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All Journal Medula JURNAL ILMIAH KESEHATAN SANDI HUSADA JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research Jurnal Ilmiah Kesehatan Sandi Husada
Nurul Islamy
universitas lampung
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : Medula

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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

Abstract

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

Abstract

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

Abstract

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

Abstract

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.
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

Abstract

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.
Co-Authors Anggita Dwi Paramitha Citra Yuliyanda Pardilawati Ellyta Septyarani fahmi ikhtiar Ghaaliya dyah adheline I Made Merta Jaya Km Allan Wahyu Permana Marzuqi Sayuti Muhammad Arifin Ilham Muhammad Hasbi Sahbani nur sazaro tudhur Odi Wijaya Ramadhan Triyandi Ratna Dewi Puspita Sari Reva Dwi Yanty Riska Dwi Febriyanti Sherly Melvinia Malia Siti Nurkomala Sari Syahrul Hamidi Nasution Vidi Ibrahim Pratomo Affandi