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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia MEDICINUS
Sri Pudyastuti
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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KARAKTERISTIK KLINIK DAN ANALISIS FAKTOR RISIKO YANG BERPERAN PADA DERAJAT KEPARAHAN INVASI PLASENTA ABNORMAL DI RSUP PERSAHABATAN PADA TAHUN 2015-2018 Yuri Feharsal; Yuyun Lisnawati; Sri Pudyastuti; Oni Khonsa; Tri Apriliawan; Botefilia; Nadia Nurfauziah; Kindy Agustin
Majalah Kedokteran Indonesia Vol 69 No 6 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v69i6.195

Abstract

Latar belakang: invasi plasenta abnormal adalah kondisi dimana plasenta memiliki implantasi yang mendalam di miometrium, dan pada beberapa kasus, hingga lapisan serosa uterus, hingga mengakibatkan perdarahan pascapersalinan dan meningkatkan kejadian kematian ibu. Tujuan: untuk mengidentifikasi prevalensi, karakteristik klinis dan rasio odds-nya terhadap peningkatan derajat keparahan dari invasi plasenta abnormal di RSUP Persahabatan dari tahun 2015 hingga 2018.Metode: kohort retrospektifHasil: dari tahun 2015 hingga 2018, prevalensi invasi plasenta abnormal adalah sebesar 0.8%. Faktor risiko yang meningkatkan derajat keparahan invasi plasenta abnormal adalah: usia di-atas 35 tahun (OR 1.6, 95% CI 0.41-6.24) dan riwayat seksio sesarea lebih dari 2 kali (OR 1.63, 95% CI 0.41-6.46). Makin parahnya invasi plasenta abnormal meningkatkan risiko ter-jadinya kehilangan darah selama operasi lebih dari 1000 ml (OR 2.13, 95% CI 0.52-8.76). Kesimpulan: prevalensi invasi plasenta abnormal di RSUP Persahabatan dari tahun 2015 hingga 2018 adalah sebesar 0.8%. Secara statistik, usia, riwayat seksio sesarea lebih dari 2 kali, volume kehilangan darah, dan durasi operasi ditemukan berhubungan dengan kasus invasi plasenta abnormal.
NAUSICAA Compression Suture of The Lower Uterine Segment in Morbidly Adherent Placenta Previa Case Arya Ady Nugroho; Sri Pudyastuti; Tri Apriliawan Bendarto Rahardjo
MEDICINUS Vol. 38 No. 12 (2025): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/gna3c076

Abstract

Background: Placenta accreta spectrum or morbidly adherent placenta occurs mostly on a previous cesarean scar when placenta fails to detach due to abnormal invasion of placenta in to the uterine wall. The incidence of morbidly adherent placenta increased in the past decade from 0.8 per 1000 deliveries to 3 per 1000 deliveries.1 The increase in the incidence is attributed to increase in cesarean deliveries from 1 in about 2500 births to 1 in 500 births.2  A recent retrospective study reported that the rate of accreta for previous 1, 2, 3, 4, and 5 cesarean deliveries was found to be 26.7%, 43.5%, 65.5%, 55.6%, and 66.7%, respectively.3 Case presentation: In this study, We present a case of thirty-one year-old gravida III para II, 36 weeks of gestasional age, presented to the outpatient clinic and diagnosed with adhesive total placenta previa on US exam. Patient underwent c-section continued with nausicaa uterine compreesion suture, intraoperative bleeding was 1100 cc, there was no complication. Conclusion: Fertility-sparing surgery for women with morbidly adherent placenta could be one of the options to be considered. Nausicaa suture is a simple and feasible alternative to hysterectomy in patients suffering from major PPH.
Co-Authors Arya Ady Nugroho Botefilia Kindy Agustin Nadia Nurfauziah Oni Khonsa Tri Apriliawan Tri Apriliawan Bendarto Rahardjo Yuri Feharsal Yuyun Lisnawati Yuyun Lisnawati