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All Journal Medicinus : Jurnal Kedokteran Jurnal Health Sains
Nainggolan, Julita D.L.
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Late Intra-Uterine Fetal Demise with Fetal Hydrops: Challenges of Management Planning in Indonesia Hermawan, Gezta Nasafir; Wibisono, Jacobus Jeno; Nainggolan, Julita D.L.
Medicinus Vol 10, No 1 (2020): October:2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i2.3445

Abstract

Intra-Uterine Fetal Demise (IUFD) is defined as death of human conception at age of 20 weeks’ gestation or older or with a minimum 500-g birthweight before complete delivery from the mother and induced termination involved. In 2015, Indonesia has contributed a stillbirth rate of 13 out of 1,000 total births in which 17.1% of the cases were caused by congenital anomalies. Fetal Hydrops as a pathological condition in which there is an accumulation of fluid in fetal soft tissues and serous cavities. With the advancements of sonographic technology, identification of fetal hydrops has become uncomplicated. However, what remains a challenge is to investigate etiology and determine management. In order to plan proper management, the etiology of fetal hydrops must first be determined to predict the prognosis of fetal hydrops. In Indonesia; limited facilities and experts combined with high costs in etiology determination and management have complicated the matter. Furthermore, the strong influence of several Eastern communities’ norms and religious views have further complicated both physicians and patients in decision making. In this report, we present a case of late intra-uterine fetal demise with fetal hydrops, whom was admitted on her 35 weeks age gestation. We performed elective Caesarean Section in order to deliver the stillborn fetus, with no significant post-operative complication. Unfortunately, this condition was actually diagnosed earlier during 20th weeks of gestation, hence advised to continue the pregnancy without further evaluation and information to the mother regarding the hydrops condition.
Late Intra-Uterine Fetal Demise with Fetal Hydrops: Challenges of Management Planning in Indonesia Hermawan, Gezta Nasafir; Wibisono, Jacobus Jeno; Nainggolan, Julita D.L.
Medicinus Vol. 10 No. 1 (2020): October:2020
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v8i2.3445

Abstract

Intra-Uterine Fetal Demise (IUFD) is defined as death of human conception at age of 20 weeks’ gestation or older or with a minimum 500-g birthweight before complete delivery from the mother and induced termination involved. In 2015, Indonesia has contributed a stillbirth rate of 13 out of 1,000 total births in which 17.1% of the cases were caused by congenital anomalies. Fetal Hydrops as a pathological condition in which there is an accumulation of fluid in fetal soft tissues and serous cavities. With the advancements of sonographic technology, identification of fetal hydrops has become uncomplicated. However, what remains a challenge is to investigate etiology and determine management. In order to plan proper management, the etiology of fetal hydrops must first be determined to predict the prognosis of fetal hydrops. In Indonesia; limited facilities and experts combined with high costs in etiology determination and management have complicated the matter. Furthermore, the strong influence of several Eastern communities’ norms and religious views have further complicated both physicians and patients in decision making. In this report, we present a case of late intra-uterine fetal demise with fetal hydrops, whom was admitted on her 35 weeks age gestation. We performed elective Caesarean Section in order to deliver the stillborn fetus, with no significant post-operative complication. Unfortunately, this condition was actually diagnosed earlier during 20th weeks of gestation, hence advised to continue the pregnancy without further evaluation and information to the mother regarding the hydrops condition.
Knowledge, Attitude, And Practice On Cervical Cancer And Hpv Vaccination Among Active Female Clinical Students In Faculty Of Medicine Universitas Pelita Harapan And In Correlation With Obstetric And Gynecology Rotation Nainggolan, Julita D.L.; Chrystelle, Celine; Marcellin, Chintya; Satria, Ongky
Jurnal Health Sains Vol. 5 No. 4 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i4.1251

Abstract

In 2018, the global prevalence of Human Papillomavirus (HPV) infections reached approximately 43 million cases, with cervical cancer attributed to 75% of cases in women. The HPV vaccine has shown efficacy in preventing up to 88% of cervical cancer cases. To address the lack of awareness surrounding HPV and cervical cancer prevention, this study aimed to assess the knowledge, attitude, and practice among active female medical students at the Faculty of Medicine, Universitas Pelita Harapan. In March 2023, this cross-sectional study utilized a questionnaire developed and validated by Winarto et al., covering socio-demographic information and questions related to cervical cancer. Out of 168 participants, 75.6% demonstrated good knowledge about cervical cancer, yet the practice of raising awareness and HPV vaccination was notably low. Interestingly, students who underwent obstetric and gynecology rotations exhibited similar low practice scores (87.5%) compared to those who had not. Furthermore, only 40% of students had completed their HPV vaccination. The study suggests a disconnect between knowledge, attitude, and practice among students, with no significant influence observed from obstetric and gynecology rotations.
Co-Authors Chrystelle, Celine Hermawan, Gezta Nasafir Marcellin, Chintya Satria, Ongky Wibisono, Jacobus Jeno