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Journal : KESANS : International Journal of Health and Science

Understanding Hyperemesis Gravidarum, Urinary Tract Infection, and Total Placenta Previa: Threats in Early Pregnancy Gultom, Abitmer; Rombe, Claudia Valoryn Iona; Tanggo, Christian Ronald
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 9 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i9.375

Abstract

Introduction: Hyperemesis gravidarum is a condition of excessive vomiting during pregnancy, occurring before 20 weeks of gestation. Urinary tract infections (UTIs) involve infections affecting any part of the urinary tract, and pregnant patients are more susceptible to UTIs. Placenta previa is a condition where the placenta partially or completely covers the internal cervical os. These three conditions have significant impacts on maternal and fetal well-being, necessitating a thorough understanding of their pathophysiology, diagnosis, and appropriate management. Objective: To report a case of hyperemesis gravidarum, urinary tract infection, and total placenta previa in a 30-year-old female patient. Case Report: A 30-year-old G2P1A0 woman presented with complaints of vomiting more than 8 times per day and brownish spotting, later diagnosed with hyperemesis gravidarum, UTI, and total placenta previa. Result and Discission: Findings included ketonuria, bacteriuria, bleeding from a closed external cervical os, and ultrasound imaging showing the placenta covering the internal cervical os. Conclusion: The patient was hospitalized and received appropriate medical management.
G2P1A0 37-38 Weeks Pregnant with Cephalopelvic Disproportion, Previous Caesarean Section Scar and Anemia: Risk Factors, Prevention and Management - Case Report Gultom, Abitmer; Vilanda Sisthaningrum, Ni Made Evina; Prihantini, Nur Nunu
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.469

Abstract

Introduction: Cephalopelvic disproportion (CPD) is a labor-related condition caused by a mismatch between fetal size and maternal pelvic capacity, resulting in obstructed labor and potential maternal-fetal complications. It may arise from pelvic contraction, excessive fetal growth, or a combination of both. Objective: This study aims to report a case of cephalopelvic disproportion with a history of previous cesarean section and anemia in a 29-year-old pregnant woman. Method: A descriptive case-report approach was used. Clinical data were collected from medical records, including patient history, physical examination, laboratory results, and obstetric management procedures. Result and Discussion: The patient, gravida 2 para 1 abortus 0, presented with abdominal tightening, visual disturbances, and a known history of narrow pelvis and previous cesarean delivery. Examination confirmed cephalopelvic disproportion with anemia. Labor progression was stagnant, indicating mechanical obstruction. Cesarean section was performed successfully, and pharmacological treatment was administered to manage anemia and postoperative recovery. Conclusion: This case illustrates the importance of early identification and multidisciplinary management of cephalopelvic disproportion in patients with previous cesarean section and anemia to prevent maternal and neonatal complications