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All Journal Berkala Kedokteran JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia)
Sabaruddin, Hermin
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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KARAKTERISTIK KEHAMILAN DENGAN KETUBAN PECAH DINI PRETERM DI RSUD ULIN BANJARMASIN Sabaruddin, Hermin; Muthaher, Chalid; AR, M. Robyanoor
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 6, No 1 (2019): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v6i1.6883

Abstract

ABSTRAKKetuban pecah dini (KPD) didefinisikan sebagai pecahnya selaput ketuban sebelum terjadinya persalinan yang terjadi pada atau setelah usia gestasi 37 minggu disebut KPD aterm atau premature rupture of membranes (PROM) dan sebelum usia gestasi 37 minggu atau KPD preterm atau preterm premature rupture of membranes (PPROM). Insiden ketuban pecah dini di Indonesia berkisar 4,5% sampai 7,6 % dari seluruh kehamilan. KPD Preterm terjadi pada terjadi pada sekitar 2-3% dari semua kehamilan tunggal dan 7,4% dari kehamilan kembar. Penelitian ini merupakan penelitian observasional analitik secara retrospektif deskriptif cross sectional. Pengambilan data diambil dari rekam medis pasien rawat inap kamar bersalin di RSUD.Ulin Banjarmasin pada periode januari– desember 2017. Pada penelitian ini menunjukkan bahwa sebagian besar variabel faktor risiko yaitu usia, pendidikan, usia kehamilan dan paritas menunjukkan hubungan terhadap kejadian KPD preterm. Hasil analisis menunjukkan terdapat hubungan yang signifikan pada usia ibu 18-20 tahun sebesar 63.6% dengan OR (95%CI)= 7.56 (6.206-7.687). Faktor risiko pada sampel pendidikan paling banyak pada tingkat pendidikan rendah sebesar 65,1% dengan OR (95% CI) = 7.244 (6.172-7.343) dibandingkan dengan ibu tingkat pendidikan tinggi sebesar 37.3%. Pada variable usia kehamilan sampel terbanyak ditemukan pada usia kehamilan 28-34 minggu sebanyak 100% dengan OR (95%CI) = 94.0 (78.2-130.3). Pada variabel paritas terbanyak pada multigravida yaitu 45.9% dengan OR (95%CI) = 2.26-2.32) namun hasil ini tidak signifikan dikarenakan p value >0.005. Ditemukan hubungan faktor risiko pada usia ibu 18-20 tahun, pendidikan rendah, dengan usia kehamilan 28-34 minggu, namun tidak signifikan pada paritas multigravida.Kata-kata kunci : Ketuban pecah dini preterm, kehamilan ABSTRACTPremature rupture of membranes (PROM) are defined as rupture of the membranes before the onset of labor and which occur at or after 37 weeks gestational age is called premature rupture of membranes (PROM) and before 37 weeks gestational age is called preterm premature rupture of membranes (PPROM). The incidence of premature rupture of membranes in Indonesia is from 4.5% to 7.6% of all pregnancies. Preterm KPD occurs at 2-3% of all single pregnancy and 7.4% of twin pregnancy. This study was a cross sectional descriptive observational analytic study. The data was taken from the medical records of Delivery Room in RSUD Ulin Banjarmasin at January-December 2017. In this study, the majority of risk factor, age, education, gestational age and parity showed a relationship to Insidence of PPROM. The results of the analysis showed that there was a significant relationship between the age of 18-20 years percentage was 63.6% with OR (95% CI) = 7.56 (6,206-7,687). The most sample at low education level was 65,1% with OR (95% CI) = 7.244 (6.172-7.343) compared to the high education level was 37.3%. Criteria for gestational age, the most samples were found at 28-34 weeks gestational age with percentage of PPROM was 100% with OR (95% CI) = 94.0 (78.2-130.3). Then at parity most Insidece in multigravida was 45.9% with OR (95% CI) = 2.26-2.32) but this result is not significant because p value> 0.005. We found a correlation between risk factors at maternal age 18-20 years, the low education and gestational age of 28-34 weeks, but not significant in multigravida parity.Keywords : Preterm premature rupture of membranes (PPROM), pregnancy
Characteristics of Congenital Fetal Abnormalities in Ulin General Hospital Banjarmasin, South Kalimantan Sabaruddin, Hermin; Ahyadi, Robyanoor; Abimanyu, Bambang; Widhiati, Ruth; Hariadi, Hariadi; Sauqi, Hardyan; Aqmal, Hendri
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.24989

Abstract

Congenital abnormalities are the leading cause of infant mortality and a significant contributor to child and adult morbidity. This study aims to analyze the characteristics and outcomes of fetuses with congenital abnormalities in a tertiary hospital. This study aims to determine the characteristics, influencing factors and a clearer picture of the prevalence and types of congenital abnormalities that occur at Ulin Banjarmasin Regional Hospital. This descriptive-retrospective study used secondary data from medical records collected between January 2022 and December 2024. A total of 85 congenital abnormalities were recorded over three years, with maternal ages ranging from 20 to 35 years, covering 58 (68.24%) cases. The majority of the mothers came from Tabalong Regency, South Kalimantan Province (n=19, 22.35%). Gestational age in the third trimester (>28 weeks) was found in 72 women (81.71%). The majority of respondents were multigravida (n=57, 67.06%). Caesarean section was the most common method of delivery (n=65, 76.47%). There were 51 respondents who had no history of congenital disease in the family (60.00%). The majority of respondents did not consume alcohol and smoke (n=79, 92.94% and n=75, 88.24%). Regarding folic acid consumption, 56 respondents (65.88%) did not consume it. The most common type of congenital disorder found was related to the nervous system with the largest proportion of 21 babies.
Conservative Management of Placental Abruption Wicaksono, Muhammad Adhitya; Ahyadi, Robyanoor; Abimanyu, Bambang; Widhiati, Ruth; Sabaruddin, Hermin
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.25133

Abstract

Placental abruption is a severe obstetric complication. This case involves a 43-year-old woman with chronic hypertension, severe preeclampsia, and IUGR at 26-27 weeks gestation. Underweight (BMI 18.1), she presented with suspected placental abruption, oligohydramnios, and fetal growth restriction. This study highlights the importance of early detection and a multidisciplinary approach in improving outcomes. The patient received conservative treatment, including magnesium sulfate, corticosteroids, antihypertensives, and nutritional support. Despite maternal stability, fetal IUGR, and hypoxia led to an emergency cesarean at 33-34 weeks. A 1055g baby girl was delivered with Apgar scores of 6, 7, and 8. Placental examination revealed retroplacental hemorrhage and calcification. This case emphasizes the importance of early diagnosis, intensive monitoring, and timely intervention in high-risk pregnancies with placental abruption and severe preeclampsia. A multidisciplinary approach is essential to improve maternal and neonatal prognosis.
Exploring the Link Between Severe Preeclampsia and Asymptomatic Urinary Tract Infections in the Third Trimester: A Cross-Sectional Study Abimanyu, Bambang; Budinurdjaja, Pribakti; Radam, M. Robyanoor Ahyadi; Putri, Ruth Widhiati Raharjo; Sauqi, Hardyan; Sabaruddin, Hermin; Vamela, Agatha
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.25138

Abstract

Urinary tract infection (UTI) is prevalent in women between 16 and 35 years old. UTI occurs in 2%-7% of pregnant women and affects the inflammatory process, which damages the vascular endothelium by decreasing nitric oxide (NO). This condition is evident in pregnant women with preeclampsia. This research aims to determine the relationship between urinary tract infections and preeclampsia in the third trimester of pregnancy in the delivery room at Ulin Regional Hospital Banjarmasin from January to December 2023. This study's design was cross-sectional observational using secondary data, including patient registers and medical record data. The sample included those who came in with labor, not labor and post-partum conditions for any causes and third-trimester pregnant patients diagnosed with UTI and Severe Preeclampsia in the delivery room of Ulin Regional Hospital, Banjarmasin and use chi-square test for each category. The 119 total pregnant patients with UTI in the third trimester arriving in the delivery room, 73 of them were diagnosed with preeclampsia. Most of them were under 35 yo. A total of 48 patients had multigravida status in all cases of UTI in preeclampsia in the third trimester of pregnancy. The chi-square analysis of the relationship and preeclampsia in pregnant women in the third trimester with p-value of 0.000, and the Odds ratio value was 4.4. Third-trimester pregnant women who suffer from urinary tract infections are 4.4 times more likely to experience preeclampsia.
Pregnancy with Hepatoblastoma Sabaruddin, Hermin; Abimanyu, Bambang; Radam, Muhammad Robyanoor Ahyadi; Widhiati, Ruth; Budinurdjaja, Pribakti; Salan, Yosef Dwi Cahyadi; Vamela, Agatha
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.24964

Abstract

Congenital hepatoblastoma is a rare primary liver malignancy that most commonly occurs in newborns with a prevalence of 1.2 -1.5 per million children per year. The etiology of congenital hepatoblastoma is unclear. Congenital hepatoblastoma is diagnosed in the fetal period and 3 months after birth. The ultrasound image revealed a heterogeneous hyperechoic mass in the liver lobe with clear boundaries and when the baby was born there was a clinical mass in the stomach, increased SGOT and SGPT and direct, indirect and total bilirubin and. Gold Standart diagnosis is based on histopathological examination. This study is a Case Report. A women 24 years old , 39-40 weeks gestasional age came PONEK Ulin Hospital with in labor. Patient came in condition active phase of labour with history of labor spontan vertex delivery. There is no congenital abnormalities history of family. During antenatal care, US at 35 weeks gestasional age result congenital anomaly regio abdomen suspected mesenterial mass. Baby born spontaneous delivery Male/2845g/47cm/AS 8-9-10 and do neonatologist evaluated US Lobus Hepar sinistra size 6.2 x 3.7cm susp hepatoblastoma and intraabdominal organs within normal limits. Laboratory result was SGOT and SGPT 106/26 ul, AFP >2000.00ng/ml, Bilirubin direct /indirect /total 0.9/10.9/11.9 mg/dl and FNAB result round cell tumor.Congenital hepatoblastoma is a rare primary malignancy of the liver in newborns and causes minimal complications during pregnancy but has severe consequences after birth. Postnatal treatment with surgery, chemotherapy and liver transplantation according to the severity of the hepatoblastoma lesion.
Co-Authors Abimanyu, Bambang Ahyadi, Robyanoor Aqmal, Hendri AR, M. Robyanoor Budinurdjaja, Pribakti Hardyan Sauqi Hariadi Hariadi Muthaher, Chalid Putri, Ruth Widhiati Raharjo Radam, M. Robyanoor Ahyadi Radam, Muhammad Robyanoor Ahyadi Salan, Yosef Dwi Cahyadi Vamela, Agatha Wicaksono, Muhammad Adhitya Widhiati, Ruth