abstract

The patient experienced complaints of bleeding from the genitals since 3 days ago and repeated since one month ago. At first the blood was just reddish spots, over time there was more and more, and the blood that came out was fresh, clotted blood accompanied by lower abdominal pain that spread to the waist. During bleeding, the patient uses approximately 10 40 cm pads a day. On physical examination, general condition/consciousness was found, both compos mentis and vital signs, general status examination revealed anemic conjunctiva (+/+), pale lips, and tenderness in the lower abdomen. Meanwhile, on external obstetric and gynecological examination, tenderness was found in the hypogastric region and bleeding appeared on internal examination. The working diagnosis in this case is Abnormal Uterine Bleeding et causa Suspected Myoma Gobert + Anemia based on clinical considerations, physical examination findings, and supporting examinations. On external obstetric and gynecological examination, tenderness was found in the hypogastric region and bleeding appeared on internal examination. In supporting examination, namely histopathological examination, the results showed Adenomyoma (Polyp of Cervix Uteri). Management in this case is curettage and extirpation
Sistokel: Laporan Kasus Shariff, Fonda Octarianingsih; Septia Rini, Vica Sukma
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1036

Abstract

Anterior wall prolapse (cystocele) occurs when the front wall of the vagina bulges. The patient is 52 years old with complaints of pain and soreness in the vaginal canal area for the past 6 months which has worsened for the last 3 weeks. Complaints are accompanied by a small amount of urination, and if the patient coughs or sneezes it is always accompanied by a small amount of urine output. The patient also complained of lower abdominal pain that radiated to the waist about 6 months ago, the pain came and went, and the pain got worse when the patient was active, especially when urinating, and decreased when the patient rested. The patient has no history of diabetes mellitus but has a history of hypertension. First menstruation at the age of 11 years. The patient did not use contraception. Based on the diagnosis based on anamnesis, physical examination, gynecological examination and supporting examinations, there is Cystocele. In the anamnesis, there were complaints of pain and soreness in the vaginal canal area since 6 months ago and worsened in the last 3 weeks. Complaints are accompanied by a small amount of BAK, and if the patient coughs or sneezes it is always accompanied by a small amount of urine output. The patient has a history of hypertension and is taking Amlodipine 5mg. History of menarche: 11 years, regular menstrual cycle, length of menstruation: 3-4 days with history of P3A0 pregnancy. On physical examination, external obstetric and gynecological examination revealed tenderness in the hypogastric region. On internal examination with VT there was no palpable protrusion, then the patient was asked to perform the Valsalva maneuver and an organ protrusion appeared from the vagina. On a supporting ultrasound examination, the results of the uterus were within normal limits. The patient goes home and is given education not to lift heavy loads and strain.
Multigravida dengan Vertigo Adhi putri, Citra; Shariff, Fonda Octarianingsih
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1301

Abstract

Pregnancy causes significant hormonal changes, particularly increased estrogen and progesterone, which can affect the audiovestibular system. This condition is associated with the onset of vertigo, balance disorders, and even temporary hearing loss. The physiological state of pregnancy in women is quite significant due to the impact of hormones, the cardiovascular system, and psychological changes. The circulatory, respiratory, gastrointestinal, musculoskeletal, dermatological, and auditory vestibular systems all undergo structural and functional changes as a result of certain hormones such as progesterone, estrogen, placental lactogen, and human chorionic gonadotropin. The audiovestibular system is involved in several symptoms, including hearing loss, tinnitus, facial nerve paralysis, otosclerosis, autophony, and vertigo, which may appear for the first time or worsen during pregnancy. This case reports a 27-year-old woman, G5P1A3, at 17 weeks of gestation, presenting with complaints of spinning dizziness, vomiting, weakness, and epigastric pain. Anamnesis, physical examination, hematological tests, and obstetric ultrasonography were performed. The diagnosis revealed a multigravida with vertigo, with differential diagnoses of vertigo, cephalgia, and hyperemesis gravidarum. The patient received intravenous fluids (Ringer’s Lactate), ondansetron, vitamin B6, dimenhydrinate, and paracetamol. Vertigo in pregnancy is a frequent and disturbing condition, characterized by a spinning sensation, dizziness, and instability or unsteadiness. These symptoms result from hormonal changes during pregnancy that affect the audiovestibular system and may worsen in subsequent trimesters. Vertigo in pregnancy is a multifactorial condition related to both physiological and hormonal changes, with diagnosis established through anamnesis, physical examination, and supporting investigations.
Co-Authors Adhi putri, Citra Amizora, Dayu Andayani, Heny Tri Annisa, Maria Aprillya, Eva Ar Rahmah, Balqist ardinda arlindova Arum, Arum Buaton, Lusi Setiawaty Budiarta, I Nengah Dharmawan, Akhmad Kheru Egiestine, Dea Putri Erna Listyaningsih Fajarwati, Dinda Dwi Faridz, Siska Monica Fitriani, Dita Hadiarto, Rinto Haerulloh, Diar Muhammad handiani, Esy Tri Hanifa, Fidati Hasbie, Neno Fitriyani Hermawan, Dessy Hermawati, Diana Irhamna, Teguh Irianto, Gunawan Jhonet, Aswan Kurnisari, Devi Lasmawati, Eggy Lawren, Jeane Lia Amelia Lolita Sary Maria Ulfa Marnita, Dinda Anggini Meidy, Annisa Rosyifa Muhammad Hatta Murtado, Ahmad Nina Herlina Ningrum, Dewi Ningtyas, Dewica Tiara Oktariyani, Sinta Dwi Rahman, M Rizki Rahman, M. Rizki Reni, Christina Kusuma Rimawati, Veronica Ela rizdanti, fezagustia Salim, Carissa Najma Septia Rini, Vica Sukma Septian, Diki Siagian, Ellys Tahnia Susanto, Febi Widya Astuti, Gusti Ayu Ema Wiranti, Irda