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All Journal Science Midwifery Cermin Dunia Kedokteran
Sutanto, Reynardi Larope
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Dentistry Health Professions Nursing Public Health Veterinary

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High-grade myopia and vaginal delivery: A narrative review Sumual, Vera; Chandra, Angelina Patricia; Sutanto, Reynardi Larope
Science Midwifery Vol 12 No 4 (2024): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i4.1700

Abstract

This narrative review explores the risks and management considerations of vaginal delivery in individuals with high-grade myopia, a condition associated with potential complications like retinal detachment and choroidal neovascularization. Utilizing 24 references, the review follows a modified rapid literature review model as outlined by Tjoa and Sutanto (2024). Eleven core studies out of an initial 234, including case reports and retrospective studies, were analyzed in the final qualitative assessment. The findings suggest that high-grade myopia, by itself, generally does not require cesarean section (C-section), and vaginal delivery is considered safe for most patients, provided there is regular ophthalmological monitoring throughout pregnancy. There is no strong evidence supporting a universal recommendation for C-section solely due to high myopia, except in the presence of severe complications, such as choroidal neovascularization. The review emphasizes individualized care, with delivery mode decisions tailored to each patient's specific ocular risk factors. Routine C-sections without additional complicating factors are not justified, underscoring the need for regular ophthalmological evaluations to ensure optimal maternal and fetal outcomes. Due to the limitations of existing studies, further in-depth research is recommended to confirm these findings and refine clinical guidelines.
Perspektif Medis, Sosial, dan Kebijakan dalam Memahami Infertilitas di Indonesia: Sebuah Tinjauan Naratif Sutanto, Reynardi Larope; Suskhan, Rizki Fauzi; Pratama, Satria Arief; Christian, Christopher; Putra, Elza Nur Warsa; Faruqi, Muhammad; Simanjuntak, Kevin Tadeus; Ali, Najma; Setyawan, Dhanis Adrianto; Suryoadji, Kemal Akbar
Cermin Dunia Kedokteran Vol 52 No 8 (2025): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i8.1598

Abstract

Introduction: Infertility is a reproductive health problem in various countries, including Indonesia, with a significant impact on population and community productivity. This study aims to assess the urgency of addressing infertility in the context of public health and population control in Indonesia. Methods: This research employs a literature review method, referencing relevant sources. Document searches were conducted through Google Scholar and manual searching using the keywords “(Infertility) AND (Indonesia).” Results: The review found 53 literatures consisting of scientific research, medical consensus, review papers, news, and legal products. Discussion: Infertility is a complex problem that requires a multidisciplinary approach. The discussion is organized into several multidisciplinary sections which include a discussion from the medical side in the form of etiology, risk factors, diagnosis flow, and management of infertility, a review of infertility as a public health problem, the impact of infertility on patients and society, sensitive public communication methods regarding infertility, and recommendations for management and policy regulation regarding infertility for government officials. Conclusion: Addressing infertility in Indonesia requires the support of various parties, including the government, health workers, and the community, to overcome its complex impact.
Co-Authors Ali, Najma Chandra, Angelina Patricia Christian, Christopher Faruqi, Muhammad Pratama, Satria Arief Putra, Elza Nur Warsa Setyawan, Dhanis Adrianto Simanjuntak, Kevin Tadeus Suryoadji, Kemal Akbar Suskhan, Rizki Fauzi Vera Sumual