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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat Compromise Journal : Community Proffesional
Normala, Ajeng
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Health Professions Public Health

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PENDEKATAN DIAGNOSIS PLASENTA AKRETA : LAPORAN KASUS Ginting, Silvie Anastasya; Normala, Ajeng
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.31833

Abstract

Plasenta akreta spektrum (PAS) merupakan suatu kondisi terjadinya abonrmalitas perlekatan plasenta dimana trofoblas melakukan invasi (sebagian ataupun seluruhnya) secara abnormal ke dalam miometrium uterus merupakan suatu kondisi seseorang mengalami plasenta akreta. Kerusakan apapun yang terjadi sebelumnya pada endometrium merupakan faktor risiko terjadinya PAS, riwayat persalinan sesar sebelumnya merupakan faktor risiko terumum. Angka kematian akibat PAS diperkirakan mencapai 7%. Angka tersebut dipengaruhi oleh berbagai hal seperti kurangnya pengalaman tenaga kesehatan akan pendekatan diagnosis plasenta akreta dan teknik bedah yang tidak memadai sehingga menyebabkan perdarahan hebat dan kematian. Pentingnya pendekatan diagnosis plasenta akreta meliputi anamesis, pemeriksaan fisik serta pemeriksaan penunjang seperti pencitraan. Telah disajikan kasus plasenta akreta dengan riwayat tindakan kuretase setahun sebelumnya dalam laporan kasus ini pada pasien berusia 39 tahun G7P4A2, usia kehamilan 36 minggu mengeluhkan keluar darah dari jalan lahir sejak 20 jam lalu disertai rasa mulas. Pemeriksaan abdomen didapatkan striae, linea nigra, TFU 28 cm, kontraksi 3x/10 menit. Pemeriksaan leopold didapatkan janin tunggal, hidup, intrauterine, presentasi kepala, letak membujur dengan punggung di sebelah kanan, dan kepala belum masuk pintu atas panggul.  Detak jantung janin 130x/menit. Pemeriksaan laboratorium didapatkan leukositosis. Hasil USG obstetri menunjukkan gambaran plasenta letak rendah dan tali pusat terkemuka. Didapatkan diagnosa plasenta akreta setelah pasien dilakukan tindakan sectio caesarea diikuti dengan histerektomi
Evaluasi Status Hemoglobin dan Hematokrit Masyarakat Sebagai Indikator Awal Status Kesehatan Masyarakat di Kelurahan Tanjung Duren Selatan Normala, Ajeng; Santoso, Alexander Halim; Destra, Edwin; Alvianto, Fidelia; Soebrata, Linginda; Setia, Nicholas
Compromise Journal : Community Professional Service Journal Vol. 3 No. 2 (2025): Compromise Journal : Community Proffesional Service Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/compromisejournal.v3i2.751

Abstract

Hemoglobin and hematocrit examinations serve as important early indicators of hematological status, reflecting the blood’s capacity to transport oxygen. A decrease in these two parameters leads to anemia, which is often undetected due to minimal early symptoms and low awareness to undergo examinations. This activity was carried out using the Plan-Do-Check-Act (PDCA) approach, by examining hemoglobin and hematocrit levels in adult participants. Capillary blood samples were analyzed using a portable device at the examination location. Education was delivered through leaflets regarding the importance of iron, vitamin B12, and folate intake to support erythrocyte formation. The examination was attended by 104 participants, the majority of whom were women. The average hemoglobin was recorded as approaching the lower limit of normal values, while hematocrit levels showed wide variations. More than half of the participants were classified as having anemia. This high proportion of anemia highlights the urgent need for targeted nutritional education. Hemoglobin and hematocrit screening proves effective as an early detection tool for hematological disorders. Education that is linked to laboratory findings should be prioritized to promote improved dietary patterns, particularly the consumption of iron-rich foods, vitamin B12, and folate, in order to prevent erythropoietic dysfunction and long-term health complications.
Co-Authors Alvianto, Fidelia Destra, Edwin Ginting, Silvie Anastasya Santoso, Alexander Halim Setia, Nicholas Soebrata, Linginda