Deri Edianto
Department Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Sumatera Utara, Medan, North Sumatera, Indonesia

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Journal : Majalah Kedokteran Nusantara The Journal Of Medical School

Hubungan kadar hematokrit dengan tingkat keparahan pada preeklamsia berat di RSUP H Adam Malik Medan, RSUD dr. Pirngadi Medan dan RS jejaring FK USU M. Wahyu Wibowo; R. Haryono Roeshadi; Sarma Lumbanraja; Sanusi Piliang; M. Khuwailid; Deri Edianto
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction : Hypertension in pregnancy is one of the causes of maternal morbidity and mortality is high. It cause of 30-40% of perinatal deaths. This state is related to blood viscosity and hematocrit is an important determinant of the blood viscosity. Careful observation of the several indicators, such as hematocrit levels can prevent from unwanted circumstances. Methods : This research is to design pre test - post interventions to determine the relationship between hematocrit levels in preeclampsia before and after childbirth. Pre and post test data is performed using the t test (t-test) and to find the relationship of hematocrit levels with the degree of preeclampsia with Chi-square test.Results : Of the total 55 cases, most cases of severe preeclampsia occurs in the age group 21-35 years were 43 cases (78.2%) cases, have never given birth were 22 cases (40%), history of antenatal care is often enough (4 - 8x during pregnancy) that is found in 30 cases (54.5%), gestational age at term 30 cases (54.5%), and delivery baby with a normal weight in 29 cases (52.7%). Hematocrit levels showed a significant reduction in the time before and after 24 hours of delivery of 34.018 + 0.690 percent to 30.140 ± 0.656 percent (p<0.001). There were no significant differences in hematocrit levels based on the severity of severe preeclampsia both before birth and after 24 hours of labor (p>0.05).Discussion : Found a significant difference in hematocrit levels at the time before and after 24 hours of delivery. Hematocrit levels not influenced by the severity of severe preeclampsia.Keywords : Severe preeclampsia; hematocrit levels
Gambaran karakteristik pasien kista ovarium jinak yang dilakukan tindakan operasi di Bagian Ginekologi di RSUP H. Adam Malik medan periode 1Januari 2009 - 31 Desember 2013 Ninong Ade Putri; Aswar Aboet; M Oky Prabudi; Deri Edianto; Sarma Lumbanaja; David Luther
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction : Ovarian cyst is a benign tumor with liquid content. This is often found in women in their reproductive periods. Knowing the epidemiology of ovarian cysts is important for all aspects of health. Analyzing patients’ charateristic who underwent laparotomy or laparoscopic for ovarian cyst ovarian cysts will give us data about preferences of each method as a useful statistical data in the informed consent or determining therapy choice.Objective : To determine the characteristics of the ovarian cyst patient who underwent laparoscopy and laparotomy. Methods : This study is a retrospective descriptive study with cross sectional design using all patient medical records benign ovarian cysts who have undergone surgery in the Departemen of GynecologyinHaji Adam Malik Hospital from 1 January 200 to 31 December 2013. Parameters assessed were age, parity, tumor size, menstrual status, body mass index, in each surgical group. The data collected is presented in the form of tables and diagrams.Results :I n this study, 163 patients were included.Laparoscopy in benign ovarian cysts entirely (100%) is cystectomy and majority laparotomy method was SOU laparatomy (58.9%). Majority patients who undergo laparoscopy vslaparatomy, aged 21-35 vs. 36-50 years old (52.9% vs 30.82.6%), nulliparity versus multiparity (70.58% vs 30.8%), tumor size 5-10 cm vs>10 cm (88.23% vs 48.63%), both still menstruating (100% vs 56.16%), normoweightvs obese 1 (70.58% vs 30.8%). Conclusions : There are differences between the characteristics of the group who underwent laparoscopy and laparotomy.