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Journal : Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya

Role Of Inhaled Nitric Oxides In Pregnancy With Eisenmenger Syndrome Muhammad Anas; Nenny Triastuti; Muhammad Perdana Airlangga
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (177.512 KB) | DOI: 10.30651/jqm.v4i1.3478

Abstract

ABSTRACTEisenmenger Syndrome (ES) is congenital heart disease with pulmonary hypertension and shunting turning from right to left. The resistance of pulmonary vascular more than 7.5 mmHg/L/min. The right ventricle and pulmonary artery always enlarge. During pregnancy, there will be hemodynamic changes that will affect the ES. It can be understood the possible dangers that can occur, like right heart failure; an increase in pulmonary arteries or the aggravation of pulmonary hypertension because there is no decrease in pulmonary resistance; A sudden decrease in venous return in supine hypotension syndrome can cause a relative increase in pulmonary arterial pressure so as to aggravate pulmonary hypertension and reverse shunting.Physiological effects of inhaled nitric oxide (INO) therapy cause selective pulmonary vasodilation: Hypoxia alveoli causes reversible vasoconstriction, thereby increasing pulmonary wedge pressure. INO can lower it. Moderate cardiac output and systematic arterial pressure are not affected; Selective in pulmonary because it is activated by hemoglobin; Selective vasodilation in the ventilated area, local hypoxia alveoli constricts the surrounding vascular tissue and redistributes blood flow to the ventilated lungs better and higher intraalveolar oxygen pressure. INO enhances this mechanism by increasing blood flow through a well-ventilated lung; Bronchodilators; Pulmonary surfactant, The combination of high concentrations of inspired oxygen and high concentrations of INO reduces the minimum surfactant surface tension.Keywords: Inhalation Nitric Oxides, Pregnancy, Eisenmenger Syndrome
Anxiety Level of Pregnant Women at Siti Khodijah Muhammadiyah Sepanjang Hospital During COVID-19 Pandemic Ninuk Dwi Ariningtyas; Aulia Nuril Islamy; Roni Subagyo; Muhammad Anas
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 02 (2024): Qanun Medika Vol 08 No 02 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i02.21374

Abstract

Pregnant women are one of the vulnerable groups who have to face the unpleasant effects of the COVID-19 pandemic. One of the effects is the psychological impact that is bad for both the mother and the fetus. This study aims to describe the level of anxiety experienced by pregnant women during the COVID-19 pandemic at Siti Khodijah Muhammadiyah Sepanjang Hospital. The results of this study are expected to be used as information to help overcome more serious mental health problems. This research uses using quantitative descriptive design with a cross-sectional approach. The sample of this study was 112 pregnant women who met the research criteria. This research was conducted by giving them questionnaires consisting of their age, job, parity, gestational age, history of COVID-19 illness, history of mental problems, knowledge about COVID-19, and level of anxiety. Statistical analysis showed 84.8%, 8.9% and 6.3% of pregnant women experience low, moderate, and concerning levels of anxiety, respectively. The majority of pregnant women are primigravida, aged 20-35 years, with a gestational age of 28-41 weeks, housewives, and the level of knowledge about COVID-19 is very good. Correlation analysis using Kendall's tau-b showed a significance value of 0.038 (<0.05), which means a relationship exists between the level of knowledge about COVID-19 and the level of anxiety of pregnant women. In conclusion, the level of anxiety of pregnant women the most is low anxiety, followed by moderate and concerning levels of anxiety.
Co-Authors Abbas, Putri Naula Absor, Sholihul Agus Purwanto Ahmad Mochtar Jamil Ahmad Mochtar Jamil Akbar, Ronny Ali Immanudin Ali Mustofa Amalia, Nuke Amanda Muhamad Bauzir Anandya Fatikhawati Andre Ridho Saputro Anisatul Hamida Annisa Nurida Ardiani, Khoiriya Arsiyoga Bimo Fadhyki Aulia Nuril Islamy Ayu Rahajeng Dianing Negari Azayyana M.S, Alshafiera Bagaskara, Andre Baterun Kunsah Dianing Negari, Ayu Rahajeng Era Catur Prasetya Fahrudda, Ansarul Farah Luthfia Nugroho Firsiyanti, Aty Fitri Nuraini Frando G.E, Moch Futuwwah, Ali Imaduddin Gina Noor Djalilah Gusmaniarti, Gusmaniarti Haniifah, Ulaa Hartamto, Offia Melda Permata Hermadi Hermadi Huliyyatul Wahdah Huliyyatul Wahdah Indra Alfaray, Ricky Jamil, Ahmad Mochtar Kartika Prahasanti Khofifah Dwi Oktaviana Khoiriya Ardiani Luluk Latifah Luluk Latifah M. Thoriq Satria Dinata Marlina, Uning Maya Rafida Meirna Dewita Sari Muhamad Reza Utama Muhammad Perdana Airlangga, Muhammad Perdana Muhammad Ramzi Muhammad Tegar Nugraha Mundakir Musa Ghufron Muslim Andala Putra Nenny Triastuti Nina Veronica Ninuk Dwi Ariningtyas Ninuk Dwi Ariningtyas Ninuk Dwi Ariningtyas Ninuk Dwi Ariningtyas Ninuk Dwi Ariningtyas Nova Ulumiya Nugroho, Yudhistiro Andri Nur Mujadidah Mochtar Nurma Yuliyanasari, Nurma Nursucahyo, Eko Prasetyo, Ari Pudji Pribakti Budinurdjaja Prijambodo, Tjatur Puspita, Eka Ari Putra, Andhika Putri, Intan Rachmi Rahmah Laila Rahman, Aditya Safarudin Rahmasena, Naomi Razzaqy Razzaqy Ridho Akbar Roni Subagyo Roni Subagyo Ruth Mindo Siahaan Sembiring, Rinawati Senoaji, Fauzie Silkviana, Hassita Nadia Siswanto, Alfiansya Noval Siti Mardiyah Sopia Sapitri Suswojo, Heru Thariq Malikul Mulki Tiffany Lovenlya Indy Ayu Putri Kundayadi Ulaa Haniifah Ulaa Haniifah Ulaa Haniifah Uning Marlina Wahyu Setiawan Yelvi Levani Yeti Eka Sispita Yeti Eka Sispita Sari Yudith Annisa Ayu Rezkita Yudith Annisa Ayu Rezkitha, Yudith Annisa Ayu Yusian Eri Fitria