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COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS Amani, Fariska Zata; Denas, Azami; Paraton, Hari; Hardianto, Gatut; Mardiyan K, Eighty; Hartono S, Tri
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.1929

Abstract

Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.
Clinical Characteristic of Congenital Fetal Anomaly In Tertiary Referral Hospital in East Java, Indonesia Amani, Fariska Zata; P, Wardhana M.; I, Cininta N.; A, Aryananda R.; E, Gumilar K.; I, Aldika M.; B, Wicaksono; Ernawati, Ernawati; A, Sulistyono; Aditiawarman, Aditiawarman; J, Hermanto T.; N, Abdullah; G, Dachlan E
Jurnal Medis Islam Internasional Vol 2 No 2 (2021): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v2i2.1624

Abstract

Background: Congenital fetal anomalies were defined as any structural defect present at birth. Congenital fetal anomalies are an important causes of neonatal morbidity and mortality in developed and developing countries that affect health care system. Reliable data on these congenital anomalies are still lacking, especially in Indonesia. Objective: This study aims to determine the characteristic profile of congenital fetal anomaly in single tertiary hospital in East Java, Indonesia. Methods: Retrospective cross-sectional by using medical record data of dr. Soetomo General Hospital on January – December 2017. Results: There were 58 cases (4,3%) with fetal congenital anomaly from 1360 deliveries in 2017. The majority of cases were referral cases (51 cases; 88%) and only seven cases were booked cases in obstetric outpatient dr. Soetomo General Hospital. Most of these congenital fetal anomaly cases ( 25 cases / 43,1%) were born from mother with ages 20 – 30 years old. Most cases (34 cases; 58,64%) were diagnosed first at third trimester (gestational age > 28 weeks). There were 36 cases (62%) had active termination of pregnancy. Thirty eight percent (22 cases) were born at 37-42 weeks and majority were born section caesaria. The three highest proportion of organ systems involved in fetal congenital anomalies were those of abdomen (22 cases; 37,9%); head (20 cases; 34,5%); thorax and muskuloskeletal (each 12 cases; 20,7%). Conclusion: The incidence of congenital fetal anomaly in dr. Soetomo Hospital at 2017 was 4,3%. Omphalocele and CTEV were two most common types of congenital fetal anomaly found. Most cases of congenital fetal anomalies have a poor prognosis, 67% cases born died. Further research about  risk factors and comprehensive database are needed on cases of congenital anomaly to establish appropriate prevention and management.
OPTIMALISASI PERAN KADER DALAM UPAYA MENGATASI KETIDAKNYAMANAN IBU HAMIL DENGAN PRENATAL GENTLE YOGA POSE Andriani, Ratna Ariesta Dwi; Mardiyanti, Ika; Handayani, Nanik; Anggasari , Yasi; Amani, Fariska Zata
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2025)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v6i2.11337

Abstract

Masalah rasa tidak nyaman pada ibu hamil trimester pertama hingga trimester ketiga merupakan masalah yang selalu muncul pada setiap kehamilan. Oleh karena itu manajemen asuhan kebidanan harus diperhatikan untuk mengurangi ketidaknyamanan pada ibu sehingga kehamilan berjalan nyaman dan ibu dapat tetap produktif sepanjang masa kehamilan. Dalam mengatasi ketidaknyamanan selama kehamilan perlu dilakukan olahraga yang sesuai dengan kondisi ibu, salah satunya adalah dengan melakukan prenatal gentle yoga pose. Hasil survey pendahuluan dari 30 kader di Rw.02 Kelurahan Pacar Kembang Surabaya, hampir seluruhnya yaitu 22 kader (73,3%) belum mengetahui tentang prenatal gentle yoga yang bisa dilakukan dalam upaya mengurangi atau mengatasi ketidaknyamanan pada ibu hamil, dan untuk 8 kader (26,7%) sudah pernah tahu tentang prenatal gentle yoga namun belum pernah mempraktekkan gerakannya. Solusi dalam pengabdian masyarakat ini adalah dengan memberikan Pendidikan Kesehatan tentang ketidaknyaman kehamilan dan cara mengatasinya dengan prenatal gentle yoga pose dengan metode ceramah menggunakan media leaflet sebagai media pendukung dan demonstrasi. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan ketrampilan kader dan ibu hamil. Metode yang digunakan dalam pengabdian masyarakat ini adalah dengan memberikan Pendidikan Kesehatan dengan metode ceramah dibantu dengan media leaflet serta demonstrasi. Dalam kegiatan ini juga dilakukan pre tes dan post tes dengan menggunakan lembar kuesioner untuk mengetahui tingkat pengetahuan kader dan ibu hamil sebelum dan sesudah diberikan Penyuluhan Kesehatan. Hasil yang diperoleh dari kegiatan ini adalah terdapat peningkatan pengetahuan dan ketrampilan kader dan ibu hamil setelah diberikan Pendidikan Kesehatan tentang ketidaknyamanan kehamilan dan prenatal gentle yoga pose.