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Laporan Kasus: Hematokolpos et Hematometra e.c Septum Vagina Transversal Km Allan Wahyu Permana; Ghaaliya dyah adheline; Nurul Islamy; Marzuqi Sayuti
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.249

Transverse vaginal septum is rare mullerian duct anomaly, the incidence was report around 1 : 70.000 in every birth, transverse vaginal septum occures due to failure of canalization of vaginal plate in junction point of urogenital sinus and mullerian duct, usually with obstruction symtoms during menstruation. Classification of mullerian duct anomaly divide into 7 class, hypoplasia or agenesis, unicomuate, didelphys, bicornuate, septate, arcuate, and diethulstillbestrol related anomaly. Diagnosis of transverse vaginal septum was made on basis of medical sign and symtoms, physical examination, and ultrasound examination, CT Scan, or MRI. Treatment of septum vaginal transversal is surgical resection of septum vagina. This study is a case report at Abdul Moeloek Hospital in Bandarlampung. It has been reported the case of a female patient aged 10 years, patient compained of pain in lower abdomen since september, pain felt every month, patient has not had menarche. Physical examination shows swelling in suprapubic with no pain in palpation. Gynecology examination with sonde show length of vagina is 4 cm. In rectal touche there was impression of mass in anterior to the rectum. On ultasound examination show hematocolpos and hematometra, CT scan examination show the impression of hematocolpos and hydrosalping bilateral. Patient was diagnosed with Hematocolpos et hematometra e.c. septum transversal

Amenorrea Primer Nurul Islamy; Odi Wijaya; nur sazaro tudhur; Anggita Dwi Paramitha
Medula Vol 11 No 1 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i1.250

Amenorrhea is defined as the absence of menarche in females of reproductive age. Primary amenorrhea is defined as the failure to initiate menses by age 14 in the absence of secondary sexual characteristics or the absence of menarche by age 16 regardless of the presence of normal growth and development of secondary sexual characteristics. In contrast, secondary amenorrhea is defined as the cessation of previous menses for more than 6 months. The etiology of amenorrhea can be seen from its anatomical and functional stratified components. Compartment I is disorders of the uterus and patency (outflow tract), such as Asherman's Syndrome, Tuberculous Endometritis. Compartment II is a disorder of the ovaries such as Turner Syndrome. Compartment III is a disorder of the pituitary such as pituitary adenoma, Empty Sella Syntrome, Sheehan's syndrome. Compartment IV, namely disorders of the hypothalamus or central nervous system such as Hypothalamic Amenorrhea, namely deficiency of GnRH pulsatile secretion causing disruption of gonadotropin secretion, resulting in impaired follicular maturation and ovulation, in turn, hypothalamic amenorrhea will occur. Based on chromosomal analysis, the cause of primary amenorrhea in 45% of cases is due to gonadal dysgenesis, chromosomal abnormalities or muller duct agenesis.

Vaksin Covid-19 Pada Ibu Hamil Siti Nurkomala Sari; Nurul Islamy
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.300

Coronavirus disease 2019 is an acute respiratory syndrome that causes severe, moderate or mild symptoms. This infection is susceptible in pregnant women and it is associated with the risk of morbidity and mortality both in mother and baby such as intensive care unit, preeclampsia, infection and premature birth and low birth weight. This condition can be prevented by administering the covid-19 vaccine to pregnant women. The covid-19 vaccine is divided into three types based on the mechanism of action, which are mRNA, viral vector and recombinant protein antigen. Four covid-19 vaccines are approvedfor use in the UK; the Pfizer-BioNTech vaccine, the Oxford-AstraZeneca vaccine, the Moderna vaccine and the Janssen vaccine. The vaccine recommended for pregnant women in Indonesia is the Sinovac vaccine which uses the inactivated COVID-19 virus to trigger an immunological response in host cells.

G2P1A0 Hamil 39 Minggu Inpartu Kala I Fase Aktif Memanjang JTH Preskep: Sebuah Laporan Kasus Reva Dwi Yanty; fahmi ikhtiar; Nurul Islamy
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.450

Maternal mortality rate (MMR) is one of several parameters that can describe the welfare of society in a country, especially developing countries such as Indonesia. One of the causes of maternal death is caused by prolonged delivery. Long labor is the 5th leading cause of maternal death both in Indonesia and in the world. The factors for the occurrence of prolonged labor are divided into two factors, namely causative and risk factors, causative factors: his, mal presentation and mal position, large fetus, narrow pelvis, cervical and vaginal abnormalities, fetovelvic disproportion, and premature rupture of membranes, and risk factors: excessive analgesia and analgesia, parity, age, dependent woman, stress response, restriction of mobility, and strict fasting. Mrs. NS was pregnant at term, 26 years old with complaints of heartburn since 18 hours before being admitted to the hospital. Initially, the heartburn was felt at 04.00 WIB and until 22.00 WIB there was still an 8 cm opening. On obstetric examination, external examination revealed that the height of the uterine fundus was 32 cm, the upper part of the fetus was palpable buttocks, the left side of the mother was palpated for the back, the lower part of the head was palpated into the pelvic inlet (PAP) or the fifth was 2/5. Fetal Heart Rate 136 x/minute and Estimated Fetal Weight 3100 grams. On internal examination, it was found that 90% flattened, 9 cm dilatation, hodge III, station 0. The management of this patient was vaginal termination of pregnancy.

G2P1A0 38 Weeks Pregnant Inpartum Stage 1 Prolong Latent Phase with 18 Hours Prom and Failed Vbac History of SC 1 Time Single Fetus Live Head Presentation: Case Report Vidi Ibrahim Pratomo Affandi; Riska Dwi Febriyanti; Nurul Islamy
Indonesian Journal of Global Health Research Vol 4 No 4 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The latent phase is the period from the onset of labor which generally starts from the onset of contractions to the dilatation of 3-4 cm within 7-8 hours. a prolonged latent phase occurs when the latent phase is more than 20 hours in nulliparas and 14 hours in multiparas. In this case, we report a 27-year-old woman with the initial complaint is discharge from the genitals since 18 hours before entering the hospital which was not accompanied by pain, contraction and blood mixed with mucus. The patient claimed to be pregnant aterm and still felt fetal movement. The patient had a history of cesarean section surgery once in his first child due to complications in the form of severe oligohydramnios. Physical examination revealed compos mentis consciousness, BP 110/80 mmHg, pulse 98 x/minute, RR 20 x/minute, temperature 36.5°C and SpO2 99%. The general status of the patient was within normal. On obstetry external examination, uterine fundal height was 32 cm. On examination, Leopold 1 felt soft round with the impression of the buttocks, Leopold 2 felt elongated to the left of the mother with left back impression, Leopold 3 felt hard round with a bouncy head impression, Leopold 4 obtained a divergent result that the fetal head had entered the upper pelvic door. HIS 4x/10'/20". FHR 180x/minute. On internal examination, it was found that the portio with soft consistency, 25% flattening, 3 cm opening, membranes (-), the lowest part of the fetus is the head, Hodge II head descent, Vertex indication. the VBAC score was 4 (58%). The patient in this case was diagnosed with G2P1A0 Pregnant 38 weeks Inpartu Stage 1 Prolonged Latent Phase With PROM 18 Hours with failed VBAC and history of SC 1 time Single Fetus Live Cephalic.

Gangguan Siklus Menstruasi pada Remaja : Literature Review Muhammad Arifin Ilham; Nurul Islamy; Syahrul Hamidi Nasution
Jurnal Penelitian Perawat Profesional Vol 5 No 1 (2023): Februari 2023, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v5i1.1385

Di dunia diperkirakan jumlah kelompok remaja sebanyak 1,2 milyar yang setara dengan 18% dari jumlah penduduk dunia atau 1 dari 6 orang populasi dunia. Pada umumnya remaja mengalami menstruasi diuasia 12-13 tahun. Hal ini merupakan proses fisiologi yang mendakan kematangan sistem reproduksi. Menstruasi merupakan proses fisiologis yang dialami oleh setiap wanita remaja dengan rentang usia 12 – 13 tahun. Dimana pada usia ini biasanya telah terjadi kematangan organ reproduksi yang memiliki peranan penting untuk kesejahteraan fisik maupun psikologis. Gangguan siklus menstruasi terdiri dari 2 macam, yaitu polimenorea dan oligomenorea. Polimenorea adalah siklus menstruasi dengan jumlah rentang hari kurang dari 21 hari dan atau volume darah sama atau lebih banyak dari volume darahan menstruasi biasanya. Gangguan ini mengindikasikan gangguan pada proses ovulasi, yaitu fase luteal yang pendek. Polimenorea menyebabkan unovulasi pada wanita karena sel telur tidak dapat matang sehingga pembuahan sulit terjadi. Penelitian ini dilakukan sebagai acuan klinis pada pola menstruasi yang terganggu pada remaja. Penelitian ini menggunakan metode literature review yang menggunakan penelitian terbaru. Berdasarkan beberapa penelitian yang digunakan pada jurnal ini, didapatkan bahwa gangguan menstruasi terdiri dari gangguan siklus menstruasi dan gangguan lama dan jumlah darah menstruasi. Terdapat beberapa gangguan siklus menstruasi seperti amenorea, polimenorea, oligomenorea, hipermenorea, dan hipomenorea.

Faktor Risiko dan Manajemen Mirror Syndrome Muhammad Hasbi Sahbani; Nurul Islamy; Citra Yuliyanda Pardilawati; Ratna Dewi Puspita Sari
Jurnal Ilmiah Kesehatan Sandi Husada Vol 11 No 2 (2022): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v11i2.800

Introduction: Mirror syndrome is a rare prenatal clinical condition associated with significant fetal death and maternal morbidity. Objective: To Know more about Mirror Syndrome comprehensively. Methods: The literature review study combines the essence of several relevant sources from national and international sources. Results: Mirror syndrome is defined by the presence of a clinical trial that includes fetal hydrops, placental hydrops, and maternal oedema. Several fetoplacental diseases are also associated with MS, which can be classified into diverse groups based on: different etiologies. Conclusion: There are many things still unknown about Mirror Syndrome. Early diagnosis is essential to determine the etiology of Mirror Syndrome and the appropriate treatment according to its type.

Merokok Sebagai Faktor Risiko Terjadinya Solusio Plasenta Sherly Melvinia Malia; Nurul Islamy; Ramadhan Triyandi
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.564

Placental abruption is the separation of the placenta before the time of delivery arrives. Placental abruption is one of the causes of bleeding during labor. Placental abruption is rare in vaginal delivery. In 1.000 births as many as 228 thousand mothers die. Bleeding is the highest cause of maternal death with a proportion of 27%. The most common causes of antepartum bleeding include placenta previa, placental abruption, and other causes such as marginal sinus bleeding, cervicitis, vasa previa, infection, and genital trauma. Placental abruption occurs when the mother's blood vessels detach from the placenta, this causes bleeding between the lining of the uterus and the placenta. There are various risk factors that can cause placental abruption, namely age, parity, alcohol consumption, cocaine consumption, and smoking. it can cause decreased blood flow to the placenta. This occurs due to changes in vasoactive substances such as prostacyclin and nitric oxide, or also due to endothelial cell damage. Nicotine in cigarettes also has a vasoconstrictive effect that can occur in the uterine arteries and umbilical arteries and increases the concentration of hemoxihemoglobin which interferes with oxygenation. The ensuing hypoxia causes microinfarction of the clotting placenta which gives rise to necrotic foci These necrotic foci then develop and cause placental abruption.

G2P1A0 Hamil 38 Minggu Inpartu dengan Janin Omphalocel dan Riwayat Sectio Caesarea 1 Kali: Laporan Kasus I Made Merta Jaya; Ellyta Septyarani; Nurul Islamy
Jurnal Penelitian Perawat Profesional Vol 5 No 1 (2023): Februari 2023, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v5i1.1423

Omfalokel merupakan defek yang terjadi pada insersi tali pusat dengan herniasi usus atau isi rongga abdomen lainnya yang terbungkus dengan membran yang terdiri dari lapisan peritoneum pada bagian dalam dan lapisan amnion pada bagian luar dengan kejadian diperkirakan adalah sebesar 4-7 per 1.000 kelahiran hidup setiap tahunnya di seluruh dunia. Omfalokel disebabkan karena kegagalan penutupan dinding ventral abdomen sebelum usia kehamilan 9 minggu. Omfalokel diklasifikasikan menjadi omfalokel defek besar dan defek kecil. Diagnosis prenatal untuk omfalokel dapat menggunakan pemeriksaan ultrasonografi. Pada tulisan ini akan dilaporkan kasus omfalokel yang terjadi pada perempuan berusia 34 tahun. Tujuan penulisan ini untuk mengetahui penegakkan diagnosis omfalokel dan mengetahui kelainan kongenital penyerta yang mengikutinya. Metode yang digunakan dalam tulisan ini adalah case report. Ny. K, perempuan 34 tahun dirujuk ke Rumah Sakit Abdul Moeloek dengan diagnosis Gravida 2 Partus 1 Abortus 0 (G2P1A0) hamil 38 minggu inpartu Janin Tunggal Hidup Presentasi Kepala dengan janin Omfalokel dan riwayat Sectio Caesarea 1 kali. Pasien dirujuk untuk dilakukan penatalaksanaan lebih lanjut pada ibu dan bayi. Simpulan bahwa omfalokel merupakan kelainan kongenital berupa defek pada dinding abdomen di tempat insersi tali pusat disertai dengan herniasi dari organ intrabdomen dan dilapisi dengan membrane pembungkus. Prenatal diagnosis dari omfalokel dapat dilakukan dengan pemeriksaan USG.

Faktor Risiko dan Manajemen Mirror Syndrome Muhammad Hasbi Sahbani; Nurul Islamy; Citra Yuliyanda Pardilawati; Ratna Dewi Puspita Sari
Jurnal Ilmiah Kesehatan Sandi Husada Vol 11 No 2 (2022): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v11i2.800

Introduction: Mirror syndrome is a rare prenatal clinical condition associated with significant fetal death and maternal morbidity. Objective: To Know more about Mirror Syndrome comprehensively. Methods: The literature review study combines the essence of several relevant sources from national and international sources. Results: Mirror syndrome is defined by the presence of a clinical trial that includes fetal hydrops, placental hydrops, and maternal oedema. Several fetoplacental diseases are also associated with MS, which can be classified into diverse groups based on: different etiologies. Conclusion: There are many things still unknown about Mirror Syndrome. Early diagnosis is essential to determine the etiology of Mirror Syndrome and the appropriate treatment according to its type.

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