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Journal : Hang Tuah Medical Journal

Karakteristik Partus Prematurus Imminens di Rspal Dr Ramelan Surabaya Periode Juni 2019 – Juni 2020 MALIKU NURROCHMAN WIDANDI; MITA HERDIYANTINI; KETUT EDY SUDIARTA
HANG TUAH MEDICAL JOURNAL Vol 19 No 2 (2022): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v19i2.141

Abstract

Background: The child mortality rate in the world and in Indonesia in particular is still high. Based on WHO data, Indonesia is in the top 10 countries with a total of 675,700 cases of premature birth. Premature labor is often preceded by signs of labor called Threatened Preterm Labor. Threatened Preterm Labor is the occurrence of a threat of labor in the form of uterine contractions and/or other signs of labor at gestational age between > 20 - < 37 weeks. If it does not get adequate treatment, it is often followed by premature birth. Prematurity increases the rate of cesarean delivery and increases child mortality. This study aims to determine the characteristics of pregnant women with Threatened Preterm Labor at RSPAL Dr. Ramelan Surabaya. Methods: This research is a descriptive study using purposive sampling technique. The research sample used Threatened Preterm Labor cases recorded in the medical records of RSPAL Dr. Ramelan Surabaya. Results: The results showed that 50 cases of Threatened Preterm Labor. Most of them occurred at the age of 20 - 35 years as many as 39 (78%), with a high school education level of 31 (62%), as many as 26 patients (52%) worked. Based on parity, most occurred in primiparous as many as 19 cases (38%). Based on ANC visits, the majority of patients who did not perform ANC were 43 patients (86%). Most of them had normal blood pressure as many as 37 patients (74%), 30 patients (60%) had low hemoglobin levels / anemia, and 29 patients (58%) had normal leukocyte levels. Most previous pregnancy history in normal pregnancy was 28 cases (56%). A total of 31 patients (62%) had complications in pregnancy. The success of tocolytic therapy was 34 cases (68%). Conclusion: Eighty-six percent of PPI patients admitted to RSPAL never had ANC, 60% of the samples were included in the anemia category, and 62% were motivated by complications of this pregnancy including premature rupture of membranes (PROM), preeclampsia, gemelli, gestational diabetes, infection, anemia, and polyhydramnios. Suggestion: more intensive public health education is needed, especially for pregnant women.
Hubungan Usia Dengan Kejadian Prolaps Uteri di Departemen Obstetri dan Ginekologi RSPAL dr. Ramelan surabaya KETUT EDY SUDIARTA; MOCHAMAD ALVIRIO NEDYA RIZKA; MUHAMMAD RIZAL; NANDA ABIGAIL; RONALD PRATAMA
HANG TUAH MEDICAL JOURNAL Vol 20 No 1 (2022): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

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

Abstract

ABSTRACT BACKGROUND: Uterine prolapse is the descent of the cervix, uterus, and both adnexa from their normal position into the vagina. In general, the incidence of pelvic organ prolapse is 41-50% in women aged over 40 years and will increase with increasing life expectancy, and uterine prolaps is the second most common after cystourethrocele. The incidence of uterine prolapse patients is not known with certainty. Some studies report the incidence of uterine prolapse in the elderly, but there are also studies that report mostly at the age of 20-35 years. Therefore, we conducted a study to determine the relationship between age and uterine prolapse. METHODS: The study used a cross-sectional approach to determine the relationship between age and uterine prolapse in the Obstetrics-Gynecology ward at the Naval Center Hospital Dr. Ramelan Surabaya for the period 2019 to 2021. The data is presented in the form of tables and statistical tests using Q2-Square. CONCLUSION: In the period 2019-2021, there were 1797 cases of gynecological patients in the gynecology inpatient room and 63 cases (3.5%) of them were uterine prolapse. The highest incidence was in the age group 60-64 years with 27.0% (n=17) with distribution based on the level of uterine prolapse the most were grade 3-4 with n = 69.8% (n=44) and grade 1-2 prolapse with 30.2% (n=19). The youngest age is 35 years old and the oldest is 79 years old. Treatment of 63 cases of uterine prolapse 38 cases (60.3%) underwent surgery and 19 cases (39,7%) 9.7%) Keyword: uterine prolapse, pelvic organ, pelvic surgery, management.
Perbedaan Sebaran Jumlah Pembuluh Darah pada Selaput Ketuban Kasus Ketuban Pecah Dini Dan Tidak Ketuban Pecah Dini: I GEDE AGUS RIO SAPUTRA; KETUT EDY SUDIARTA; MITA HEDIYANTINI
Hang Tuah Medical Journal Vol 21 No 1 (2023): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i1.135

Abstract

ABSTRAK Latar belakang: World Health Organization (WHO) menyatakan bahwa setiap tahunnya wanita yang bersalin meninggal dunia mencapai lebih dari 500.000 orang. Di Indonesia angka kematian ibu dan angka kematian bayi masih tinggi dan merupakan masalah yang menjadi prioritas dibidang kesehatan. Penyebab utama kematian bayi baru lahir atau neonatal di dunia antara lain persalinan prematur 29%, sepsis dan pneumonia 25% dan 23% asfiksia dan trauma. Secara garis besar kejadian persalinan prematur 50% terjadi spontan, 70% akibat ketuban pecah dini, dan 20% dilahirkan atas indikasi ibu dan janin. Ketuban pecah dini (KPD) merupakan keadaan pecahnya selaput ketuban sebelum terjadinya tanda-tanda persalinan. Prevalensi KPD berkisar 3-18% dari seluruh kehamilan. Metode: Metode penelitian dipilih secara studi potong lintang dari selaput janin pada pasien ketuban pecah dini dan tidak ketuban pecah dini. Data yang diperoleh dianalisis secara univariat, dan bivariat. Sedangkan untuk mengetahui ada tidaknya perbedaan digunakan uji chi square. Ada perbedaan jika p-value < 0,05 dan tidak ada perbedaan jika p-value > 0,05. Hasil: Uji Chi-Square antara hasil pemeriksaan histopatologi pembuluh darah dari selaput janin ketuban pecah dini dan tidak ketuban pecah dini menunjukkan kekuatan perbedaan dari hasil pemeriksaan patologi anatomi dari selaput janin ketuban pecah dini dan tidak ketuban pecah dini sebesar 0.001 < 0,05 Kesimpulan: Perbedaan antara hasil pemeriksaan patologi anatomi pembuluh darah dari selaput janin ketuban pecah dini dan tidak ketuban pecah dini adalah signifikan Kata Kunci: Ketuban Pecah Dini, Patologi Anatomi, Pembuluh Darah
Pengaruh Terapi Oksigen Hiperbarik Terhadap Kadar Enzim Katalase Jaringan Otak Tikus Model Alkohol Kronis VIRA AULIA KUSUMA WARDANI; NI KOMANG SRI DEWI UNTARI; KETUT EDY SUDIARTA; VERNA BIUTIFASARI
Hang Tuah Medical Journal Vol 21 No 2 (2024): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i2.362

Abstract

Latar belakang: Penyalahgunaan alkohol merupakan salah satu permasalahan serius setelah penyalahgunaan zat dan obat terlarang. Sebanyak 3,3 juta orang meninggal di dunia akibat penggunaan alkohol pada tahun 2018 dan bertanggung jawab atas 5,1% beban penyakit global. Penyalahgunaan alkohol dapat meningkatkan produksi reactive oxygen species (ROS). ROS menimbulkan dampak negatif terhadap serebelum yang berakibat pada penurunan kadar enzim katalase. Winsgoal tidak hanya menyediakan kemudahan deposit qris, tetapi juga tersedia deposit idn slot pulsa tanpa potongan, e-wallet dan transfer bank yang tidak kalah menarik. Terapi oksigen hiperbarik (TOHB) dapat menurunkan produksi ROS dan berpengaruh terhadap kadar enzim katalase jaringan otak. Tujuan: Membuktikan pengaruh terapi oksigen hiperbarik terhadap kadar enzim katalase jaringan otak hewan coba model alkohol kronis Metode: Tikus putih galur wistar diinduksi dengan alkohol 20% 4,5ml/kgBB setiap hari selama 6 minggu untuk mendapatkan model alkohol kronis. Penelitian ini menggunakan tiga kelompok yaitu kelompok kontrol yang tidak diinduksi (K0), kelompok perlakuan yang diinduksi alkohol tanpa TOHB (K1), kelompok intervensi yang diinduksi alkohol dan TOHB (K2). Hasil: Pengukuran kadar katalase didapatkan rerata dan standar deviasi sebesar K0 (877,74 ± 69,54), K1 (617,8 ± 245,32), dan K2 (952,85 ± 47,40); Uji statistik MWU pada kadar katalase mengalami perbedaan yang signifikan di tiap kelompok (p < 0,05). Kesimpulan: Terapi oksigen hiperbarik terbukti berpengaruh terhadap kadar enzim katalase pada hewan coba model alkohol kronis