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PERBANDINGAN USIA IBU PADA KEJADIAN PREEKLAMSIA DAN EKLAMSIA DI RSUP DR. M. DJAMIL PADANG TAHUN 2022 Try Junira Putri; Vaulinne Basyir; Yulistini Yulistini; Bobby Indra Utama; Dian Pertiwi; Noverika Windasari
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 6 (2026): SINERGI : Jurnal Riset Ilmiah, Juni 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i6.2687

Abstract

Background: One of the biggest contributors to Maternal Mortality Rate (MMR) in Indonesia is hypertension in pregnancy (preeclampsia and eclampsia). Apart from that, preeclampsia and eclampsia also have an effect on the health of the fetus which can ultimately cause fetal death. One of the risk factors for preeclampsia and eclampsia is maternal age Objective: This study aims to determine the comparison of maternal age in the incidence of preeclampsia and eclampsia at RSUP Dr. M. Djamil Padang in 2022 Methods: The research design used in this research is a cross-sectional study. The sampling technique in this study was total sampling, the population consisted of all patients diagnosed with preeclampsia and eclampsia at RSUP Dr. M. Djamil Padang in 2022, with total data including 94 out of 177 people. The secondary data used in this study was patients’ medical records that are presented tables. Data processing in this research uses the T-test Result: of this study obtained data on 72 preeclampsia patients and 22 eclampsia patients. The distribution of the highest maternal age group in preeclampsia patients and eclampsia patients is 20-35 years. The mean age of preeclampsia patients was 31.44 years, while the mean age of eclampsia patients was 28.41 years. The p value in this study was 0.025 (p<0.05) Conclusion: in this study there was a significant difference between maternal age in the incidence of preeclampsia and eclampsia at RSUP Dr. M. Djamil Padang in 2022
Hubungan Mindfulness Attention Awareness dan Dukungan Sosial Keluarga dengan Kesejahteraan Psikologis serta Kualitas Hidup Wanita Menopause Sisi Ermoniza; Bobby Indra Utama; Roza Mulyana
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58859

Abstract

Abstrak Periode menopause menjadi tantangan kesehatan global yang semakin krusial. Wanita menopause mengalami perubahan fisik dan psikologis akibat penurunan hormon estrogen yang dapat memengaruhi kesejahteraan psikologis dan kualitas hidup. Penelitian ini bertujuan menganalisis hubungan Mindfulness Attention Awareness (MAAS) dan dukungan sosial keluarga dengan kesejahteraan psikologis serta kualitas hidup wanita menopause. Desain penelitian menggunakan cross-sectional dengan pendekatan kuantitatif analitik. Sampel berjumlah 98 wanita menopause di wilayah kerja Puskesmas Dadok Tunggul Hitam, Kota Padang, yang dipilih secara purposive sampling. Instrumen yang digunakan meliputi kuesioner MAAS (Mindfulness), MSPSS (dukungan sosial keluarga), MRS (kesejahteraan psikologis), dan MENQOL modifikasi (kualitas hidup). Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan sebanyak 55,1% wanita menopause memiliki Mindfulness rendah, 61,2% memiliki dukungan sosial baik, 58,2% memiliki kesejahteraan psikologis baik, dan 53,1% memiliki kualitas hidup tinggi. Terdapat hubungan signifikan antara Mindfulness dengan kesejahteraan psikologis (p=0,000; OR=8,986), Mindfulness dengan kualitas hidup (p=0,002; OR=3,747), serta dukungan sosial keluarga dengan kualitas hidup (p=0,001; OR=4,333). Namun, tidak terdapat hubungan signifikan antara dukungan sosial keluarga dengan kesejahteraan psikologis (p=0,192). Mindfulness berhubungan dengan kesejahteraan psikologis dan kualitas hidup, sedangkan dukungan sosial keluarga hanya berhubungan dengan kualitas hidup. Hasil penelitian ini dapat menjadi dasar pengembangan program intervensi berbasis Mindfulness serta penguatan dukungan keluarga bagi wanita menopause. Kata Kunci: Mindfulness, dukungan sosial keluarga, kesejahteraan psikologis, kualitas hidup, wanita menopause Abstract The menopausal period is becoming an increasingly critical global health challenge. Menopausal women experience physical and psychological changes due to decreased estrogen hormone levels, which can affect psychological well-being and quality of life. This study aimed to analyze the relationship between Mindfulness Attention Awareness (MAAS) and family social support with psychological well-being and quality of life of menopausal women. This study used a cross-sectional design with a quantitative analytic approach. A sample of 98 menopausal women in the working area of the Dadok Tunggul Hitam Public Health Center, Padang City, was selected using purposive sampling. The instruments used included the MAAS questionnaire (Mindfulness), MSPSS (Family Social Support), MRS (Psychological Well-being), and a modified MENQOL (Quality of Life). Data analysis used the Chi-Square test. The results showed that 55.1% of menopausal women had low mindfulness, 61.2% had good family social support, 58.2% had good psychological well-being, and 53.1% had high quality of life. There were significant relationships between mindfulness and psychological well-being (p=0.000; OR=8.986), mindfulness and quality of life (p=0.002; OR=3.747), and family social support and quality of life (p=0.001; OR=4.333). However, there was no significant relationship between family social support and psychological well-being (p=0.192). Mindfulness is associated with psychological well-being and quality of life, while family social support is only associated with quality of life. These findings can serve as a basis for developing mindfulness-based intervention programs and strengthening family support for menopausal women at public health centers. Keywords: Mindfulness, family social support, psychological well-being, quality of life, menopausal women.
Edukasi Interaktif untuk Meningkatkan Pengetahuan Ibu Hamil tentang Komplikasi Kehamilan dan Pencegahan Stunting di Puskesmas Pauh Padang: Improving Pregnant Women’s Knowledge of Pregnancy Complications and Stunting Prevention through Interactive Education at Pauh Primary Health Center, Padang Yusrawati Yusrawati; Bobby Indra Utama; Vaulinne Basyir; Dovy Djanas; Rina Gustuti; Defrin; Nelvianti Nelson; Syamel Muhammad; Puja Agung Antonius; Sukri Rahman; Mela Aryati; Ardiles; Danil Armand; Zeino Fridsto; Subhan Arif Rahman; Aswin Boy Pratama; Dian Noviyanti; Edward Hariyadi; Irfan Kurnia; Rena Afri Ningsih; Rezi Liawati; Yesi Anggriani; Sakina Munira; Sara Uzlifah
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 9 No. 1 (2026)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v9i1.841

Abstract

Maternal mortality and stunting remain major public health challenges in Indonesia, largely due to limited early detection of pregnancy complications and low maternal health literacy during the First 1000 Days of Life. Strengthening maternal knowledge through structured education is essential to improve pregnancy outcomes. This community service program aimed to enhance pregnant women’s knowledge of pregnancy danger signs, completion of six antenatal care (ANC) visits, anemia prevention, balanced nutrition, and early stunting prevention. A community-based participatory approach using a service-learning model was implemented among 39 pregnant women at Pauh Primary Health Center, Padang. Educational activities were conducted through interactive lectures, group discussions, and question-and-answer sessions. Knowledge was assessed using pre-test and post-test instruments and analyzed with a paired t-test. The results showed a significant increase in mean knowledge scores from 77.98 ± 16.26 to 86.60 ± 11.18 (p = 0.0002). The proportion of participants with “good” knowledge increased from 66.6% to 76.6%, while those with “poor” knowledge decreased substantially. These findings indicate that interactive and structured maternal health education effectively improves understanding of pregnancy complications and stunting prevention. Continuous implementation through routine maternal classes and stronger family involvement is recommended to sustain behavioral changes and improve maternal and child health outcomes.
The The Influence of Educational Level, Employment Status, and Knowledge on Anxiety among Family Planning Acceptors Yuniarty Yuniarty; Bobby Indra Utama; Elly Usman
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.2073

Abstract

Family planning is an effort to regulate the number and spacing of births through the use of contraception in order to achieve family welfare and control population growth. However, anxiety remains a barrier to contraceptive use, often related to fear of insertion procedures and potential side effects, which may increase the dropout rate among acceptors. Therefore, this study aimed to analyze the influence of educational level, employment status, and knowledge on anxiety levels among family planning acceptors. This study employed a quantitative design with a cross-sectional approach involving 100 family planning acceptors selected through purposive sampling. Respondents were recruited during scheduled Posyandu activities and selected based on inclusion and exclusion criteria. Data were collected using structured questionnaires administered through face-to-face guided interviews by the researchers. The data were analyzed using univariate, bivariate, and multivariate methods with ordinal logistic regression. The results showed that most respondents were aged 36–50 years (58.0%), had three children (38.0%), and used three-month injectable hormonal contraception (23.0%). The majority of respondents had a low educational level (84.0%), were unemployed (62.0%), possessed high knowledge levels (57.0%), and did not experience anxiety (48.0%). Bivariate analysis showed significant associations between employment status p = 0.047 and knowledge level p = 0.025 with anxiety levels, while educational level was not significantly associated with anxiety levels p = 0.544. Multivariate analysis indicated that knowledge was the most dominant factor OR = 3.27, followed by employment status OR = 2.86. In conclusion, employment status and knowledge were significantly associated with anxiety levels among family planning acceptors, whereas educational level was not. Health workers, including midwives, are expected to improve education regarding contraceptive methods by providing accurate and comprehensive information to reduce anxiety levels. Midwives should also involve family and social support systems and facilitate open communication regarding complaints during contraceptive use, enabling acceptors to manage anxiety more adaptively.
PERBEDAAN LEVEL RERATA KEKUATAN OTOT DASAR PANGGUL SEBELUM DAN SETELAH PERSALINAN SPONTAN PADA KELOMPOK INKONTINENSIA URIN DAN KELOMPOK NORMAL Bobby Indra Utama; Hasni Kemala Sari; Hafni Bachtiar
Andalas Obstetrics And Gynecology Journal Vol. 1 No. 1 (2017)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.1.1.7-14.2017

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Trauma to the pelvic floor during delivery is now recognized as a major etiological factor against PFM disorders such as urinary incontinence, pelvic organ prolapse and fecal incontinence. This study was conducted to analyze the differences in mean levels of differences of pelvic muscle strength before and after spontanous labor between stress urinary inconti-nence group and normal group. This research was done using analytic method with cross sectional design in 13 women with stress urinary incontinence, and 17 women with normal group. Subjects were collected in hospitals of Pariaman, Padang from May to December 2014. Examination of the pelvic floor muscle strength was performed with a perineometer. Differences between the mean difference in the strength of the pelvic floor muscles before and after spontaneous delivery between the two groups were analyzed using independent t test. The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was larger than normal group (3.85 + 1.281 cmH2O vs 2,00 + 1.173 cmH2O, p = 0.000). The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was significantly greater than the normal group.Keywords: Pelvic Floor Muscle, Urinary Incontinence, Spontaneous Labor
The Role of Transforming Growth Factor Beta (TGF-β) in Pelvic Organ Prolapse : A Systematic Review Yulia Margaretta Sari; Bobby Indra Utama; Zelly Dia Rofinda; Aisyah Elliyanti
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.58-69.2026

Abstract

Introduction: Pelvic organ prolapse (POP) is a gynaecological disorder with a rising prevalence, significantly affecting quality of life. While the pathogenesis of POP is multifactorial, alterations in the extracellular matrix (ECM) have been implicated, particularly the role of transforming growth factor-beta (TGF-β) in ECM remodelling. However, the precise relationship between TGF-β and POP remains unclear. Methods: A systematic review was conducted following PRISMA guidelines. Relevant studies were identified from PubMed, Scopus, Web of Science, and the Cochrane Library. Inclusion criteria focused on studies investigating TGF-β expression in women with POP. Data extraction included study design, patient demographics, TGF-β detection methods, and key findings. Results: Analysis of nine studies revealed mixed findings. Four studies reported a significant reduction in TGF-β1 expression in POP patients, suggesting impaired ECM regulation via the TGF-β1/Smad3 pathway. Three studies found no significant differences in TGF-β levels between POP and control groups, while one study linked increased TGF-β1 levels to severe prolapse, possibly as a compensatory response. Variations in methodology, sample size, and patient characteristics contributed to inconsistencies across studies. Conclusion: Current evidence suggests that TGF-β1 plays a role in POP pathogenesis, with lower levels potentially weakening ECM integrity and higher levels in advanced cases reflecting a failed reparative response. Further research is needed to explore TGF-β interactions with other biomarkers and assess its potential as a therapeutic target.
Efficacy of Autologous Platelet-Rich Plasma (PRP) on Perineal Wound Healing: A Controlled Non-Randomized Clinical Trial. Muhammad Fadli; Bobby Indra Utama; Hirowati Ali
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.153-162.2026

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Introduction: Perineal wounds are a very common complication of vaginal birth. Perineal trauma associated with childbirth is defined as damage to the skin, perineal muscles, as well as the sphincter and anal epithelium complex. This study aims to determine the effect of PRP use on perineal wounds.  Method: A single-center, controlled, non-randomized, non-blinded clinical trial was designed in patients with perineal wounds after vaginal delivery. PRP was taken from each patient's serum (autologous). Perineal wound healing after intervention was assessed using the Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale. Perineal wound pain was assessed using the Visual Analog Scale (VAS). Result: The current study involved 56 samples, 28 people per group. The average age of the patients was 28.38 ± 6.280 years. The highest education was high school, 42.9%, while the lowest was elementary school (21.4%). The highest VAS scale was 3 (42.9%) and the lowest was 1 (5.4%). The prevalence of the highest degree of perineal wounds in general was degree 2 (98.2%). The highest score was in the moderately healed group on PRP administration (92.9%). In contrast to the control group, the mildly healed category was 21.4% and not healed 14.4%.  Conclusion: There is a significant relationship between the PRP to healing perineal wounds in vaginal delivery patients at the Seberang Padang Health
Identification of Gender in Early Pregnancy Using Cell-Free Fetal Dna Budi Junio Hermawan; Bobby Indra Utama; Andani Eka Putra
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.135-144.2026

Abstract

Introduction: Traditionally, chorionic villus sampling and amniocentesis can be used to help identify fetal gender around 11 weeks of pregnancy. However, the risk of miscarriage with these procedures is approximately 1 to 3%. The discovery of cell-free fetal DNA (cffDNA) fragments in the plasma and serum of pregnant women carrying male fetuses has made reliable and accurate diagnosis using non-invasive procedures an option for determining fetal gender. To determine the success rate of fetal gender identification in early pregnancy using Cell Free Fetal DNA. Methods: An analytical observational research method to identify fetal gender in early pregnancy through Cell Free Fetal DNA examination in maternal blood. A total of 70 samples were collected using quota sampling technique. Data analysis was performed using sensitivity and specificity tests, as well as cross-sectional analysis to determine the relationship between PCR test results and gender at birth.      Results: The PCR test has low sensitivity (14.29%), meaning the test is less effective in correctly detecting male gender, resulting in many false negatives. However, it has high specificity (98.11%), indicating its excellent ability to detect female gender with very few false positives. Additionally, the Pearson Chi-Square statistical test resulted in a p-value of 0.033 (p < 0.05), indicating a statistically significant relationship between PCR test results and gender at birth.   Conclusion: Statistically, this test is better at identifying females than males, with a lower error rate for females.  
Treatment of Prepubertal Labial Adhesion: A Case Report Ibnuzaer Khalilullah; Bobby Indra Utama; Yulia Margaretta Sari
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.179-186.2026

Abstract

Introduction : Labial adhesion is a condition in which the labia minora adhere to each other, either partially or completely, and is most commonly observed in prepubertal girls. The highest incidence typically occurs between the ages of 3 months and 6 years, a period during which lower estrogen levels make the vulvar mucosa more susceptible to irritation and adhesion. Objective : To report and discuss a rare case of labial adhesion on prepubertal. Methods : A prepubertal girl diagnose with labial adhesion at Dr. M. Djamil Central Hospital was reported and discuss the management. Result : A four-year-old girl was referred to the outpatient urogynecology clinic by a network hospital for labial adhesion. Upon general assessment, the child's development appeared appropriate for her age. Her medical history did not reveal any significant illnesses, surgical procedures, or history of sexual abuse, and her general physical examination was normal. Upon inspection, the labia majora were normal, but he labia minora appeared fused with a 0.2 cm gap at the proximal area of the adhesion. The adhesions appear thick and non-transparent For this patient, we decided to proceed with excision of the labial area without first attempting estrogen therapy. Seven days post-operation, the patient returned for a follow-up visit in good condition. The surgical wound was dry, urination was normal, and the examination showed a normal vaginal opening. Conclusion: From this case report, we conclude that for long-standing labial adhesion characterized by tissue thickening, labial excision is the appropriate and effective treatment option.
Menstrual cycle disruption occurs at any duration of Depo Medroxyprogesterone Acetate usage Muhammad Haritsyah Rahmadana; Ulya Uti Fasrini; Bobby Indra Utama; Abdiana .; Nurhayati .
Jurnal Sains Farmasi Dan Kesehatan Vol. 3 No. 3 (2026): Januari - April
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jfkes.v3i3.4407

Abstract

This study investigated the relationship between the duration of Depo Medroxyprogesterone Acetate (DMPA) contraceptive use and menstrual cycle disturbances among users at the Nanggalo Community Health Center in Padang, West Sumatra. An observational analytical approach with a cross-sectional design was employed, involving 56 female respondents selected through simple random sampling. Data collection included the PSS-10 questionnaire to exclude participants with high stress levels and an interview questionnaire to assess menstrual cycle disturbances. Analysis using the Chi-square test revealed that the majority of respondents (62.5%) had used DMPA for more than 24 months. The most common menstrual disturbance reported was amenorrhea (69.6%), followed by oligomenorrhea (8.9%) and polymenorrhea (7.1%). Statistical analysis showed no significant association between the duration of DMPA use and the occurrence of menstrual disturbances (p=0.876). These findings suggest that the length of DMPA use does not significantly influence menstrual cycle changes among users in this setting, and they may serve as useful educational material for healthcare providers and considerations for individuals choosing DMPA as a contraceptive.  
Co-Authors Abdiana Abdiana, Abdiana Afkara Husna Firdanisa Afriwardi Afriwardi Agung Wijaya Kusuma Aisyah Elliyanti Almurdi Almurdi Amel Yanis Andani Eka Putra Anggra Pramana Ardiles Arga Kafi Perdana Kusuma Ari Fuad Fajri Aswin Boy Pratama Aswiyanti Asri Aswiyanti Asri Ayu Anissa Bahri Ayu Rahma Sari Berriandi Arwan Budi Junio Hermawan Cintya Andriani Citra Ayu Fitrisia Daan Khambri Danil Armand Deddy Saputra Defrin Desmawati Desmawati Dessy Arisanti Dessy Arisanti Dia Rofinda, Zelly Dia Dian Noviyanti Dian Pertiwi Dian Pertiwi Dio Jainata Dovy Djanas Edward Hariyadi Elmatris Sy Endrinaldi Erda Mutiara Halida Ermawati Ermawati Ester Pakpahan Fatima Diyas Zahra Fauzan F Fika Tri Anggraini Fiona Dewanti Firdawati Firdawati Firdawati Firdawati Fitrayeni Fitrayeni Fitrayeni Hafni Bachtiar Hafni Bachtiar Hafni Bachtiar Hafni Bachtiar Hardisman Hasmiwati Hasni Kemala Sari Hasvia Berliani Helmizar Herti Marni Hifzhillah Fajriati Hirowati Ali Hovlanta Pidingan Hudila Rifa Karmia Hudilla Rifa Karmia Husna Yetti Ibnuzaer Khalilullah Ichsan Arif Intan Julianingsih Irfan Kurnia Irya, Nada Amelinda Jonas Hansel Tarigan Joserizal Serudji Julizar Julizar Julizar Nazar Laila laila Lini Gustini Linosefa Linosefa Maisarah Fadhilah Masrul Djalal Meilinda, Agus Mela Aryati Mikhail Nurhari Mikhail Nurhari Mikhail Nurhari Mohamad Reza Mohamad Reza Muhammad Al Fath Muhammad Fadli Muhammad Haritsyah Rahmadana Muhammad Iqbal Muhammad Iqbal Muhammad Rudi Setiawan Muhammad Ryfki SA Muhammad Syauqie Nada Amelinda Irya Nanda Tri Martha Nelmi Silvia Nelvianti Nelson Netti Suharti Nindrea, Ricvan Dana Nissa Prima Sari Norman Ferdinal Noverika Windasari Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nurhayani Fatimah Nurhayati . Nurhayati, Nurhayati Olivia Oktaviani Prastiwi Peter Wijaya Sugijanto Poldo Reinaldo Puja Agung Antonius Puja Agung Antonius Puspita Sari Rafi Yasnova Ranne Balqis Rauza Sukma Rita Rena Afri Ningsih Rena Regina Erwin Reyhan Julio Azwan Reyhan Julio azwan Reyhan Julio Azwan Rezi Liawati Rimbun Wahyu Gumilar Rina Gustuti Rizanda Machmud Rizky Rivonda Bennovry Roslaili Rasyid Roza Mulyana Roza Sri Yanti Sakina Munira Sara Uzlifah Sisi Ermoniza Subhan Arif Rahman Sukri Rahman Susila Sastri Syahredi SA Syamel Muhammad Tofrizal Tofrizal Try Junira Putri Ulya Uti Fasrini Vaulinne Basyir Vaulinne Basyir Vaulinne Basyir Widayat Widayat Yanti, Roza Sri Yenny Mayang Sari Yesi Anggriani Yessi Widya Putri Yolanda Syahdia Yulia Margaretta Sari Yulia Margaretta Sari Yulia Margaretta Sari Yulia Margaretta Sari Yulia Margaretta Sari Yulistini, Yulistini Yuniar Lestari Yuniarty Yuniarty Yusrawati Yusrawati Yusrawati Yusrawati Zeino Fridsto Zelly Dia Rofinda Zurayya Fadila