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Diagnosis dan Tatalaksana Preeklampsia Berat Tidak Tergantung Proteinuria Sumulyo, Ganot; Ardhana Iswari, Wulan; Uli Pardede, Tiarma; Darus, Febriansyah; Puspitasari, Bintari; Santana, Sanny; Abidin, Finekri; Endjun, Judi J
Cermin Dunia Kedokteran Vol 44, No 8 (2017): Obstetri-Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Preeklampsia merupakan salah satu penyebab morbiditas dan mortalitas maternal dan perinatal terbesar, yang terjadi pada 2-3% kehamilan. Preeklampsia didefinisikan sebagai suatu sindrom yang berhubungan dengan vasospasme, peningkatan resistensi pembuluh darah perifer, dan penurunan perfusi organ yang ditandai adanya hipertensi, edema dan proteinuria yang timbul karena kehamilan. Mengingat pentingnya penanganan dini, diagnosis dan penentuan beratnya preeklampsia tidak lagi bergantung kepada adanya proteinuria. Tatalaksana terminasi pada preeklampsia tanpa perburukan disarankan saat usia kehamilan mencapai 37 minggu.Preeclampsia is one of the largest causes of maternal mortality and morbidity, occurring in approximately 2-3% of pregnancies. It is defined as a range of symptoms related to vasospasm, an increase in peripheral vascular resistance, and a decrease in organ perfusion, as evidenced by hypertension, edema, and proteinuria, related to pregnancy. Considering the significance of early management, an absence of proteinuria in new onset hypertension no longer rules out the diagnosis of preeclampsia. Termination in stable preeclampsia is recommended only at a gestational age of 37 weeks or older.

Diagnosis dan Tatalaksana Preeklampsia Berat Tidak Tergantung Proteinuria Ganot Sumulyo; Wulan Ardhana Iswari; Tiarma Uli Pardede; Febriansyah Darus; Bintari Puspitasari; Sanny Santana; Finekri Abidin; Judi J Endjun
Cermin Dunia Kedokteran Vol 44, No 8 (2017): Obstetri-Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v44i8.742

Preeklampsia merupakan salah satu penyebab morbiditas dan mortalitas maternal dan perinatal terbesar, yang terjadi pada 2-3% kehamilan. Preeklampsia didefinisikan sebagai suatu sindrom yang berhubungan dengan vasospasme, peningkatan resistensi pembuluh darah perifer, dan penurunan perfusi organ yang ditandai adanya hipertensi, edema dan proteinuria yang timbul karena kehamilan. Mengingat pentingnya penanganan dini, diagnosis dan penentuan beratnya preeklampsia tidak lagi bergantung kepada adanya proteinuria. Tatalaksana terminasi pada preeklampsia tanpa perburukan disarankan saat usia kehamilan mencapai 37 minggu.Preeclampsia is one of the largest causes of maternal mortality and morbidity, occurring in approximately 2-3% of pregnancies. It is defined as a range of symptoms related to vasospasm, an increase in peripheral vascular resistance, and a decrease in organ perfusion, as evidenced by hypertension, edema, and proteinuria, related to pregnancy. Considering the significance of early management, an absence of proteinuria in new onset hypertension no longer rules out the diagnosis of preeclampsia. Termination in stable preeclampsia is recommended only at a gestational age of 37 weeks or older.

Risk Factors of Intrauterine Fetal Death in Cipto Mangunkusumo General Hospital, Indonesia Indarti, Junita; Mardhatillah, Syifa; Alda, Kristian; Vitasatria, Arresta; Solihin, Affan; Sumulyo, Ganot; Ikhsan, Muhammad; Agassi Antoniman, Mohammad
Jurnal Health Sains Vol. 5 No. 11 (2024): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i11.1394

Intra Uterine Fetal Death ( IUFD ) results from various disorders of the mother, fetus, and placenta. This study aimed to explore factors contributing to IUFD, knowing the risk factors will prevent this case in the future time. In 2016-2018, patients diagnosed with IUFD at 22 weeks of gestation were included. One hundred twenty-five patients with IUFD and 125 controls with alive fetuses were enrolled. Data were collected from the medical records of participants. Factors that may have contributed to IUFD were explored. Comparisons between various risk factors and outcomes of the two groups were made. P-value was statistically significant if ≤0.05. We found several factors that contribute to IUFD. Some factors like BMI, ANC provider, referred from tertiary health facility, and congenital anomaly increased the risk of IUFD by 2.86, 5.86, 6.26 and 9.45 times respectively. In contrast, some factors like a number of ANC ≥ 6 times and gestational age >36 weeks decrease the risk of IUFD. Regular and intensive ANC ≥ 6 times during pregnancy, number of pregnancy and gestational age ≥ 36 weeks significantly decreases the risk of IUFD with OR 0.12, 0.4, and 0.23 respectively. High-quality ANC to identify IUFD risk factors may lead to a significant decrease in its occurrences. Some factors like BMI, ANC provider, referred from tertiary health facility, and congenital anomaly increased the risk of IUFD, but Number of ANC≥ 6 times, number of pregnancy ≥2 and gestational age ≥36 weeks can reduce risk of IUFD.

Association of Maternal Age with Mental Health in Pregnant Women in Agricultural Communities : A Cross-Sectional Study in Bogor, Indonesia Ryadi, Yusuf; Sumulyo, Ganot; Sarkowi, Widya Khairunnisa; Hanif, Aisyah Amanda; Dewi, Mira
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.54-61

Background: Mental health issues such as depression and anxiety during pregnancy can significantly impact pregnancy outcomes. Agriculture is a high-stress industry that might increase the risks of depression and anxiety. Women in agricultural communities often experience a dual burden from physically demanding labor and reproductive responsibilities, with limited access to mental health services and social support—making them particularly vulnerable. Aims: This study aimed to identify factors contributing to depression and anxiety among pregnant women in an agricultural community in Bogor Regency. Methods: This cross-sectional study was conducted from August to October 2023 in Bogor Regency, West Java. A total of 69 pregnant women attending Cijeruk Primary Health Care were involved. Data were collected via interviews and medical records. Depression and anxiety levels were assessed using the Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS). Results: The majority of subjects (>60%) had no depression or anxiety. The prevalence of severe and very severe depression was 10.1%, and 5.8% for severe and very severe anxiety. Maternal age was negatively correlated with both depression (r = -0.317, p = 0.008) and anxiety scores (r = -0.332, p = 0.005). No significant associations were found between HDRS scores and other factors such as gestational age, education level, household income, physical activity, or farming family background. Conclusion: The correlation between maternal age and depression and anxiety scores highlights the importance of promoting mature age in premarital counseling. Further research is needed to explore broader determinants of maternal mental health in agricultural communities with larger, more diverse samples.

Gambaran Klinis dan Spektrum Gangguan Pernapasan pada Ibu Hamil dan Peripartum di Rumah Sakit Rujukan Tersier Ganot Sumulyo; Samuel Stemi; Desdiani Desdiani
Jurnal Kesehatan Indonesia Vol 16 No 3 (2026): Juli 2026
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v16i3.1126

Physiological respiratory changes during pregnancy frequently cause symptoms such as dyspnea and cough, which may obscure the diagnosis of underlying pulmonary diseases. Although respiratory illness during pregnancy is associated with adverse maternal and fetal outcomes, comprehensive data describing the spectrum of respiratory diseases encountered during pregnancy and the peripartum period remain limited. This retrospective observational study aimed to describe the clinical characteristics and spectrum of respiratory diseases among pregnant and peripartum women treated in a tertiary referral hospital in Indonesia between June 2024 until December 2025. The data collected included demographic characteristics, gestational age at diagnosis, obstetric history, presenting symptoms, comorbidities, smoking status, and final respiratory diagnoses. Descriptive statistics were used to summarize the clinical characteristics and disease distribution. A total of 190 patients were included, with most diagnoses occurring during the antepartum period (86.3%), predominantly in the third trimester (66.3%). The most common presenting symptoms were cough (44.7%) and breathlessness (41.6%). Asthma was the most frequent diagnosis (40.0%), followed by acute respiratory infections (14.7%), pneumonia (12.6%) and rhinitis (12.6%). Tuberculosis (5.3%), bronchitis (3.1%), and pulmonary edema (1.0%) were less common but clinically significant. Most patients were non-smokers (96.8%), and major comorbidities were infrequent. Respiratory diseases diagnosed during pregnancy and the peripartum period encompass a broad clinical spectrum, with asthma and respiratory infections being predominant. Given the diagnostic overlap with physiological pregnancy-related symptoms and the potential for adverse outcomes, heightened clinical vigilance, early evaluation, and multidisciplinary management are essential to optimize maternal and fetal care in such cases.

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