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Nurul Islamy
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Syok Hipovolemik pada Plasenta Previa Fina Fatmawati Prayitno; Nurul Islamy; M. Zulkarnain Hussein; Marzuqi Sayuti
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.63

Abstract

Placenta previa is associated with increased maternal and fetal morbidity and mortality, especially if caused by continuous bleeding, making an accurate diagnosis is very important. The incidence of hypovolemic shock in placenta previa is very likely to occur when bleeding occurs continuously and is not managed accordingly. A 31-years-old woman, G2P1A0 30 weeks, presents with vaginal bleeding without pain. In obstetric examination, it was found that the results of the inspection contained vaginal bleeding, the results of the inspecular were positive fluxes with inactive blood from the external uterine ostium. Laboratory investigations found that the hemoglobin level was 10.2 g / dl. The patient was diagnosed with placenta previa totalis via ultrasonography. During the treatment the patient experienced worsening of symptoms resulting in hypovolemic shock. Management of these patients is carried out immediately and consideration of termination of pregnancy. Proper diagnosis and management will be the modality of reducing maternal and fetal morbidity and mortality. End a pregnancy when symptoms worsen, should always be considered an option in the treatment of placenta previa even though the pregnancy is not yet months.
COVID-19 pada Kehamilan: Apakah berbahaya? Hanifa Salma Ramadhani; Nurul Islamy; Ade Yonata
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.74

Abstract

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which spread rapidly throughout the world. These health emergencies, especially deadly in vulnerable populations and communities where health care providers are not adequately prepared to manage this infection. Pregnant women and fetuses represent high-risk populations in this pandemic. Study this article compiled using the literature review method, derived from journals and books resulting from literature searching from search engines (Google and Google Scholar) and electronic source of database (PubMed). There are 37 references reviewed in this article review. A challenge in treating pregnant patients affected by SARS-CoV-2. The explanation in the review of this article is to present a discussion of COVID-19 in pregnancy, intrauterine transmission, and fetal complications in the mother. Fetal health is something that must be taken into consideration during labor In addition, it needs to be focused on the safety of health workers in treating COVID-19 patients. COVID-19 in pregnancy is dangerous for mothers and infants, mothers with COVID-19 have clinical airway symptoms that will aggravate the state of pregnancy, for infants if intrauterine transmission occurs, COVID-19 in infants will cause ARDS (acute respiratory distress syndrome) so endangering lives. The clinical characteristics of pregnant women with COVID-19 are similar to non-pregnant adults. Fetal and neonatal outcomes appear to be good in some cases, but available data only cover pregnant women infected in the third trimester.
Hipertensi Kronis Superimposed Preeklampsia dengan Impending Eklampsia dan Partial HELLP Syndrome Dila Aulia; Nurul Islamy; Ade Yonata
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.79

Abstract

Hypertension in pregnancy is defined as systolic blood pressure of 140 mmHg or more or diastolic blood pressure of 90 mmHg or more. Preeclampsia is a new onset hypertension (blood pressure> 140 mmHg systolic and / or> 90 mmHg diastolic) after 20 weeks and proteinuria or in the absence of proteinuria. Chronic hypertension with superimposed preeclampsia is a chronic hypertension sufferer who has preeclampsia. Ten million women worldwide experience preeclampsia every year. Of these cases, 7,600 pregnant women die each year due to preeclampsia and related hypertension disorders. Preeclampsia accompanied by prodomal sign is called impending eclampsia. HELLP syndrome is a collection of symptoms that include hemolysis, elevated liver enzymes, and platelet counts that are less than the lower limit. The method used is a case report with analysis of primary data obtained from symptoms, physical examination and laboratory examination showing hemoglobin 11.2 g / dL, platelets 156,000 / µL, lactate dehydrogenase (LDH): 687 / µL and urine examination showed 500 mg results / dL. Ultrasonography (USG) on 26 October 2019 obtained a single live fetal head presentation, 26-27 weeks gestation, fetal weight 976 grams, congenital hydrocephalus abnormalities, sufficient amniotic fluid. Ultrasound on 04/10/2019 found a single fetus alive head presentation, 30 weeks gestation, congenital hydrocephalus abnormalities, normal membranes. There are risk factors associated with the onset of preeclampsia in these patients, namely a history of hypertension, old age, and BMI. In this case expectative management was chosen because in patients with preterm pregnancy <34 weeks.
G4P3A0 Hamil 30 Minggu Belum Inpartu dengan Partus Prematurus Imminens dan Ketuban Pecah Dini Putu A.L Amrita Kirana; Nurul Islamy; Ade Yonata
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.94

Abstract

Imminent preterm is the presence of a threat in pregnancy with emergence signs in 20 weeks-37 weeks. Preterm premature rupture of membrane is rupture of chorioamniotic membrane before the onset of childbirth and occurs in gestational age less than 37 weeks.. This study is a case report. A 34 years old woman with preterm pregnancy come with complained of the release of amniotic fluid that is odorless and can not be held from seven hours before entering hospital and accompanied by two days before entering hospital. It is accompanied by pain that intermitently radiating to the waist but still rare. From physical examination found moderate sick in general condition, compos mentis, BP 120/70mmHg, pulse 100 x/min, respiratory rate 20 x/min, temperature 36,6oC. General examination within normal limits. In obstetric examination found that fundus uteri is 3 finger under proccesus xiphoideus (26 cm), his (+) 2x in 10 minutes duration 10-12 seconds, fetal heart rate 144 x/min. In inspekulo examination found that portio is livid, OUE closed, amniotic fluid (+) not active, erosion/laseration/polip (-), lakmus (+) red to blue. Vaginal toucher not performed in this patient. The diagnosis are G4P3A0 in 30 weeks pregnancy, not inpartu yet, with imminent preterm and premature rupture of membrane. Patient planned conservative therapy such as observation of his, fetal heart rate, and vital signs mother, IVFD RL gtt x x/min, dexamethasone 2x10 mg, nifedipine 4x10 mg, cefadroxil 2x500mg.
Co-Authors Ade Yonata Dila Aulia Fina Fatmawati Prayitno Hanifa Salma Ramadhani M. Zulkarnain Hussein Marzuqi Sayuti Putu A.L Amrita Kirana