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Sosialisasi Penanganan Permasalahan Sistem Reproduksi Dan Infertilitas Pada Wanita Melalui Webinar Sembiring, Julina; Kadir, Dalimawaty; Sukatendel, Khairani
Window of Community Dedication Journal Vol.02 No.01 (Juni, 2021)
Publisher : Pusat Kajian dan Pengelola Jurnal Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/wocd.vi.610

Abstract

Disorders of the female reproductive organs can be caused by many things. If left untreated, some of these diseases of the female reproductive system can even increase a woman's risk of experiencing fertility problems. The female reproductive system consists of the labia majora, labia minora, Bartholin's glands, clitoris, vagina, uterus or uterus, ovaries (ovaries), and fallopian tube. The female reproductive system is a very complex body system, so steps are needed to protect this system from infection and injury. In addition, it is necessary to prevent problems that may occur in the female reproductive system, including long-term health problems. Maintaining the reproductive system is the same as maintaining personal health, especially during pregnancy. This service activity aims to increase public knowledge about the Handling of Reproductive System Problems and Infertility in Women. The method used is socialization through a webinar entitled "Handling Reproductive System Problems and Infertility in Women by using the Zoom application, adjusted to the current situation of the Covid 19 pandemic. The webinar activity was attended by 130 participants, consisting of 2 presenters, 1 lecturer as moderator, and 127 midwives from the hospital working area of ​​North Sumatra. After the webinar was conducted, Improving the Skill / skills of midwives to detect problems with women's health, being able to provide first aid in reproductive health cases and Motivating all participants that midwives are able to continue to stand and provide services for future generations
Predictive biomarkers of preeclampsia severity in a low resource setting: Role of red blood cell indices, NLR, and albumin-to-creatinine ratio Tobing, Immanuel DL.; Lumbanraja, Sarma N.; Lintang, Letta S.; Edwar, Rafli R.; Adenin, Ichwanul; Lubis, Muara P.; Sukatendel, Khairani; Suarthana, Eva
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.729

Abstract

Preeclampsia (PE), a serious medical condition with substantial maternal and perinatal implications, poses a significant challenge, particularly in high-incidence countries like Indonesia. Red blood cell (RBC) indices, neutrophil-to-lymphocyte ratio (NLR), and microalbuminuria (albumin-to-creatinine ratio (ACR)) may signal systemic inflammation and endothelial dysfunction, recently recognized as potential indicators for diagnosing and predicting disease severity. The aim of this study was to analyze RBC indices, NLR, and ACR changes in women with PE and their potential for predicting disease severity. A cross-sectional study was conducted at multi-center hospitals across Medan, Indonesia, from June 2022 to June 2023. The patients were grouped into PE cases with and without severe features. Demographic characteristics and complications were recorded while blood and urine were tested. The Chi-squared test, Fisher's exact test and Mann-Whitney test were used to determine biomarkers associated with severe PE. A total of 208 PE patients were included in the study (104 patients for each PE with and without severe features). Our data indicated that PE patients with severe features had higher red cell distribution width (18.5% vs 13.7%; p<0.001), NLR (5.66% vs 4.1%; p<0.001), and ACR (755.97 mg/dL vs 468.63 mg/dL; p<0.001) compared to those without severe features. In contrast, the platelet count was lower in severe features than those without (21.9 × 106/µL vs 27.0 × 106/µL; p=0.002). This study highlighted that PE patients with severe features predominantly had higher levels of RDW, NLR, and ACR and lower platelet counts compared to those without severe features. Therefore, basic tests such as complete blood count and urinalysis, which are inexpensive and feasible in primary care settings with limited resources, offer hope as valuable diagnostic biomarkers for pregnant women diagnosed with PE in a low resource setting.
Sosialisasi Penanganan Permasalahan Sistem Reproduksi Dan Infertilitas Pada Wanita Melalui Webinar (Focus on IMS, Miom, PCOS, Radang Panggul dan Infertilitas) Br Sembiring, Julina; Kadir, Dalimawaty; Sukatendel, Khairani
Window of Community Dedication Journal Vol. 2 No. 1 (Juni, 2021)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/wocd.v2i1.1759

Abstract

Gangguan pada organ reproduksi wanita ini bisa disebabkan banyak hal. Jika tidak diobati, beberapapenyakit pada sistem reproduksi wanita ini bahkan dapat meningkatkan risiko wanita untukmengalami masalah kesuburan. Sistem reproduksi wanita terdiri dari labia mayora, labia minora,kelenjar Bartholin, klitoris, vagina, uterus atau rahim, ovarium (indung telur), dan tuba falopi. Sistemreproduksi wanita merupakan sistem tubuh yang sangat kompleks, maka diperlukan langkah untukmenjaga sistem ini dari infeksi dan cidera. Selain itu, perlu dilakukan juga pencegahan terhadapmasalah yang mungkin terjadi pada sistem reproduksi wanita, termasuk masalah kesehatan jangkapanjang. Menjaga sistem reproduksi sama halnya menjaga kesehatan diri, terutama saat kehamilan.Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan masyarakat mengenaipenanganan permasalahan sistem reproduksi dan infertilitas pada wanita. Metode yang digunakanyaitu sosialisasi melalui webinar dengan judul” Penanganan Permasalahan Sistem Reproduksi DanInfertilitas Pada Wanita dengan menggunakan aplikasi Zoom, disesuaikan dengan situasi pandemicCovid 19 yang sedang terjadi pada saat ini. Kegiatan webinar diikuti oleh 130 orang peserta, terdiridari 2 orang pemateri, 1 orang Dosen sebagai moderator, dan 127 orang Bidan dari wilayah kerjaRumah Sakit Se-Sumatera Utara . Setelah dilakukan webinar diharapkan dapat meningkatkanSkill/keterampilan bidan untuk mendeteksi adanya permasalahan kespro terhadap wanita, mampumemberikan pertolongan pertama pada kasus kesehatan reproduksi serta memotivasi seluruh pesertabahwa bidan mampu terus berdiri dan memberi pelayanan dalam generasi mendatang.
Effect of Nigella sativa seed extract on estradiol, FSH levels, and vaginal maturity index in menopausal women: A randomized controlled trial Sukatendel, Khairani; Hasibuan, Reni H.; Siregar, Muhammad FG.; Faradina, Dwi; Edianto, Deri; Lintang, Letta S.; Rusda, Muhammad; Inriani, Vega
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.1399

Abstract

Nigella sativa seed extract has been shown to have a significant effect on endometrial thickness and vaginal cytology in ovariectomized animal models, suggesting potential benefits for managing menopausal symptoms. However, to the best of the author’s knowledge, no human studies have been done to support these conclusions. The aim of this study was to investigate the effects of N. sativa seed extract on estradiol, follicle-stimulating hormone (FSH), and the vaginal maturity index (VMI) in postmenopausal women. A single-blinded, randomized placebo-controlled experiment was carried out at Haji Adam Malik Hospital, Medan, Indonesia, with 50 eligible postmenopausal women patients randomized into three groups. Group 1 received a placebo, while groups 2 and 3 were given N. sativa seed extract at 910 mg/day and 1,365 mg/day, respectively. All participants were blinded to the treatment they received. The study used Shad Nigella Plus, an Indonesian herbal medicine containing 455 mg of N. sativa seed extract per capsule. Before the treatments, estradiol levels, FSH levels, and VMI were measured at baseline and remeasured after eight weeks of treatment. Two participants in the intervention group withdrew due to nausea, a reported side effect of N. sativa seed extract consumption. Both treatment groups showed significant increases in estradiol levels (p=0.01 and p=0.001) and VMI (p=0.004 and p=0.001) after eight weeks of daily N. sativa seed extract administration compared to the placebo group. However, no significant differences were found between the two doses in estradiol levels and VMI (p=0.12 and p=0.673, respectively). Moreover, FSH levels showed no significant difference throughout both interventions (p=0.53 and p=0.96, respectively). In conclusion, twice-daily N. sativa seed extract at 910 mg/day or 1,365 mg/day for eight weeks significantly increased estradiol levels and VMI in menopausal women but had no significant effect on FSH levels. These findings support the potential role of N. sativa seed extract as a natural treatment for menopausal symptoms.
Effects of vitamin D supplementation on salivary cortisol and psychological health among postmenopausal women: A pilot quasi-experimental study Syahdema, Muhammad F.; Siregar, Muhammad FG.; Nasution, Hiro HD.; Prabudi, Muhammad O.; Marpaung, Johny; Sukatendel, Khairani
Narra X Vol. 3 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v3i2.224

Abstract

Menopause is a significant life transition often accompanied by mood disturbances, many of which are linked to cortisol levels and hypothalamic–pituitary–adrenal (HPA) axis dysregulation. Vitamin D deficiency is highly prevalent in postmenopausal women and shares overlapping adverse outcomes with menopausal symptoms. This study aimed to investigate the effect of vitamin D supplementation on salivary cortisol levels and psychological symptoms in postmenopausal women. This pilot study employed a quasi-experimental design, recruiting 32 postmenopausal women via consecutive sampling from the study population in Kwala Bekala Village, Medan Johor District. Participants were consecutively added into two groups, receiving either 1000 IU or 2000 IU of vitamin D daily for one month. Salivary cortisol levels and Depression, Anxiety, and Stress Scale (DASS) scores were measured before and after the intervention.  The findings revealed that serum 25(OH)D levels increased significantly in both groups, with higher post-supplementation levels in the 2000 IU group than in the 1000 IU group (28.94±5.86 ng/mL vs 24.13±5.28 ng/mL, p=0.021). Salivary cortisol decreased in both groups, with a greater reduction observed in the 2000 IU group (median Δ=9.55 ng/mL vs mean Δ=4.92±4.29 ng/mL, p=0.032). Psychological symptoms measured by DASS scores also improved significantly, with the 2000 IU group showing a larger reduction (mean Δ=11.31±6.65 vs median Δ=3.5, p=0.022). Vitamin D supplementation at both 1000 IU and 2000 IU effectively reduced salivary cortisol and improved psychological symptoms in postmenopausal women. Due to differences in baseline characteristics, caution is warranted when inferring clear dose superiority.
Hubungan Kadar Hemoglobin Pada Ibu di Trimester III Kehamilan Dengan Kejadian Perdarahan Pascapersalinan di RSUP Haji Adam Malik Medan Paramita, Bella Fitriah; Sukatendel, Khairani
SCRIPTA SCORE Scientific Medical Journal Vol. 2 No. 2 (2021): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v2i2.3375

Abstract

Background: The maternal mortality rate in Indonesia in 2015 according to the Indonesian Demographic and Health Survey (IDHS) is still high at 305 per 100,000 live births. The highest cause of maternal mortality since the last decade is due to bleeding which is 30.3% and postpartum hemorrhage is the most frequent obstetric bleeding. One of the risk factors is anemia in pregnancy. Objectives: This study aims to determine the relationship between hemoglobin levels in mothers in the third trimester of pregnancy with the incidence of postpartum hemorrhage in RSUD Haji Adam Malik Medan. Methods: This study was an analytical research study with a case-control design, using secondary data derived from medical records at RSUP Haji Adam Malik Medan in 2017 – 2018. The study sample was determined using a purposive sampling method of all medical record data that met the study criteria and then analyzed using the chi-square test. Results: From 36 mothers had postpartum hemorrhage (case group) was found that mothers who had experienced postpartum hemorrhage with anemia (Hb < 11 g/dl) in the third trimester of pregnancy as many as 30 people (83,3%) and which had normal Hb (Hb > 11 g/dl) in the third trimester of pregnancy as many as 6 people (16,7%). From the chi-square test had a significant result (p= 0.000; OR = 7.000). Conclusion: There is an association between hemoglobin levels in mothers in the third trimester of pregnancy with the incidence of postpartum hemorrhage. Keywords: hemoglobin levels, postpartum hemorrhage, vaginal delivery   Latar Belakang: Angka Kematian Ibu di Indoensia pada tahun 2015 masih tinggi yaitu sebesar 305 per 100.000 kelahiran hidup. Penyebab kematian ibu tertinggi sejak satu dekade terakhir adalah karena perdarahan yaitu sebesar 30,3% dan perdarahan pascapersalinan adalah perdarahan obstetri yang paling sering terjadi. Salah satu faktor penyebabnya adalah anemia pada ibu hamil. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan kadar hemoglobin pada ibu di trimester III kehamilan dengan kejadian perdarahan pascapersalinan. Metode: Penelitian ini menggunakan desain penelitian case control, menggunakan data sekunder yaitu rekam medik di RSUP Haji Adam Malik Medan tahun 2017 – 2018. Sampel penelitian dipilih dengan metode purposive sampling dari seluruh data rekam medik ibu dengan persalinan spontan pervaginam yang memenuhi kriteria penelitian lalu dianalisis menggunakan uji chi-square. Hasil: Dari 36 ibu dengan persalinan spontan pervaginam yang mengalami perdarahan pascapersalinan (data kasus) ditemukan bahwa ibu dengan persalinan spontan pervaginam yang mengalami perdarahan pascapersalinan dengan kadar Hb < 11 g/dl di trimester III kehamilannya sebanyak 30 orang (83,3%) dan yang dengan kadar Hb > 11 g/dl di trimester III kehamilannya sebanyak 6 orang (16,7%). Uji chi-square menunjukkan hasil yang signifikan (p = 0,000; = 7,000). Kesimpulan: Terdapat hubungan antara kadar hemoglobin pada ibu di trimester III kehamilan dengan kejadian perdarahan pascapersalinan. Kata Kunci: kadar hemoglobin, perdarahan pascapersalinan, persalinan spontan pervaginam
Hubungan antara Faktor Stres dan Siklus Menstruasi pada Mahasiswi Fakultas Kedokteran Universitas Sumatera Utara Nainggolan, Bahagia W.M.; Sukatendel, Khairani
SCRIPTA SCORE Scientific Medical Journal Vol. 3 No. 1 (2021): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v3i1.6585

Abstract

Background: Stressor is defined as the agent inducing the response of stress. Stress can give a negative impact on cognitives, physiological, and behavioral aspects. One of the effects of stress that can be occur is menstrual cycle disorder. Objectives: To know how is the relationship between stressors and menstrual cycle on medical students in Faculty of Medicine, University of Sumatera Utara. Method: This study used an analytic method with a cross sectional design. The study population was medical students in Faculty of Medicine, University of Sumatera Utara. The data was collected by filling The MSSQ questionnaire and the menstrual data that had been given to respondents if only the inclusion and exclusion criteria was met and used consecutive sampling for the methods. Results: From 80 respondents, the results obtained by Kendall’s Correlation p>0,05 for correlation each stressors with menstrual cycle which means that there is no significant relationship between stressors and menstrual cycle. Conclusion: From this study it can be concluded that there is no significant relationship between stressors and menstrual cycle on medical students in Faculty of Medicine, USU. Keywords: menstrual cycle, stress, stressor   Latar Belakang: Stresor adalah suatu hal yang dapat diidentifikasikan sebagai penyebab timbulnya stres. Stres dapat memberikan dampak negatif dalam aspek kognitif, fisiologi, dan perilaku. Salah satu dampak dari stres yang dapat terjadi adalah gangguan siklus menstruasi. Tujuan: Mengetahui pengaruh faktor stres terhadap siklus menstruasi pada mahasiswi Fakultas Kedokteran Universitas Sumatera Utara. Metode: Metode yang digunakan dalam penelitian ini adalah metode analitik dengan desain cross-sectional. Penelitian dilakukan pada mahasiswi Fakultas Kedokteran Universitas Sumatera Utara. Pengumpulan atau pengambilan data untuk diteliti dilakukan menggunakan kuesioner Medical Student Stressor Questionnaire (MSSQ) dan data siklus menstruasi yang diberikan kepada responden dengan syarat memenuhi kriteria inklusi maupun kriteria eksklusi yang telah ditetapkan serta menggunakan consecutive sampling sebagai metode yang digunakan. Hasil: Dari 80 responden, didapatkan hasil uji Kendall’s Correlation (p>0.05) untuk setiap hubungan faktor stres dengan siklus menstruasi yang berarti tidak ada hubungan yang signifikan antara faktor stres dengan siklus menstruasi. Kesimpulan: Dari penelitian ini disimpulkan bahwa tidak terdapat pengaruh yang signifikan antara faktor stres dengan siklus menstruasi pada mahasiswi Fakultas Kedokteran Universitas Sumatera Utara. Kata Kunci: siklus menstruasi, stres, stresor
The Relationship Between Knowledge and the Utilization of the Maternal and Child Health (MCH) Book Among Pregnant Women at Tanjung Rejo Public Health Center, Deli Serdang Regency Hamonangan Sihombing, Rahmat Jody; Sukatendel, Khairani; Rangkuti, Deske Muhadi; Mayasari, Evita; Hasiana Siburian, Miranda Olivia
Eduvest - Journal of Universal Studies Vol. 5 No. 11 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i11.52192

Abstract

Maternal Mortality (MMR) is still a global health problem that needs serious attention. In 2022, Deli Serdang Regency was recorded to have the highest AKI in North Sumatra Province, which was 16 per 42,363 live births. One of the efforts that can be made to reduce this number is by using the Maternal and Child Health Book (KIA). This study aims to analyze the relationship between the level of knowledge of pregnant women and the use of KIA books at the Tanjung Rejo Health Center, Deli Serdang Regency. This study uses an analytical observational design with a cross-sectional approach. A total of 100 pregnant women became respondents to the study. Data was collected through questionnaires, then analyzed using the Spearman statistical test. The use of KIA books is assessed through indicators of readability, comprehension, and application of information, while mother's knowledge is measured through the level of mastery of the content of KIA books. The results showed that the majority of pregnant women were at healthy reproductive age (55%), poorly educated (72%), unemployed (89%), and had high parity (56%). Most respondents (73%) fall into the category of poor utilization of KIA books, while 79% have a low level of knowledge. Statistical analysis showed a significant relationship between the level of knowledge of pregnant women and the use of KIA books (p = 0.001). The use of KIA books in pregnant women is significantly influenced by the level of knowledge.