Djanas, Dovy
Sub Division Of Maternal Fetal Medicine, Obstetrics And Gynecology Department, Faculty Of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang

Published : 18 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 18 Documents
Search

PERBEDAAN RERATA KADAR NATRIUM MATERNAL ANTARA PREEKLAMPSIA BERAT DAN EKLAMPSIA DI RSUP DR. M. DJAMIL PADANG Gunawan Efri; Dovy Djanas
Andalas Obstetrics And Gynecology Journal Vol 2, No 1 (2018)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.2.1.16-20.2018

Abstract

Objective: To determine the difference in mean ratio of sodium content between pregnancy with severe preeclampsia and eclampsia.Method: This is an analytical study using a cross sectional study design. The study was conducted inMaternity room of Dr. M. Djamil Padang from January 15th, 2016 to December 31st, 2017, there were 60 patients as subjects, the sample was divided into 2 groups: severe preeclampsia and eclampsia. Furthermore, history and physical examination to obtain data and clinical diagnosis. Data is recorded in a research form that has been provided, then performed blood electrolytes of Sodium and Potassium. Statistical analysis to assess significance using T-test.Results: In the severe preeclampsia and eclampsia, multiparous parity had the highest respondent. This is consistent with the literature in which the incidence of preeclampsia is more common in late pregnancy.Conclusions: There was no significant difference in the mean sodium ratio between normal severe preeclampsia pregnancy and normal pregnancy.Keywords: pregnancy condition, severe preeclampsia, eclampsia, and sodium.
Kehamilan Pada Jejas Luka Sesar: Diagnosis Yang Akurat Dan Keberhasilan Dalam Tatalaksana Secara Konservatif Satrio Budhi Purnomo; Dovy Djanas
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.114-119.2020

Abstract

Reported case in a woman aged 30 years, with a history of cesarean scar four years ago, diagnosed with gravid two by one gravid 7-8 weeks with gestation on cesarean scar. The patient had a history of accidental trauma two days prior to the complaint of bleeding from the genitals. Several obstetricians have examined but still obtained different results (intrauterine pregnancy and ectopic pregnancy). An accurate diagnosis is critical to the success of the management of a patient with a pregnancy with this life-threatening cesarean scar. With a precise and accurate transvaginal ultrasound examination, the diagnostic criteria with ultrasound on previous surgical scars have been fulfilled in this patient, including an empty uterus, an empty cervical canal image, growth of a gestational pouch in the anterior lower segment of the uterus, and the absence of myometral image between the bladder wall and the gestational pocket. On B-HCG examination, the result was 58,808.70 mlU / mL. Conservative therapy with metrotrexate (MTX) 50 mg / m2 intramuscularly. After giving metrotrexate (MTX) therapy for four times, the results of B-HCG decreased significantly with 21.530, 12 mlU / mL, 2,949.47 mlU / mL, and 593.61 mlU / mL, respectively. After administration of metrotrexate (MTX) therapy, there was a decrease in the size of the gestational bag. Keywords: Ectopic, Pregnancy, Methotrexate, Cesarean Section
The Correlation of the Average Increase in Blood Magnesium Levels with the Incidence of Preeclampsia After Magnesium Supplementation in Hypomagnesemic Pregnant Women at the Padang City Health Center Try Genta Utama; Dovy Djanas
Andalas Obstetrics And Gynecology Journal Vol 5, No 2 (2021)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.2.186-192.2021

Abstract

Preeclampsia is a hypertensive disorder in pregnancy that occurs in 5-10% of pregnancies and occurs after 20 weeks of gestation and recovers spontaneously after delivery. Several studies have stated that one of the risks of hypertension in pregnancy is related to magnesium homeostasis. Magnesium plays an important role in forming new tissues (maternal and fetal). Pregnant women need a higher intake of magnesium than non-pregnant women of the same age. Magnesium deficiency during pregnancy not only causes problems for the nutrition of pregnant women and fetuses, but also associated with the occurrence of preeclampsia, preterm labor and muscle cramps during pregnancy. This study aims to determine the relationship between the average increase in blood magnesium levels with the incidence of preeclampsia in hypomagnesemic pregnant women.Keywords: preeclampsia, hypertension, blood magnesium levels
The Relationship Between Magnesium Level in Pregnancy with Gestational Diabetes Mellitus Syntia Ambelina; Dovy Djanas; Hafni Bachtiar
Andalas Obstetrics And Gynecology Journal Vol 5, No 1 (2021)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.1.102-111.2021

Abstract

Introduction : Magnesium is one of important micronutrients in pregnancy. Pregnant women needs higher magnesium intake than non-pregnant women at similar age. Decreased blood and cellular magnesium level was related to insulin resistance.Objective : To determine relationship between mean magnesium level in pregnant women with incidence of gestational diabetes mellitus.Methods : This was quantitative analytic study using cross sectional comparative design conducted in 8 Primary Health Care in Padang and 5 General Hospital in West Sumatra. This study was done from December 2019 until March 2020. Total sample collected was 36 samples consisted of 18 pregnant mother with gestational diabetes mellitus and 18 control sample with normal pregnancy, both were in gestational age between 24-28 weeks. Statistical analysis was done using independent sample T-test.Results : Mean magnesium level of pregnant mother with gestational diabetes mellitus was 1.85 ± 0.12 mg/dL, while in control sample was 2.10 ± 0.15 mg/dL. Statistical result using independent sample T-test showed significant correlation between mean magnesium level and incidence of gestational diabetes mellitus with p <0.001 (p value <0.05)Conclusion : Magnesium level during pregnancy is related to gestational diabetes mellitus incidence.Keywords: magnesium level, pregnant women, gestational diabetes mellitus
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

Abstract

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.
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

Abstract

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.
Hubungan Dukungan Keluarga dengan Penatalaksanaan Ibu dan Penatalaksanaan Bayi pada Program Tripel Eliminasi di Puskesmas Kota Padang Tria Sari Retno Asih; Dovy Djanas
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1077.945 KB) | DOI: 10.36418/syntax-literate.v7i5.6955

Abstract

Tripel Eliminasi merupakan upaya pemerintah untuk memutus rantai penularan HIV, Hepatitis Bp, dan Sifilis dari ibu ke anakp. Ketiga penyakit tersebut memiliki karakteristik yang mirip karena banyak ditularkan melalui jalur maternal. Tripel eliminasi hepatitis B, HIV dan sifilis sekaligus dilakukan untuk memastikan bahwa sekalipun ibu terinfeksi hepatits B, HIV dan sifilis sedapat mungkin tidak menular ke anaknya. Oleh karena itu di perlukan suatu pedoman untuk mencapai tripel eliminasi hepatitis B, HIV dan sifilis dari ibu ke anak sebagai acuan bagi pemerintahan pusat, pemerintahan daerah, tenaga kesehatan sesuai kompetensi dan kewenangannya, masyarakat dan pemangku kepentingan terkait. Tujuan penelitian ini adalah untuk mengetahui Hubungan dukungan keluarga dengan Penatalaksanaan Ibu dan Penatalaksanaan Bayi pada Progam Tripel Eliminasi Di Puskesmas Kota Padang. Metode Penelitian merupakan penelitian observasional analitik dengan pendekatan cross sectional yang melihat Hubungan Dukungan Keluarga Dan Penatalaksanaan Ibu dan penatalaksanaan Bayi Pada Progam Tripel Eliminasi Di Puskesmas Kota Padang dari tahun 2019 dan 2020. Jumlah sampel seluruhnya menjadi 56 orang per masing-masing kelompok dan diambil dengan teknik simple random sampling. Analisis dilakukan menggunakan aplikasi SPSS ver. 25
Analisis Ketahanan Hidup Ibu Hamil Dengan COVID 19 Berdasarkan Kadar D-Dimer terhadap Luaran di RSUP Dr. M. Djamil, Padang Fauzan Fauzan; Roza Sriyanti; Dovy Djanas; Ricvan Dana Nindrea
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.69 KB) | DOI: 10.36418/syntax-literate.v7i6.8219

Abstract

Pada pasien tidak hamil, koagulopati telah dikaitkan dengan prognosis COVID-19 yang lebih buruk. Sementara kehamilan normal diketahui dapat menyebabkan peningkatan kadar indikator koagulopati seperti D-Dimer. Oleh karena itu, telah dikemukakan bahwa hiperkoagulopati dalam kehamilan dapat berkontribusi pada peningkatan morbiditas kasus COVID-19 dan perburukan yang lebih cepat pada pasien hamil. Mengetahui angka ketahanan hidup wanita hamil dengan COVID-19 di RSUP Dr. M. Djamil, Padang berdasarkan kadar D-dimer. Penelitian ini adalah penelitian analitik observasional dengan desain penelitian kohort retrospektif yang dilakukan di RSUP Dr. M. Djamil Padang selama periode waktu Maret 2020 sampai dengan Maret 2021. Kriteria inklusi sampel adalah seluruh pasien hamil yang terinfeksi COVID-19 yang telah dibuktikan dengan pemeriksaan Reverse Transcriptase–Polymerase Chain Reaction (RT-PCR). Sebanyak 113 orang pasien telah diperiksa kadar D-Dimer dan dilakukan analisis. 3 orang pasien (2,7%) diantaranya meninggal, dan sisanya, 110 orang pasien (97,3%) sembuh. Rata-rata kadar D-Dimer secara keseluruhan yang didapatkan pada pasien hamil yang terinfeksi COVID-19 adalah 2186,77 ± 1681,17 ng/ml. Rata-rata kadar D-Dimer pasien yang meninggal adalah 5830,67 ± 4144,23 ng/ml. Kadar tersebut lebih tinggi sekitar 2 kali lipat dibanding dengan rata-rata kadar D-Dimer pasien yang sembuh, 2087,39 ± 1487,81 ng/ml. Hasil ini menunjukkan bahwa terdapat perbedaan signifikan rata-rata kadar D-Dimer antara kedua kelompok (p < 0,05). Dari penelitian ini didapatkan rata-rata angka ketahanan hidup adalah 10,27 ± 0,57 hari. Tidak terdapat hubungan antara kadar D-Dimer dengan ketahanan hidup (p > 0,05). Rata-rata kadar D-Dimer wanita hamil yang terinfeksi COVID-19 di RSUP Dr. M. Djamil Padang selama periode waktu Maret 2020 sampai dengan Maret 2021 adalah 2186,77 ± 1681,17 ng/ml. Terdapat perbedaan yang signifikan antara kadar D-Dimer wanita hamil terinfeksi COVID-19 yang sembuh jika dibandingkan dengan kadar D-Dimer wanita hamil terinfeksi COVID-19 yang meninggal, tapi tidak terdapat hubungan antara kadar D-Dimer dengan ketahanan hidup.