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PENGGUNAAN SELAPUT AMNION SEGAR PADA INSISI LUKA OPERASI SEKSIO SESAREA Adnani, Syahredi Syaiful; Bachtiar, Hafni
Andalas Obstetrics And Gynecology Journal Vol. 1 No. 2 (2017)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.1.2.47-55.2017

Abstract

In the last few decades, the incidence of caesarean section is increasing in the world, especially in Indonesia. One of the way to treat tissue scar is through biologic and synthetic dressing where nowadays, amnion has been used as biologic dressing frequently. This study was conducted to determine the effect of the use of fresh amniotic membrane on wound incision Caesarean section compared with Caesarean section incision wound covered using regular gauze bandages and fixated with plaster in RS. Dr. Reksodiwiryo Padang. The design of this study is an experimen-tal study with Post test design with control group design. Sampling was done using a formula consecutive sampling two different test samples obtained an average of 72 people for each group. The analysis used include univariate and bivariate analyzes. The average wound healing time the difference was statistically significant (p value <0.05) in the treatment and control groups. There was highly significant difference in the proportion of local infection on day 3 between the treatment and control groups (p value <0.05). There were very significant differences in the proportion of local allergic reactions at day 3, and 5 between the treatment and control group (p <0.05). There are significant differences in terms of the cost of care per day between treatment and control groups (p <0.05). From this study, the average wound healing time has a very significant difference.Keywords: Fresh Amniotic Membrane, Wound Cesarean Section, Wound Healing
PERBEDAAN TINGKAT PENGETAHUAN IBU HAMIL PRIMIGRAVIDA YANG MELAKUKAN KUNJUNGAN ANTENATAL PADA DOKTER SPESIALIS OBGYN DENGAN BIDAN DI KOTA PADANG Apriani, Susanti; Adnani, Syahredi Syaiful; Bachtiar, Hafni
Andalas Obstetrics And Gynecology Journal Vol. 3 No. 2 (2019)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.3.2.104-111.2019

Abstract

The maternal mortality rate in Indonesia Demographic and Health Survey (IDHS) 2012, increased sig- nificantly to 359 per 100,000 births hidup.1 Obtained in Household Health Survey (Survey) 2001 mater- nal mortality rate can be lowered only by basic health services such as antenatal. Based on a UNICEF report, only about 45% were informed about the signs of pregnancy complications. This research was conducted to determine the cross sectional differences in the level of knowledge of pregnant women who had antenatal care at obstetricians and midwives in the city of Padang. Primigravida pregnant women who visit antenatal care at obstetricians and midwives in Padang City, amounting to 73.8% have a high level of knowledge. There were no differences in the level of knowledge of pregnant women who had antenatal care at obstetrician (p> 0.05)Keywords: Antenatal, Midwives, Obstetrician, knowledge
Hubungan Tingkat Stres dengan Gejala Vaginitis pada Mahasiswi Program Studi Kedokteran FK UNAND 2019 Megawati, Melsi; Adnani, Syahredi Syaiful; Rahman, Sukri
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.62-69.2020

Abstract

Objective: determine the relationship between stress levels with symptoms of vaginitis in medical students at the Faculty of Medicine, Andalas University batch 2019.Method: was observational analytic with cross-sectional approach. Sampling was conducted by non-probability sampling. The sample was 140 by conducting a guided interview on 140 female students of the Medical Education Faculty of Andalas University batch 2019. The stress level of the female students was measured by a stress questionnaire from the Depression Anxiety Stress Scale (DASS 42) and vaginitis symptoms questionnaire. Data analysis used Chi-Square test.Result: more than half of respondents which is 71 respondents (50,6%) has stress. Then, moderate stress levels is the largest percentage, that is 31 respondents (43,6%). Most respondents, 121 respondents (86.4%) have experienced symptoms of vaginitis. The statistical test results obtained p-value = 0.943.Conclusion: more than half of repondents has stress and most respondents have experienced symptoms of vaginitis. The p-value showed that there is no significant relationship between stress levels and symptoms of vaginitis.Keywords: Stress, vaginitis, adolescent
Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest Dewi, Madona Utami; Adnani, Syahredi Syaiful; Taslim, Emilzon
Andalas Obstetrics And Gynecology Journal Vol. 4 No. 2 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.2.218-230.2020

Abstract

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as “4 H and  4 T” (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation
Women's Sexuality and Relationship with Hysterectomy Marni, Herti; Adnani, Syahredi Syaiful
Andalas Obstetrics And Gynecology Journal Vol. 4 No. 2 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.2.241-250.2020

Abstract

Sexuality is the most complex component, fundamental and main aspects of human behavior and life. Expressions of sexuality and intimacy are important throughout human life.Sexuality itself includes sex, gender identity and role, sexual orientation, eroticism, satisfaction, intimacy and reproduction. Sexuality is experienced and expressed through thoughts, fantasies, beliefs, attitudes, values, behavior, roles and relationships. Although sexuality includes the above dimensions, not everything can be experienced and expressed by everyone. This is influenced by biological, psychological, social, interactions economic, political, cultural, ethical, legal, religious and spiritual. Hysterectomy is a surgical removal of the uterus, which can be done by vaginal, abdominal, laparoscopic and robotic routes. The definition of "total hysterectomy" is a surgical procedure to remove the entire uterus with its cervix. In total hysterectomy is also accompanied by suturing in the cervix which will leave scar tissue. the uterine ligament is released, the uterosacral ligament cardinal that was previously attached to the cervix is sewn to the side of the vagina to hold the vagina in place. Three main changes after hysterectomy are anatomical changes, hormonal changes, and psycological changes. Hysterectomy effects women’s sexuality on various ways including sexual desire, sexual arousal, dan orgasmKeywords: sexuality, hysterectomy