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All Journal e-CliniC JURNAL BIOMEDIK JOURNAL LA MEDIHEALTICO
Lumentut, Anastasia M.
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Indikasi Seksio Sesarea di RSUP Prof. Dr. R. D. Kandou Manado Tahun 2017 dan 2018 Pamilangan, Edwin D.; Wantani, John J. E.; Lumentut, Anastasia M.
e-CliniC Vol 8, No 1 (2020): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v8i1.27358

Abstract

Abstract: The prevalence of caesarian section (C-section) in Indonesia is increasing continuously from 7% reported by SDKI 2007 to 17% reported by SDKI 2017. This study was aimed to obtain the indication of C-section at Prof. Dr. R.D. Kandou Hospital Manado in years 2017 and 2018. This was a descriptive and retrospective study. The results showed that of total 2822 deliveries in 2017 and 2018, the C-section was performed on 694 patients (49.64%) in 2017 and on 736 patients (51.69%) in 2018. The most common maternal indication for C-section among 424 patients (42.7%) was previous C-section in 107 patients (25,23%) meanwhile the most common fetal indication among 379 patients (38.17%) was fetal distress in 205 patients (54.09%). Moreover, the most common combined indication among 190 patients (19.13%) were severe preeclampsia and fetal distress in 40 patients (21.05%). In conclusion, the most common indications of C-section were previous C-section, fetal distress, and of the combined indication were severe pre eclampsia and fetal distress.Keywords: C-section, maternal indication, fetal indication, combined indication Abstrak: Angka persalinan seksio sesarea di Indonesia terus meningkat, dengan persentase 7% pada SDKI 2007 menjadi 17% pada SDKI 2017 Penelitian ini bertujuan untuk mengetahui indikasi dilakukannya seksio sesarea di RSUP Prof. Dr. R.D. Kandou Manado tahun 2017 dan 2018. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian mendapatkan dari total 2822 persalinan pada tahun 2017 dan 2018, angka kejadian seksio sesarea ialah 694 pasien (49,64%) pada tahun 2017 dan 736 pasien (51,69%) pada tahun 2018. Indikasi ibu sebanyak 424 pasien (42,7%), paling banyak disebabkan oleh riwayat seksio sesarea sebelumnya sebanyak 107 pasien (25,23%). Indikasi janin sebanyak 379 pasien (38,17%), paling banyak disebabkan oleh gawat janin sebanyak 205 pasien (54,09%). Indikasi gabungan sebanyak 190 pasien (19,13%), paling banyak disebabkan oleh preeklamsi berat (PEB) dan gawat janin pada 40 pasien (21,05%). Simpulan penelitian ini ialah pada persalinan seksio sesarea, indikasi ibu terbanyak ialah riwayat seksio sesarea; indikasi janin terbanyak ialah gawat janin; dan indikasi gabungan terbanyak ialah preeklamsi berat dan gawat janin.Kata kunci: seksio sesarea, faktor ibu, faktor janin, faktor gabungan
Gambaran Pengetahuan dan Sikap Ibu Hamil dalam Pencegahan Anemia pada Kehamilan di Indonesia Devi, Delviana; Lumentut, Anastasia M.; Suparman, Eddy
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i1.32415

Abstract

Abstract: The level of knowledge and behavior of pregnant women regarding anemia during pregnancy affects how they maintain their pregnancies, therefore, the occurrence of anemia during pregnancy can be prevented. This study was aimed to obtain the knowledge and attitudes of pregnant women in preventing anemia in pregnancy in Indonesia. This was a literature review study by using four databases, as follows: Pubmed, ClinicalKey, ScienceDirect, and Google Scholar. Keywords used were anemia AND pregnant woman AND knowledge OR attitude AND Indonesia in Pubmed, ClinicalKey, and ScienceDirect; and anemia AND pregnant women AND knowledge AND attitudes in Google Scholar. There were 11 literatures selected in this study. According to the knowledge of pregnant women about anemia, five literatures showed that the majority of pregnant women had sufficient knowledge, the other four literatures showed poor knowledge, while good knowledge was obtained in two literatures. According to attitude, seven studies got positive attitudes, three studies got negative attitudes, and one study got the same number of positive and negative attitudes. In conclusion, the majority of pregnant women in several regions in Indonesia have sufficient knowledge about anemia and its prevention, and have a positive attitude towards anemia prevention in pregnancy.Keywords: knowledge, attitudes, pregnant women, anemia. Abstrak: Tingkat pengetahuan dan perilaku ibu hamil mengenai anemia saat kehamilan berpengaruh terhadap cara ibu hamil menjaga kehamilannya sehingga dapat membantu dalam mencegah anemia selama kehamilan. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan sikap ibu hamil dalam pencegahan anemia pada kehamilan di Indonesia. Jenis penelitian ialah literature review dengan pencarian literatur menggunakan empat database yaitu Pubmed, ClinicalKey, ScienceDirect dan Google Scholar. Kata kunci yang digunakan yaitu anemia AND pregnant woman AND knowledge OR attitude AND Indonesia pada Pubmed, ClinicalKey, dan ScienceDirect, dan menggunakan kata kunci anemia AND ibu hamil AND pengetahuan AND sikap pada Google Scholar. Hasil seleksi mendapatkan 11 literatur yang diteliti. Hasil penelitian mendapatkan bahwa menurut pengetahuan ibu hamil mengenai anemia, lima penelitian menunjukkan mayoritas ibu hamil memiliki pengetahuan cukup, empat literatur lainnya menunjukkan hasil pengetahuan buruk, sedangkan hasil pengetahuan baik didapatkan pada dua penelitian. Menurut sikap, tujuh penelitian mendapat hasil sikap positif, tiga penelitian mendapat hasil sikap negatif, dan satu penelitian mendapat hasil yang sama banyak untuk positif dan negatif. Simpulan penelitian ini ialah mayoritas ibu hamil di beberapa daerah di Indonesia memiliki pengetahuan cukup mengenai anemia dan pencegahan, serta memiliki sikap positif terhadap pencegahan anemia pada kehamilan.Kata kunci: pengetahuan, sikap, ibu hamil, anemia
Luaran Maternal dan Perinatal pada Preeklampsia Berat dan Eklampsia Lumentut, Anastasia M.; Tendean, Hermie M. M.
JURNAL BIOMEDIK : JBM Vol 13, No 1 (2021): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.13.1.2021.32109

Abstract

Abstract: Preeclampsia and  eclampsia are a complication in pregnancy which can increase the maternal and neonatal morbidity and mortality in Indonesia. This study aimed to illustrate outcome severe preeclampsia and eclampsia at RSUP Prof. Dr. R. D. Kandou Manado on period January 1st – December 31st, 2018. Design of study is descriptive retrospective method. The results of study, in the period from January 1st – December 31st, 2018 at RSUP Prof. Dr. R. D. Kandou Manado there are 1366 deliveries which 322 cases (23.57%) severe preeclampsia and 12 cases (0.88%) eclampsia. For severe preeclampsia obtained maternal age ≥ 35 years as much as 128 cases (39.8%), gestational age 37–40 weeks as much as 186 cases (56.3%), cesarean section delivery as much as 214 cases (66.5%), appropriate gestational age as much as 257 cases (79.8%), APGAR Score 4-6 as much as 165 cases (64.3%), perinatal mortality as much as 8 cases (6.08o/oo). For eclampsia obtained maternal age between 21-29 years as much as 5 cases (41.6%), gestational age < 37 weeks as much as 7 cases (58.3%), cesarean section delivery as much as 12 cases (100%), small gestational age as much as 9 cases (75%), maternal mortality as much as 8 cases (5.95%o), perinatal mortality as much as 2 cases (1.52o/oo). In conclusion, outcomes of severe preeclampsia and eclampsia obtained in accordance  with the literature where APGAR Score babies are not very good so it affects the rate of perinatal mortality. Perinatal mortality caused by intrauterine hypoxia and prematurity.Key Words: severe preeclampsia, eclampsia, maternal mortality, perinatal mortality  Abstrak: Preeklampsia dan eklampsia merupakan komplikasi kehamilan yang dapat meningkatkan morbiditas dan mortalitas maternal maupun perinatal di Indonesia. Tujuan penelitian utuk mengetahui luaran maternal dan perinatal pada preeklampsia berat dan eklampsia di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari– 31 Desember 2018. Penelitian menggunakan metode deskriptif retrospektif. Hasil penelitian, pada periode 1 Januari - 31 Desember 2018 di RSUP Prof. Dr. R. D. Kandou Manado terdapat 1366 persalinan diantaranya 322 kasus (23.57%) preeklampsia berat dan 12 kasus (0.88%) eklampsia. Untuk preeklampsia berat didapatkan usia ≥ 35 tahun sebanyak 128 kasus (39.8%), kehamilan 37–40 minggu sebanyak 186 kasus (56.3%), persalinan seksio sesarea sebanyak 214 kasus (66.5%), berat badan bayi sesuai masa kehamilan sebanyak 257 kasus (79.8%), nilai APGAR 4–6 sebanyak 165 kasus (64.3%) dan kematian perinatal sebanyak 8 kasus (6.08o/oo). Untuk eklampsia didapatkan pada usia 21-29 tahun sebanyak 5 kasus (55.6%), kehamilan < 37 minggu sebanyak 6 kasus (66.7%), persalinan seksio sesarea sebanyak 12 kasus (100%), berat badan bayi kecil masa kehamilan sebanyak 9 kasus (75%), kematian maternal sebanyak 8 kasus (5.95%o), kematian perinatal sebanyak 2 kasus (1.52o/oo). Sebagai simpulan, hasil luaran preeklampsia berat dan eklampsia sesuai dengan kepustakaan bahwa nilai APGAR bayi yang tidak terlalu baik, sehingga mempengaruhi tingkat kematian perinatal. Kematian perinatal disebabkan oleh hipoksia intrauterin dan prematuritas.Kata Kunci: preeklampsia berat, eklampsia, AKI, AKP
Evaluasi Kasus Obstetri di Rumah Sakit Sebagai Pusat Rujukan Nasional Lumentut, Anastasia M.; Tendean, Hermie M. M.
Jurnal Biomedik : JBM Vol 12, No 3 (2020): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.12.3.2020.31472

Abstract

Abstract: This study aimed to evaluate obstetric cases referred to Prof. Dr. R. D. Kandou Central General Hospital Manado as a reference center in North Sulawesi. This study was a retrospective-descriptive study with all single delivery cases both vaginal and caesarean section delivery which had complete medical record data at January 1 – December 31, 2018 period in the Obstetrics Department of Prof. Dr. R. D. Kandou Hospital Manado. From the results of research, the number of single deliveries was 1357 cases of labor, with 629 vaginal delivery and 728 caesarean section. Distribution based on age, parity, birth weight, APGAR score and address by delivery between vaginal delivery and caesarean section had no significant differences (p > 0.05). Perinatal death was 37 cases (27.52 ‰), with 18 cases vaginal delivery (13.39 ‰) and 19 cases caesarean section (14.13 ‰). In the distribution of maternal deaths there were 1344 live births with 17 maternal deaths, thus the maternal mortality rate was 12.64 ‰. In conclusion, based on the analysis, there was no relationship between age, parity, birth weight, APGAR score, address with deliveryKeywords : referral, obstetrics, system, maternal.  Abstrak: Penelitian ini bertujuan mengevaluasi kasus-kasus obstetri yang dirujuk ke RSUP Prof. Dr. R.D. Kandou Manado sebagai pusat rujukan di Sulawesi Utara. Metode penelitian berupa tinjauan deskriptif retrospektif semua persalinan tunggal per vaginam dan seksio sesarea dengan menggunakan data rekam medik di Bagian Obstetri & Ginekologi RSUP Prof. Dr. R.D. Kandou Manado periode 1 Januari – 31 Desember 2018. Diperoleh hasil 1357 persalinan tunggal yang terdiri dari 629 persalinan per vaginam dan 728 persalinan seksio sesarea. Distribusi berdasarkan usia, paritas, berat badan lahir, APGAR skor dan alamat tempat tinggal dengan cara persalinan antara per vaginam dan seksio sesarea tidak terdapat perbedaan yang bermakna    (p > 0,05). Didapatkan angka kematian perinatal sebesar 37 kasus (27,52‰) yaitu per vaginam 18 kasus (13,39‰), sedangkan seksio sesarea 19 kasus (14,13‰). Terdapat 17 kasus kematian maternal dari 1344 kelahiran hidup, sehingga angka kematian maternal adalah 12,64‰. Sebagai simpulan, berdasarkan analisa, maka tidak ditemukan adanya hubungan antara umur, paritas, berat badan lahir, skor APGAR, alamat tempat tinggal dengan cara persalinan.Kata kunci: rujukan, obstetri, sistem, maternal
Sepsis and Septic Shock in Pregnancy Islamy, Nurul; Aziz, M. Alamsyah; Yonata, Ade; Lumentut, Anastasia M.; Maelissa, Merlin M.; Khaerunnisa P, Maya; Wirawan, Wahyudi
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.1863

Abstract

Sepsis during pregnancy is a critical condition that leads to organ dysfunction due to an abnormal response to infection. It remains a significant cause of maternal morbidity and mortality worldwide. The World Health Organization (WHO) reports a global prevalence of 4.4% of live births affected by maternal sepsis, with varying incidences across countries. Sepsis ranks among the top five causes of maternal deaths globally, contributing to 12.7% of pregnancy-related mortality in the United States. The physiological changes during pregnancy, such as increased blood volume and immune response modulation, create conditions that make pregnant individuals more susceptible to infections, complicating the timely diagnosis of sepsis. Due to these physiological differences, common sepsis screening tools like qSOFA and SOFA are often inadequate in pregnant patients, highlighting the need for specialized diagnostic and management strategies. Early detection and timely treatment are essential to improving maternal outcomes. Several screening tools, such as the Maternal Early Warning Trigger (MEWT) tool, have been designed to aid in the early identification of deteriorating maternal health. Once sepsis is suspected, prompt antibiotic therapy, fluid resuscitation, and vasopressor support are critical to prevent progression to septic shock. Additionally, controlling the infection source through surgical intervention or drainage may be necessary. Despite advances in sepsis management, challenges remain, particularly in identifying and treating sepsis in pregnant patients due to overlapping symptoms with normal pregnancy changes. Therefore, early recognition and appropriate intervention are key to reducing the impact of sepsis during pregnancy.
Co-Authors Ade Yonata, Ade Aziz, M. Alamsyah Devi, Delviana Eddy Suparman Hermie M. M. Tendean Khaerunnisa P, Maya Maelissa, Merlin M. Nurul Islamy Pamilangan, Edwin D. Wantani, John J. E. Wirawan, Wahyudi