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All Journal Majalah Kedokteran Sriwijaya Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Putri Mirani
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Health Professions Medicine & Pharmacology Nursing Public Health

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Angka Kejadian Persalinan Preterm pada Ibu dengan Preeklampsia Berat dan Eklampsia di RSUP Dr. Mohammad Hoesin Palembang Tahun 2013 Gina Sonia Fensilia Yolanda; Putri Mirani; Swany Swany
Majalah Kedokteran Sriwijaya Vol 47, No 1 (2015): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v47i1.2738

Abstract

Berdasarkan Survei Demografi dan Kesehatan Indonesia tahun 2012 angka kematian ibu tercatat mencapai 259 kematian per 100.000 kelahiran hidup, dan 0,4% sampai dengan 7,2% disebabkan oleh preeklampsia. Tanpa perawatan yang tepat, preeklampsia dapat menimbulkan komplikasi yang serius diantaranya persalinan preterm dan kematian ibu. Sehingga diperlukan penelitian untuk mengetahui angka kejadian persalinan preterm pada ibu dengan preeklampsia berat dan eklampsia di RSUP Dr. Mohammad Hoesin Palembang tahun 2013. Penelitian ini merupakan penelitian yang bersifat deskriptif dengan pendekatan cross sectional (potong lintang), dan didapatkan sebanyak 652 kasus preeklampsia berat dan eklampsia dan 135 bersalin pada usia kehamilan kurang bulan. Dari 135 sampel penelitian (60,0%) melahirkan pada usia reproduksi, (58,5%) multigravida, (42,2%) nullipara dan (69,6%) bersalin pada usia kehamilan 33 sampai dengan 36 minggu. Kesimpulan dari penelitian ini angka kejadian persalinan preterm pada ibu dengan preeklampsia berat dan eklampsia di RSUP Dr. Mohammad Hoesin Palembang tahun 2013 (20,70%).
Level of maternal zinc serum as risk factor of preeclampsia Tian Kaprianti; Putri Mirani; Abarham Martadiansyah; Peby M. Lestari; Theodorus Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 4 Oktober 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i4.1616

Abstract

Objective : To know the relationship of serum zinc levels with preeclampsia (PE) Method: This observational research uses a type of case control research. The population of this study is all pregnant women with a single pregnancy, gestational age of 28-42 weeks who were treated at the Department of Obstetrics and Gynecology of RSUP Dr. Mohammad Hoesin Palembang from August 2020 to November 2020. The study divided into 2 group, a case group of 30 pregnant women with PE and a control group of 60 pregnant women non PE. Serum zinc level examination is performed on all samples that match the research criteria. The data is processed by using SPSS software program version 20.0 Windows. Result: Both case and control groups had no meaningful differences to the general characteristics of the patient. There were significant differences in average zinc levels of maternal serum in both research groups (p=0.013; 43.90 plus-minus 15.79 pg/dL). The value of serum zinc levels that have the best sensitivity and specificity is at 45.5 pg/dL. Conclusion: There is a meaningful relationship between serum zinc levels and PE events. Pregnant women with serum zinc levels greater than or equal to 45.5 pg /dL were significantly at 3.2 times more risk of PE than pregnant women with serum zinc levels less than or equal to 45.5 pg/dL. In this case it is necessary to supplement zinc earlier in pregnancy to reduce the risk of preeclampsia. Keywords: preeclampsia, zinc, case-control studies
THE DIAGNOSTIC METHODS OF PLACENTA ACCRETA SPECTRUM DISORDERS Alia Desmalia; Nuswil Bernolian; Abarham Martadiansyah; Theodorus Theodorus; Citra Dewi; Putri Mirani; Peby Maulina Lestari; Cindy Kesty
Majalah Kedokteran Sriwijaya Vol 54, No 3 (2022): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/mks.v54i3.19655

Abstract

Placenta Accreta Spectrum Disorder (PASD) is abnormal trophoblast invasion of part or all of the placenta into the myometrium of the uterine wall. Magnetic resonance imaging (MRI) examination is one of the tools that can help diagnosing PASD earlier, so that maternal morbidity and mortality can be reduced. This study aims to determine the prevalence, risk factors of PASD and the accuracy of Placenta Accreta Index Score (PAIS) and MRI, with histopathological examination in diagnosing PASD at dr. Mohammad Hoesin General Hospital (RSMH) Palembang during the 2018–2021. A descriptive study with a survey design on pregnant and intrapartum women with suspected PASD was performed at Department of Obstetrics and Gynecology at RSMH Palembang from 2018 until 2021. There were 72 study subjects who met the inclusion criteria. The relationship between the independent and dependent variables was analyzed using Chi Square and Fisher Exact. The cut-off point of the PAIS scores was analyzed using the Receiver Operating Curve (ROC). The comparison of the diagnostic value of PAIS and MRI scores used the Youden Index. Data was analyzed with SPPS version 22.0 From 72 subjects, 60 subjects (83.3%) were PASD and 12 subjects (16.7%) were not PASD. The risk factors of PASD in this study was surgical history more than once (PR = 4.600 (95% CI 1.261–16.781); p = 0.037). Youden Index values and PAIS accuracy were 0.782 and 0.953 while Youden Index values and MRI accuracy were 0.333 and 0.886. PAIS and MRI could be considered as diagnostic tools for PASD. However, overall, PAIS had a better diagnostic value than MRI.
Co-Authors Alia Desmalia Cindy Kesty Citra Dewi Gina Sonia Fensilia Yolanda Martadiansyah, Abarham Nuswil Bernolian Peby M. Lestari Peby Maulina Lestari, Peby Maulina Swany Swany Theodorus Theodorus tian kaprianti