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Prevalensi Kejadian Infeksi Virus HbsAg pada Bayi Baru Lahir dari Ibu dengan HbsAg Positif Rengga Pradipta; Roza Sri Yanti
Indonesian Journal of Obstetrics & Gynecology Science Volume 2 Nomor 2 September 2019
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (676.219 KB) | DOI: 10.24198/obgynia.v2n2.123

Abstract

Tujuan:  Penelitian ini bertujuan untuk mengetahui angka kejadian penularan infeksi virus HbsAg pada bayi baru lahir dari ibu dengan HbsAg Positif.Metode: Penelitian ini merupakan studi deskriptif. Data diambil dari rekam medik pasien dari ibu yang melakukan persalinan dengan pemeriksaan HbsAg positif. Data yang diambil adalah identitas pasien, sosioekonomi keluarga dan hasil laboratorium yang melakukan persalinan baik secara pervaginam maupun perabdominam di RSUP Dr. M. Djamil Padang, selama periode Januari 2017-Desember 2018. Data yang dicatat: anamnesa riwayat antenatal, riwayat penyakit sebelumnya, dan hasil pemeriksaan HbsAg baik pada ibu maupun pada bayi yang baru lahir dari ibu yang mempunyai HbsAg positif. Hasil: Terdapat 1068 ibu hamil yang melakukan persalinan. Didapatkan 42 ibu yang melahirkan dengan hasil positif HbsAg, terdapat 4 ibu dengan positif HbsAg melahirkan secara pervaginam dan 38 ibu dengan positif HbsAg melahirkan dengan seksio sesaria. Kejadian infeksi Hepatitis B pada bayi baru lahir dari ibu positif HbsAg di RSUP Dr. M Djamil Padang Yaitu 0% (0/42) dengan riwayat pemberian vaksin HB0 <12 jam dan pemberian Immunoglobulin Hepatitis B mencapai sebesar 100%.Kesimpulan: Tidak ada penularan secara vertikal dengan 100% riwayat pemberian vaksin HB0 dan pemberian immunoglobulin Hepatitis BPrevalence of HbsAg Virus Infection in Newborns Infants from Mothers with HBsAg Positive AbstractObective: This study aims to determine the incidence of transmission of HBsAg virus infection in newborns infant from mothers with HbsAg positive.Method: Statistic analysis is a descriptive study. The data was taken from the medical record of patients from mothers who gave birth with positive HBsAg examination. The data is the patient’s identity, family’s socioeconomics and laboratory results from mother that had delivery both vaginally and caesarean section in RSUP dr. M. Djamil Padang, during the period of January 2017-December 2018. Data recorded: history of antenatal history, previous history of disease, and results of HBsAg examination both in the mother and in newborns of mothers who have HBsAg positive.Result: There were 1068 pregnant women who gave birth. There were 42 mothers who gave birth with positive HBsAg results, there were 4 mothers with HBsAg positive who giving birth by vaginal delivery and 38 mothers with positive HBsAg giving birth with cesarean section. The incidence of Hepatitis B infection in newborns from mothers who have positive for HbsAg examination in RSUP Dr. M Djamil Padang is 0% (0/42) with a history of HB0 <12 hours vaccine administration and Hepatitis B immunoglobulin reaches 100%.Conclusion: There is no vertical transmission with 100% history of HB0 vaccine administration and Hepatitis B immunoglobulin administrationKey words: Hepatitis B, HBsAg, Pregnant Women
Differences Post Delivery of Term Pregnancy Mean Maternal Serum Magnesium Level with Low Versus Normal Birth Weight Dovy Djanas; Heri Farnas; Roza Sriyanti; Syntia Ambelina
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 5 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i5.495

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Background. Impaired fetal growth is still a major problem in obstetrics. Birth weight is usually used as an indicator of the well-being of the newborn and as an indirect measure of intrauterine nutrition during pregnancy and the mother's nutritional status during pregnancy. Magnesium contribute as a cofactor for various enzymes in the human body for metabolic processes. Fetal magnesium is obtained from maternal by transport through the placenta. In conditions of low magnesium levels will affect the epigenetic process, HPA-axis and GH-IGF axis of the fetus which in turn will result in fetal growth disorders. This study aims to determine the differences postdelivery serum magnesium levels of women at term pregnancy who give birth with low vs normal birth weight. Methods. This study used an observational analytic method with a cross sectional approach. Conducted from April 2020-December 2020 at Dr. M. Djamil Padang Central General Hospital and Network Hospital Faculty of Medicine, Andalas University. Total of 44 samples were divided into 2 groups, women who gave birth with low and normal birth weight babies. Samples was carried out at the Pramitha Padang Private Clinical Laboratory. Results: The mean maternal serum magnesium level in low birth weight group was 1.97 ± 0.16 mg/dL lower than normal birth weight group was 2.06 ± 0.14 mg/dL. Statistic test using the independent sample T test showed no differences in both groups (p = 0.064). Conclusion. The mean maternal serum magnesium level in low birth weight 1.97±0.16 mg/dL. The mean maternal serum magnesium level in normal birth weight was 2.06 ± 0.14 mg/dL. There was no significant difference on both groups.
The correlation between Leptin Levels and Onset of Preeclampsia Roza Sriyanti; Johanes C. Mose; Masrul Masrul; Netti Suharti
Andalas Obstetrics And Gynecology Journal Vol 4, No 2 (2020)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.2.139-144.2020

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The purpose of this study is to find the correlation between leptin levels and the onset of preeclampsi. This study used a cross sectional comparative study design that conducted in May 2018 - April 2019 in the SMF / Obstetrics and Gynecology department of RSUP dr. M. Djamil Padang, RSUD Achmad Mochtar, RSUD Solok, RST Reksodiwiryo. We used consecutive sampling method which consists of 69 pregnant women who fulfill the inclusion and exclusion criteria. Leptin level tests were done using ELISA method. The average level of leptin in early-onset preeclampsia is found to be the highest when compared to the late-onset preeclampsia and normal pregnancy, 64.07 ± 78.27 vs. 30.46 ± 31.99 vs. 16.61 ± 24.49. This differentiation is highly significant with the ANOVA statistical test (p <0.05). There is a significant correlation between leptin levels with the onset of preeclampsia.Keywords: preeclampsia early onset, preeclampsia late onset, leptin levels
Analysis of Factors Related to Bone Density in Trimester III Pregnant Women in The Working Area of Community Health Center of Andalas Padang Violita Dianatha Puteri; Athica Oviana; Roza Sriyanti; Cimi Ilmiawati
Science Midwifery Vol 9 No 2 (2021): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The decrease of bone density becomes a serious health problem because of its increasing prevalence worldwide, especially for women. Parity is one of the factors that can affect bone density, apart from physical activity, consumption of caffeinated and carbonated drinks, intake of protein, magnesium, phosphorus, calcium, and serum 25(OH)D levels. This study aimed to comprehensively analyze the factors associated with bone density in pregnant women. This cross-sectional study was conducted in the working area of Community Health Center of Andalas Padang towards 73 pregnant women in the third trimester with a purposive sampling technique.Structured interviews were conducted by using a semi-quantitative food frequency questionnaire (nutritional intake), Baecke's questionnaire (physical activity) and examination of serum 25(OH)D levels using the ELISA method. Data were analyzed by using One Way ANOVA, Kruskal-Wallis test and multiple linear regression. The results of statistical tests showed that there was no significant relation (p> 0.05) among parity, physical activity, serum 25 (OH) D levels, consumption of caffeinated and carbonated drinks, intake of protein, phosphorus, magnesium, and calcium on bone density at pregnant women. The dominant factor related to bone density are parity (adjustedR2=0,191 ; standardized β coefficient= -0,357 ; p=0,004) and calcium intake (adjusted R2=0,191;standardized β coefficient=0,308 ; p=0,005). The conclusion of this study is that calcium intake and parity play important roles in bone density in pregnant women.
Atypical eclampsia: A case report Roza Sriyanti; Aldhi Aldhi; Ressy Permatasari
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.167-172.2022

Abstract

Background: Most women with eclampsia have a previous history of preeclampsia (proteinuria and hypertension). However, there has been a paradigm shift in this philosophy. There is evidence that atypical eclampsia can occur even in the absence of proteinuria and hypertension which presents a diagnostic dilemma and challenge for obstetricians and gynecologists. The purpose of this case report is to raise awareness about nonclassical and atypical signs of eclampsia so as to avoid complications Case: A multigravida woman with 39-40 weeks gestational age came to the hospital with signs of labor. On examination, blood pressure was 120/70 mmHg without a history of hypertension during antenatal examination, fetal heart rate was 146-156 beats/minute, cervical dilatation was 7-8 cm, with routine blood results within normal limits and planned for vaginal delivery . When monitoring the patient suddenly had a tonic clonic seizure, a complete blood count was performed, liver, kidney, electrolyte function was within normal limits, and proteinuria was found to be +2. The patient was treated with magnesium sulfate and the baby was delivered by vacuum extraction. This patient was managed appropriately with good outcome Discussion: Atypical eclampsia accounts for about 8% of all cases of eclampsia. Atypical forms of eclampsia have an erratic onset. This experience highlights some of the difficulties in managing atypical cases of eclampsia, namely the erratic onset and unpredictable course of the disease that can interfere with timely diagnosis and treatment and contribute to maternal and fetal morbidity and mortality. While controlling seizures by initiating magnesium sulfate therapy,
Analysis of the Implementation of the Basic Immunization Program for Infants during the Covid-19 Pandemic in the Work Area of the Bukittinggi City Health Office Intan Julianingsih; Roza Sri Yanti; Bobby Indra Utama
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1061

Abstract

The basic immunization program is a national program from the Government in the field of immunization which is useful for achieving an international commitment, namely Universal Child Immunization (UCI) in infancy. The achievement of the basic immunization program for infants in Bukittinggi City in 2020 is 56.4%, which is still below the national target. The aim of the study was to analyze the implementation of the basic immunization program for infants during the Covid-19 pandemic in the Work Area of the Bukittinggi City Health Office. The research was conducted using a qualitative approach, a case study research design. The research was conducted in the Work Area of the Bukittinggi City Health Office. Selection of research informants with purposive sampling . The results of data processing and analysis on the input component, human resources are sufficient but have dual duties at the Puskesmas. Funds have been budgeted through the BOK budget. Adequate facilities and infrastructure. The number of guidelines/SOPs is still insufficient. Policies from the government affect community activities. Process : the planning and organizing has been done. Implementation of basic immunization is carried out according to the zone of each region/RT/RW. Recording and reporting has been going quite well. Monev during the Covid-19 pandemic was still not optimal, it could not be done routinely. The conclusion of this study is that the input and process components have not been implemented optimally. The achievements of the basic immunization program at the Bukittinggi City Health Center in 2021 are still below the achievement target.
Determinant analysis of infant’s basic immunization visits during the covid-19 pandemic Rionitara Wikarya; Roza Sriyanti; Rinang Mariko
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1069

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The COVID-19 pandemic had an impact on the implementation of health programs, especially immunization services. This is certainly a risk for the occurrence of PD3I Extraordinary Events. The coverage of basic immunization in Padang City was so far from the national basic immunization target that has been set were 95%, coverage of BCG immunization (74.6%), DPT-HB-HIB immunization (55.5%), polio immunization (49%) and MR immunization (46%). Health behavior, especially basic immunization, can be influenced by several determinants. This study aims to determine the determinants of basic immunization visits for infants during the COVID-19 pandemic in the West Rawang Health Center, Padang City working area. This research was a quantitative approach with a cross-sectional design. This research was conducted from January to November 2022. The total sample was 206 mothers with children aged 12-28 months in the Rawang Barat Health Center working area. The sampling technique used proportional random sampling. Data were collected through questionnaires and univariate, bivariate, and multivariate analyses were performed. The results of the study on the determinants of the infant’s basic immunization visits during the COVID-19 pandemic in the Rawang Barat Health Center working area, namely mother's knowledge (p-value<0.001), socioeconomic (p-value 0.444), family support (p-value<0.001), healthcare professionals support (p-value<0.001). The dominant factor related was the mother's knowledge (OR 24,301). The conclusion of this study that there was a significant correlation between maternal knowledge, family support, and health worker support but socioeconomic factors had no significant correlation with basic immunization visits for infants during the COVID-19 pandemic, and the most dominant factor related was the mother's knowledge
The relationship of chronic energy deficiency (CED), exclusive breastfeeding, and economic with stunting in Nagari Aua Kuning West Pasaman Wiwie Putri Adila; Roza Sri Yanti; Mayetti
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1165

Abstract

Stunting is a chronic malnutrition problem caused by poor nutritional intake, repeated infections, and inadequate psycho-social stimulation at the first 1000 days of life, characterized by height for age below the applicable standard, Prevalence of stunting in Indonesia in 2019 was 27.7%. In 2021 it became 24.4%, and although it has decreased, Indonesia is still far from the target. Objective: This study aims to determine the relationship between CED, exclusive breastfeeding, and economic status with the incidence of stunting in children. This research is an observational analytic study with a cross-sectional design. A total of 224 respondents were selected randomly by proportional random sampling, and the study was conducted in July-September 2022. Data collection was carried out by measuring height, looking at the MCH book, interviews, and questionnaires. Bivariate analysis was performed using chi-square and multivariate using multiple logistic regression. The results showed that 50.9% of children are stunted. Chi-square results show a significant relationship between the history of CED with a p-value of 0.000, exclusive breastfeeding with a p-value of 0.020, and economic status with a p-value of 0.003 and the incidence of stunting. CED is the most dominant factor affecting the incidence of stunting. Statistically, CED has a risk of 11.278 times, affecting the occurrence of stunting. This study suggests Health agencies and related parties to collaborate in early detection, reduce the risk of stunting, and be able to run programs that the government has made.
Kembar Siam (Dicephalus Parapagus Dibrachius) Primadella Fegita; Roza Sri Yanti
Majalah Kedokteran Indonesia Vol 68 No 10 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.10-2018-215

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Introduction : Conjoined twin is a form of congenital anomaly that take the attention of the medical world. Approximately 75% of conjoined twins are women and 70% are attached to the chest (thorachophagus) or abdomen (omphalophagus). Conjoined twins can be divided into 2 categories, which are symmetrical twins and asymmetric twins. The longer the embryological separation takes place, the more complicated the twin attachments that will occur.Case Presentation: A 31-year-old female patient was referred from Fetomaternal Polyclinic to M. Djamil Hospital Padang ward on August 28, 2017 at 11.00 with a diagnosis of G4P3A0H3 31- 32 weeks gravid + Conjoined Twins (Dicephalus Parapagus Dibrachius) + Polyhydramnios.Conclusions: Multifetus pregnancy is considered high-risk because it increases maternal and perinatal morbidity and mortality. In conjoined twins cases, multidisciplinary approach needs to be done for a better prognosis for the mother and baby.
Dandy Walkor Malformation In Trisomy 18 (Edward’s Syndrome): A Rare Case Report Nurmala Sari Dewi; Roza Sriyanti
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3373.181 KB) | DOI: 10.36418/syntax-literate.v7i5.7160

Abstract

Objektif : Trisomi 18 atau sindrom Edward merupakan kelainan genetik autosomal kedua terbanyak yang terjadi pada 1 dalam 6000 kelahiran hidup dengan fenotipe sering menunjukkan kelainan neurologis, keterlambatan kurva pertumbuhan, malformasi organ internal, dan fitur spesifik di wajah, dada, perut, ekstremitas, alat kelamin, kulit, kuku dan rambut. Malformasi Dandy-Walker (DWM) adalah sebuah anomali dari fossa posterior dengan ciri berupa agenesis atau hipoplasia dari vermis dan pembesaran kistik dari ventrikel ke empat menyebabkan perpindahan ke arah atas dari tentorium dan torcula. DWM didiagnosis ketika ada 3 tanda utama muncul pada pasien yaitu agenesis atau hipoplasia dari serebelar vermis, dilatasi kistik dari ventrikel ke empat dan pembesaran fossa posterior. Insiden DWM pada trisomi 18 jarang terjadi dan memiliki prognosis yang buruk. Laporan kasus : Kasus merupakan wanita 36 tahun dengan kehamilan ketiga yang mengeluhkan kehamilan yang sekarang terasa lebih besar dan gerak anak kurang jika dibandingkan dengan kehamilan sebelumnya. Janinnya dicurigai mengalami malformasi Dandy Walker karena dari gambaran USG didapatkan hypoplasia cerebellum dan pembesaran fossa posterior, ditemukan polihidramnion (AFI 27.9 cm) yang kemungkinan disebabkan oleh atresia esofagus. Pada pasien dilakukan amnioreduksi sebanyak 1200 ml dan dilakukan amniosintesis, dari hasil analisis kromosom cairan ketuban didapatkan kariotipe 45,XX+18 (Trisomi 18) atau dikenal dengan Sindrom Edward. Setelah janin lahir didapatkan berat badan 2100 gram dan ditemukan kelainan berupa oksiput yang menonjol, low set ear, pembukaan mulut yang kecil, atresia esofagus, clenched fist yang sesuai untuk gambaran sindrom Edward. Pada bayi dilakukan tindakan Gastrostomi, tetapi kondisi bayi makin memburuk dimana bayi kemudian meninggal pada hari ke 10. Kesimpulan: malformasi dandy Walker pada Trisomi 18 jarang ditemukan dan memilki prognosis yang buruk