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All Journal Window of Health : Jurnal Kesehatan Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Health Information : Jurnal Penelitian
Riu, Deviana Soraya
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Modul Elektronik Pemasangan Alat Kontrasepsi Bawah Kulit (AKBK/Implant) dengan Metode Pembalajaran Mandiri untuk Meningkatkan Keterampilan Belajar Mahasiswa H Anwar, St Hadijah; Ramadhani, Sri; Usman, Andi Nilawati; Riu, Deviana Soraya; Stang, Stang; Arsyad, Aryadi
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Tujuan, mengetahui kemampuan e-modul dalam meningkatkan keterampilan mahasiswa DIII kebidanan dengan menggunakan metode belajar mandiri dalam lingkup laboratorium. Metode, Quasi Eksperimen dengan rancangan pre-test post-test non-equivalent control group. Populasi seluruh mahasiswa DIII kebidanan tingkat III. Teknik penarikan sampel menggunakan teknik total sampling. Sampel 102 mahasiswa DIII kebidanan tingkat III, kelompok intervensi yang diberikan modul elektronik sebanyak 51 orang, kelompok kontrol yang diberikan modul cetak sebanyak 51 orang, pre-test dan post-test menggunakan daftar tilik. Post-test dilakukan sehari setelah pre-test. Analisis data menggunakan uji McNemar dan Chi-Square. Hasil, dengan menggunakan uji McNemar didapatkan, nilai p=0.000 pada pre-test dan post-test pada kelompok kontrol dan nilai p=0.000 pada pre-test dan post-test kelompok intervensi, yang artinya secara statistik pada kedua kelompok terdapat perbedaan peningkatan keterampilan yang bermakna setelah diberikan perlakuan. Kemudian dengan menggunakan uji Chi-Square pada post-test antar dua kelompok, didapatkan nilai p=0.014 < ?=0.05, yang artinya secara statistik ada perbedaan peningkatan keterampilan yang bermakna antara modul elektronik dan modul cetak dimana modul elektronik lebih mampu dalam meningkatkan keterampilan mahasiswa, sedangkan berdasarkan persentase peningkatan keterampilan, kelompok modul elektronik 37,3% lebih tinggi dari pada kelompok modul cetak. Kesimpulan, terdapat peningkatan yang signifikan pada keterampilan mahasiswa DIII kebidanan yang di berikan modul elektronik sehingga disimpulkan bahwa e-modul alat kontrasepsi bawah kulit yang diberikan mampu untuk meningkatkan keterampilan mahasiswa DIII kebidanan.
The Effectiveness of the Effleurage Massage Method Compared with Rubbing Massage on Reducing the Intensity of Normal Labor Pain in the First Active Phase Meidayana Refisiliyani; Riu, Deviana Soraya; Usman, Andi Nilawati
Window of Health : Jurnal Kesehatan Vol 6 No 3 (Juli 2023)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.702

Abstract

Labor pain is a physiological journey experienced by a woman to gain a subjective experience of physical feelings related to uterine contractions, cervical dilatation and effacement, and fetal descent during labor. This study aims to determine the effectiveness of the effleurage massage method compared to rubbing massage in reducing the pain intensity of normal labor during the first active phase. This type of research uses Quasi-Experimental with a Pretest-Posttest with a control group design. The population consisted of 45 respondents divided into three groups: two intervention groups and one control group. Each group consists of 15 respondents, selected through a total sampling technique. The use of an observation sheet that contains a list of observed points by marking the numbers contained in the assessment sheet, which shows the level of pain that the mother feels and is applied before and after the intervention is used as an indicator in measuring the effectiveness of the two methods using the Visual Analogue Scale (VAS) measurement scale. Data were analyzed using the Wilcoxon Test, the Kruskal-Wallis Test, and the Mann-Whitney Test. The results showed that the group given effleurage massage experienced a decrease in labor pain intensity by 12 respondents (80%) with a p-value of 0.000, and the group given rubbing massage experienced a decrease in labor pain intensity by ten respondents (66.7%) with a p-value value 0.000 while the comparison between the effleurage massage and rubbing massage groups obtained a p-value of 0.417 > 0.05. So that the use of pain reduction methods such as non-pharmacological methods in the form of effleurage massage and rubbing massage is always expected to be an option for health workers, in this case midwives in the handling of mothers in childbirth, considering that many factors influence the perception of pain which are very subjective and individual.
An internal iliac artery ligation technique for bleeding control in the placenta accreta spectrum disorder Riu, Deviana Soraya; Sunarno, Isharyah; Pelupessy, Nugraha; Bakri, Syarif; Muchtar, Faisal; Andi Adil; Muhiddin, Rachmawati
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 4 October 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i4.2134

Abstract

Objective: To assess the contribution of internal iliac artery ligation to bleeding control during surgery. Methods: This retrospective study used secondary data from medical records. All patients diagnosed with PASD from January 2019 – to December 2022 were included in this study. Participants were grouped based on operation technique, and the blood loss and operative duration were evaluated. The tests used were the Kruskal-Wallis and the Mann-Whitney U tests. Results: 108 PAS patients were discovered. The most age group was between 20-35 years with parity of more than or equal to 4, history of Cesarean section once, gestational age at termination 34-36 weeks, and maternal death in 7 out of 101 cases. There were 49 resections, 13 resections with internal iliac artery ligation, 34 hysterectomies, and 12 hysterectomies with internal iliac artery ligation. There was no difference in bleeding and operative duration between resection vs. resection with internal iliac artery ligation (p: 0.113; p: 0.639), hysterectomy vs. a hysterectomy with internal iliac artery ligation ((p:0.052; P:0.723), and resection with ligation vs hystetectomy with the internal iliac artery ligation (p:0.052; p:0.723). Bleeding and operative duration differed significantly between resection vs. hysterectomy (p:0.002; p:0.013). All patients underwent tourniquet placement. Conclusion An Internal iliac artery ligation was not shown to reduce bleeding in treating PASD. Keywords: accreta, internal iliac artery, placenta .
Association between Serum Cotinine Levels, Fetal Biometry, and Umbilical Artery Flow in Pregnant Women Exposed to Secondhand Smoke Diana, Margaret; Riu, Deviana Soraya; Madya, Fatmawati; Chalid, St. Maisuri T.; AM, Nasrudin; Tessy, Telly
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 3 November 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i3.956

Abstract

Objective: This study aimed to investigate the impact of SHS exposure on fetal biometry and umbilical artery flow at 24 – 28 weeks of gestation.Methods: This cross-sectional study included 110 pregnant women, divided into a study group (55 passive) smokers and a control group (55 non-passive smokers). Serum cotinine levels were measured using ELISA. Fetal biometry (biparietal diameter, head circumference, abdominal circumference, and femur length) and umbilical artery flow (pulsatility and resistance indices) were assessed via ultrasound and Doppler ultrasonography. Group comparisons were conducted using Chi-square and independent t-tests.Results: The passive smoker group had significantly higher mean serum cotinine levels compared with the control group (10.97 ng/mL vs. 4.53 ng/mL; p = 0.01). However, no statistically significant differences (p > 0.05) were found in any of the fetal biometric parameters or umbilical artery flow indices between the groups. Correlation analyses also showed no significant association between cotinine levels and the measured fetal outcomes.Conclusion: In this second-trimester study, SHS exposure, confirmed by elevated cotinine levels, was not associated with measurable adverse effects on fetal biometry or umbilical artery flow. These non-significant findings underscore the need for longitudinal research to evaluate the cumulative impact of SHS, particularly in the third trimester and on final birth outcomes.Hubungan antara Kadar Kotinin Serum, Biometri Janin, dan Aliran Arteri Umbilikalis pada Ibu Hamil yang Terpapar Asap Rokok PasifAbstrakTujuan: Penelitian ini bertujuan untuk menelaah dampak paparan asap rokok pasif terhadap biometri janin dan aliran arteri umbilikalis pada usia kehamilan 24 – 28 minggu.Metode: Penelitian potong lintang ini melibatkan 110 ibu hamil yang dibagi menjadi kelompok studi (55 perokok pasif) dan kelompok kontrol (55 bukan perokok pasif). Kadar kotinin serum diukur menggunakan metode ELISA. Biometri janin (meliputi diameter biparietal, lingkar kepala, lingkar perut, dan panjang femur) serta aliran arteri umbilikalis (indeks pulsasi dan indeks resistensi) dinilai melalui ultrasonografi (USG) dan USG Doppler. Perbandingan antarkelompok dianalisis menggunakan uji Chi-square dan uji t independen.Hasil: Kelompok perokok pasif memiliki rerata kadar kotinin serum yang secara signifikan lebih tinggi dibandingkan kelompok kontrol (10,97 ng/mL vs. 4,53 ng/mL; p = 0,01). Namun, tidak ditemukan perbedaan bermakna secara statistik (p > 0,05) pada parameter biometri janin maupun indeks aliran arteri umbilikalis antara kedua kelompok. Analisis korelasi juga tidak menunjukkan adanya hubungan bermakna antara kadar kotinin dengan luaran janin yang diukur.Kesimpulan: Pada penelitian trimester kedua ini, paparan asap rokok pasif yang dikonfirmasi dengan peningkatan kadar kotinin tidak berhubungan dengan efek merugikan yang terdeteksi pada biometri janin maupun aliran arteri umbilikalis. Temuan yang tidak signifikan ini menekankan pentingnya penelitian longitudinal untuk menilai dampak kumulatif paparan asap rokok pasif, terutama pada trimester ketiga dan luaran kelahiran akhir.Kata kunci: Aliran arteri umbilikalis; biometri janin; kotinin; paparan asap rokok pasif
A Spontaneous Uterine Rupture in Placenta Accreta Spectrum: a case series Sunarno, Isharyah; Riu, Deviana Soraya; Adil, Andi; Muhiddin, Rachmawati; Juanita, Juanita
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2688

Abstract

Objectives: Diagnosing uterine rupture in placenta accreta spectrum (PAS) can be challenging, often confirmed only during surgery after the rupture has occurred. This poses significant risks of morbidity and mortality for both the mother and neonates. Therefore, it is crucial for obstetricians to understand the clinical signs of uterine rupture in PAS cases. We aim to present four cases of grade 3a PAS and their associated maternal and neonatal outcomes related to spontaneous uterine rupture. Case management: Four cases of spontaneous uterine rupture attributed to FIGO grading 3A PAS occurred at Wahidin Sudirohusodo Hospital, a tertiary healthcare center in Makassar, South Sulawesi, Indonesia. All patients were multigravida with prior cesarean sections, presented at preterm gestational ages, and had histologically confirmed PAS. They were referred from secondary healthcare facilities. In two cases, spontaneous uterine rupture was identified prior to surgery, with the patients presenting in hypovolemic shock and intrauterine fetal demise. In the other two cases, the rupture occurred during laparotomy before any uterine procedure, and the neonates were delivered alive. During the emergency laparotomy, uterine ruptures were identified at the sites of placental attachment. In one case, an additional rupture was observed on the posterior uterine wall. Management included emergency classical cesarean                        section               followed       by        supracervical hysterectomy,                    postoperative           ICU admission, and massive blood transfusion. All mothers were discharged in stable condition. Conclusion: Spontaneous uterine rupture in PAS cases is associated with increased maternal morbidity as well as neonatal mortality and morbidity. Keywords: caesarean section, placenta accreta spectrum, spontaneous uterine rupture, classical cesarean section, supracervical hysterectomy
Co-Authors Adil, Andi AM, Nasrudin Andi Adil Andi Nilawati Usman Arsyad, Muhammad Aryadi Diana, Margaret H Anwar, St Hadijah Juanita Juanita Madya, Fatmawati Meidayana Refisiliyani Muchtar, Faisal Muhiddin, Rachmawati Pelupessy, Nugraha Ramadhani, Sri St. Maisuri T. Chalid Stang Stang Sunarno, Isharyah Syarif Bakri, Syarif Telly Tessy