Budi Prasetyo
2Departement Of Obstetric And Gynecology, Faculty Of Medicine, Universitas Airlangga, Surabaya, Indonesia

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Maternal mortality risk factor in pregnancy with heart disease at Dr. Soetomo General Hospital, Surabaya, Indonesia Laili Muninggar; M Yusuf; Budi Prasetyo
Majalah Obstetri dan Ginekologi Vol. 27 No. 1 (2019): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.63 KB) | DOI: 10.20473/mog.V27I12019.17-23

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Objectives: This research want to identify some factors that increasing risk of maternal death in pregnant woman with heart disease.Materials and Methods: This study was a retrospective analytic study with cross sectional design, with total sampling 92 patient with heart disease in pregnancy at maternity room Dr. Soetomo hospital, Surabaya, during periode January until December 2017.Results: Prevalency of pregnancy with heart disease in dr. Soetomo hospital about 0,5% with mortality that caused by heart disease 14% from all maternal death. Factors that increase risk of maternal death are non adequate antenatal visit number (OR 1,7;CI 95%), delay of detecting heart disease (OR 2,5;CI 95%), complication such as severe pulmonal hypertension (OR 61,4;CI 95%), Eisenmenger syndrome (OR 2,9;CI 95%), Decompensatio Cordis Functional Class IV (OR 1,2;CI 95%), and Thrombo-embolism (OR 9;CI 95%).Conclusion: Mortality rate in pregnancy with heart disease is 14% of all maternal mortality. Risk of maternal death increased by non adequate antenatal visit and delay in heart disease detection, and also medical complications. Detection of heart disease since before pregnant with pre-conceptional councelling and a good managed multidisciplinary antenatal care supposed to decrease morbidity and mortality.
Pattern of disease and type of operation of Surgical Site Infection in obstetrics and gynecology at Dr Soetomo Hospital, Surabaya, Indonesia Ardi Eko Marsanto; Kuntaman Kuntaman; Hari Paraton; Budi Prasetyo
Majalah Obstetri dan Ginekologi Vol. 27 No. 2 (2019): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (455.374 KB) | DOI: 10.20473/mog.V27I22019.49-55

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Objectives: to find correlation between risk factors and classification of SSI, the distribution of SSI, and cost in Soetomo Hospital.Materials and Methods: descriptive retrospective observational with correlation analysis between risk factors and SSI classification according to Centers for Disease Control (CDC) definition with univariate analysis. Sub-group descriptive analysis on microbiology result, length of stay (LOS) and cost was also performed. All patients was diagnosed SSI between January 2015 until June 2017.Results: age, referral cases, Body Mass Index, Hemoglobin and Albumin results, types of surgery, types of case are the risk factors we included. Analysis result shows no strong and significance correlation in all risk factors (r 0.053 – 0.447; p 0.072 – 0.971). According to SSI types, the distribution are: superficial (7; 13.2%), deep (26; 49.1%), organ/space (20; 37.7%). Extended-Spectrum Beta-Lactamase (ESBL) was obtained in 19 (14 Obstetrics; 5 Gynecology) from 28 patients with microbiology results. Five deaths occured in ESBL patients (1 Obstetrics; 4 Gynecology; ratio 1 : 11.2). Mean length of stay in Obstetrics and Gynecology was 41.7 and 19.2 days, respectively. Mean cost per day in Obstetrics and Gynecology was 1.2 amd 2.6 million rupiah, respectively.Conclusions: no strong and significant results in all risk factors. Death rate in SSI and malignancy with positive ESBL result are high. Less cost needed for SSI patients, but with longer LOS. Comprehensive approaches are needed to patients at risk of SSI, further study with larger sample are needed.
Pre-referral management of patients with severe preeclampsia and eclampsia in a district hospital, Southeast Sulawesi, Indonesia Daniel Yoseph Pardomuan; Budi Prasetyo; Rizki Pranadyan
Majalah Obstetri dan Ginekologi Vol. 28 No. 3 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I32020.104-108

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Objective: This study aims to determine the enforcement of diagnosis, management and description of the referral system of PEB and eclampsia patients at Level I Health Facilities and South Konawe Hospital in January-December 2017Materials and Methods: This study used an observational descriptive design, carried out in the Maternity Room of South Konawe Hospital on 1 January-31 December 2017. There were 47 cases of PEB/Eclampsia from 420 total cases. Most cases of PEB/Eclampsia in Konsel Hospital suffered by pregnant women aged> 35 years, as many as 27 cases (59%). age 21- 34 years, 15 (31%) and the lowest among women aged <20 years, as many as 5 cases (10%). Multigravida, which is 38 cases (81%) and 9 cases 19%) in primigravida. Pregnancy> 34 weeks is 46 cases (98%) and 1 case (2%) at <34 weeks gestation. There were 39 referral cases (83%) all of which were counseled and 8 non-referral cases (17%), where completeness of the tools, medicines and referral letters obtained 39 cases (100%) incomplete.Results: The administration of antihypertensive drugs was given to 89% of cases, and MgSO4 was not given to 100% of cases of PEB/Eclampsia referred to RSUD Konawe Selatan due to fear of officers in providing such therapy to PEB/Eclampsia patients. Examination of urine protein as a support for PEB/Eclampsia cases was recorded in 69% of referral cases at the Konawe Selatan General Hospital.Conclusion: From the whole data, it was found that the pre-requisite conditions had not been fulfilled properly. Referral should be well prepared in order to achieve patient safety and decrease in MMR.
Correlation Between Nutritional Status of Pregnant Women Based on Upper Arm Circumference and Preeclampsia/Eclampsia Severity Degree at Jagir Public Health Center During January 2014 - March 2014 Dian Nirmala Aprilia; Budi Prasetyo; Sulistiawati Sulistiawati
Biomolecular and Health Science Journal Vol. 1 No. 2 (2018): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.5 KB) | DOI: 10.20473/bhsj.v1i2.9533

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Introduction: Preeclampsia/eclampsia is one of the causes of maternal mortality besides bleeding and infection. The exact etiology of this condition is still unknown. Nutritional status of pregnant women who are overweight can increase the risk. This study aims to determine the correlation between obesity and the severity of preeclampsia/eclampsia through upper arm circumference (UAC) measurement.Methods: This study is a cross-sectional analytic study. Data on preeclampsia/eclampsia and UAC obtained from patient medical records in Jagir Public Health Center Surabaya. Data were analyzed using Chi-square test.Results: Prevalence of mild preeclampsia was greater than severe preeclampsia (87.5% and 12.5%). The majority of patients with mild preeclampsia have normal UAC size (91.3%). Severe preeclampsia found higher in obesity group than normal nutritional status group (22.2% and 9.1%). From Chi-square test analysis, found that p = 0.557.Conclusion: There was no significant correlation between the nutritional status of pregnant women based on UAC measurement of and the severity of preeclampsia/eclampsia.
Correlation Between Early Age Pregnancy with Low Body Weight (LBW) Newborn at Universitas Airlangga Academic Hospital, Surabaya, Indonesia Roy Prasojo Wibowo; Budi Prasetyo; Widati Fatmaningrum; Ahmad Hadi Modi
Biomolecular and Health Science Journal Vol. 5 No. 1 (2022): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v5i1.34442

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Introduction: Birth weight is often used to evaluate a newborn baby’s health. Low birth weight (LBW) is one of the leading causes of neonatal mortality. Mothers under the age of 20 (early pregnancy) are at a greater risk of affecting the weight and nutritional status of the unborn child. This research aimed to determine the relationship between early pregnancy and LBW. Methods: This was a cross-sectional study of women and newborns at Airlangga University academic hospital from January through December of 2017. Data on characteristics such as maternal age and LBW were collected. The correlation between early pregnancy and infant weight was determined using the Chi-square test, with a significance level of p<0.05. Results: We conducted research on 210 pairs of mothers and their infants. 64 (30.48%) of the pregnancies occurred in women under the age of 20; 61 (29.55%) were born LBW (weighing less than 2,500 grams). Early age pregnancy was linked to a higher proportion of LBW infants (p=0.001). Research indicated that the risk of LBW was more significant in the early groups of pregnancy.Conclusion: This research establishes a relationship between early age pregnancy and LBW. The findings may aid in identifying vulnerable mothers in need of further assistance and personalized treatments.
Faktor Sosial Budaya yang Memengaruhi Kesehatan Ibu dan Anak (Studi Etnografi) Salsabila Salsabila; Zakiyatul Faizah; Budi Prasetyo
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 9 No. 1 (2022): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v9i1.1651

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Maternal and child health as a key indicator of community welfare is measured by Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). The problem of maternal and child mortality is a problem that cannot be separated from the culture or behavior of the community itself. The social and cultural system in the community is an important consideration in health services that can be utilized more optimally. The purpose of this study was to determine what cultural factors affect the health of mothers and children. This research is a rapid ethnographic assessment procedure (REAP) with a qualitative approach. Sampling technique using snowball or chain referral sampling. It is carried out sequentially from one participant to another. Is a variation of the purposive sample. The number of respondents as many as 8 people who fit the inclusion criteria. The data shown were the result of indepth interviews and FGDs (Focus Group Discussion). This study resulted in findings about: (1) Kyai become community role models in responding to life's problems ranging from political choices to choices of access to health. (2) Women do not have sufficient full power or empower themselves to choose health services, especially during pregnancy and childbirth. (3) The element of belief inherited from generation to generation also forms the knowledge system of the Cibitung community. (4) The livelihood system of farm laborers as the main source of the economy in Cibitung. Keywords: Socio-Cultural, Ethnographic, Religious Systems, Kinship Systems, Knowledge Systems, Livelihood Systems
Front Matter, Vol.6 No. 2, April 2022 Dr. Budi Prasetyo, dr., Sp. OG (K)
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 2 (2022): Indonesian Midwifery and Health Sciences Journal, April 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i2.2022.%p

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Back Matter, Vol.6 No. 2, April 2022 Dr. Budi Prasetyo, dr., Sp. OG (K)
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 2 (2022): Indonesian Midwifery and Health Sciences Journal, April 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i2.2022.%p

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PREGNANCY OUTCOME AT PRIMARY HEALTHCARE CENTERS WITH BASIC EMERGENCY NEONATAL OBSTETRIC SERVICES DURING COVID-19 PANDEMIC Neilil Muna Mufidana; Budi Prasetyo; Budi Utomo
Jurnal Berkala Epidemiologi Vol. 10 No. 3 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I32022.312-320

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Background: This unending Coronavirus Disease 2019 (COVID-19) pandemic which worsens by various mutation findings, has brought about several changes across various sectors, including in health service sectors. Meanwhile, in particular, antenatal visits and childbirth cannot be separated. Purpose: This study was conducted to compare the pregnancy outcome differences before and during the pandemic. Methods: This cross-sectional study investigated antenatal visits, obstetric complications, postpartum conditions, and maternal motivation to undertake antenatal visits reviewed from the birth reports and medical records of mothers who gave birth and took antenatal care at primary healthcare centers in Surabaya, Indonesia, during January to July 2019 and January to July 2020. The total sampling method included 381 samples out of 688 mothers. Mann-Whitney U test was used for analysis to perceive the differences in conditions before and during the pandemic. Results: Statistical analyses showed no significant differences (p-value > 0.05) in the number of antenatal visits (p = 0.09), obstetric complication (p = 0.10), postpartum condition (p = 1.00), and maternal motivation in undergoing antenatal visits (p = 0.87). The most common obstetric complication was postpartum hemorrhage. Conclusion: This study establishes that there are no differences in the incidence of complications, postpartum conditions, antenatal visits, and maternal motivation before and during the pandemic.
PERCEPTIONS, ATTITUDES, AND PRACTICES OF MIDWIVES TOWARDS THE USE OF TELEHEALTH Avina Oktaviani Algifnita; Budi Prasetyo; Ivon Diah Wittiarika
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.155-164

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  Background: The COVID-19 pandemic has led to the closure of health facilities and a decrease in the usage of contraceptives. Therefore, the government and professional organizations initiated telehealth services to improve the quality of health services and minimize the risk of COVID-19 transmission. Aims: This study explored the perceptions, attitudes, and usage of telehealth by independent midwives during the COVID-19 pandemic in Surabaya. Methods: This qualitative phenomenology study was conducted from March to April 2021, and it involved independent midwives in Surabaya. The purposive sampling technique was used to select informants, and it obtained seven informants that met the inclusion criteria. Primary data were retrieved through semi-structured in-depth interviews. Results: This is due to the influence of their age, knowledge, the intensity of previous telehealth use, gaps in technology use, availability of facilities and infrastructure, self-motivation, social support, and efforts to find solutions through telehealth. Conclusion: Five out of the seven midwives decided to continue using telehealth in their services after the pandemic because of its benefits and impacts. Midwives, professional organizations, and policymakers need to consider the use of telehealth to improve the future services