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Ketuban pecah dini dan tatalaksananya Mohd. Andalas; Cut Rika Maharani; Evans Rizqan Hendrawan; Muhammad Reva Florean; Zulfahmi Zulfahmi
Jurnal Kedokteran Syiah Kuala Vol 19, No 3 (2019): Volume 19 Nomor 3 Desember 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i3.18119

Abstract

Abstrak. Ketuban Pecah Dini (KPD) atau Premature rupture of Membranes (PROM) merupakan pecahnya ketuban yang terjadi sebelum proses persalinan. Ketuban pecah dini terjadi sekitar 1% dari seluruh kehamilan. Ketuban pecah dini menyebabkan terjadinya 1/3 persalinan preterm dan merupakan penyebab 18%-20% dari morbiditas dan mortalitas perinatal. Dalam laporan kasus ini kami melaporkan seorang ibu hamil berusia 35 tahun, gravida 3, hamil aterm dengan ketuban pecah dini, keluhan keluar air dari jalan lahir dan belum inpartu. Laporan kasus ini bertujuan untuk meningkatkan kualitas diagnosa dini serta penatalaksanaan ketuban pecah dini untuk mengurangi risiko bagi ibu dan janin. Abstract.Premature Rupture of Membranes (PROM) is the rupture of amniotic sac prior to the onset of labor beyond 37 week of gestation. Premature Rupture of Membranes occurs in 1% ofall pregnancies. Premature Rupture of Membranes causes 1/3 preterm delivery and a major  18%-20% cause of perinatal morbidity and mortality. In this case report we reported a 35 year old woman with pregnant 3rd child, aterm wiht Premateur rupture of Membrane (PROM) and prior to labor. This report aims to improve the quality of early diagnosis and management of premature rupture of membranes to reduce the risk for the mother and fetus. 
NYERI PERUT BERULANG SAAT HAID, BERISIKO MANDUL? Mohd Andalas; Cut Rika Maharani; Rayhan Shafithri
Jurnal Kedokteran Syiah Kuala Vol 19, No 2 (2019): Volume 19 Nomor 2 Agustus 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i2.18066

Abstract

Abstract. Stomach pain (dysmenorrhea) is abdominal cramps and pain during the menstrual period which can interfere with the daily activities of women of reproductive age. Dysmenorrhea is one of the symptoms that needs to be considered because it is often experienced by women and is an early sign of suffering from endometriosis. The presence of abdominal pain in women during menstruation, accompanied by pelvic pain, and infertility is a classic trias of symptoms used to diagnose endometriosis. Endometriosis occurs in almost 10% of women in the reproductive age period and more than 25-40% in infertile women. The risk of infertility is also linked because inflamed endometriosis tissue damages sperm and egg cells. Some treatments that can be done for patients with endometriosis are medical and surgical therapy. If medical therapy fails, operative laparoscopy can be alternative and hysterectomy can be considered for patients who no longer expect their reproductive function. Keywords: abdominal pain, endometriosis, infertility, dysmenorrhea. Abstrak. Nyeri Perut (dismenore) merupakan kram perut dan nyeri selama periode menstruasi yang dapat mengganggu aktivitas sehari-hari wanita usia reproduksi. Dismenore merupakan  salah satu gejala yang perlu dipertimbangkan karena kerap dialami wanita dan menjadi tanda awal  menderita endometriosis. Adanya nyeri perut pada wanita saat haid, disertai  nyeri panggul, dan infertilitas merupakan trias klasik gejala yang digunakan untuk mendiagnosis endometriosis. Endometriosis terjadi pada hampir 10% wanita dalam kurun  usia reproduksi dan lebih dari 25-40% pada wanita infertil (mandul). Risiko mandul juga dikaitkan karena jaringan endometriosis yang meradang merusak  sperma dan sel telur. Beberapa pengobatan yang dapat dilakukan pada penderita endometriosis adalah terapi medikamentosa dan pembedahan. Jika terapi medikamentosa gagal, laparoskopi operatif dapat menjadi altenatif dan histerektomi dapat dipertimbangkan pada pasien yang tidak mengharapkan fungsi reproduksi lagi. Kata Kunci: nyeri perut, endometriosis, infertilitas, dismenore.
KISTA DERMOID OVARIUM KANAN Mohd Andalas; Cut Rika Maharani; Shazni Nadia; Violita Aprilyana
Jurnal Kedokteran Syiah Kuala Vol 18, No 3 (2018): Volume 18 Nomor 3 Desember 2018
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v18i3.18024

Abstract

Abstrak. Kista ovarium merupakan  tumor yang paling umum dengan prevalensi melebihi 30%.Kista Dermoid pada ovarium dapat terjadi pada semua usia dengan prevalensi tertinggi pada usia reproduksi (16–55 tahun) dengan insidensi tertinggi pada usia 30 tahun.Seorang  perempuan berusia 33 tahun datang dengan keluhan nyeri perut kanan bawah yang dirasakan sejak 2012. Nyeri yang dialami menjalar sampai ke pinggang. Kemudian pasien dilakukan pemeriksaan ultrasonografi  dan tampak masa kista berukuran 5,35x4,52 cm pada ovarium kanan. Pasien kemudian dilakukan tindakan kistektomi perlaparoskopi. Pasca pembedahan pasien didiagnosa dengan kista dermoid ovarium kanan. Pendekatan laparoskopi tidak membutuhkan waku yang lama dengan perdarahan yang minimal. Kista dermoid ovarium bersifat jinak sehingga prognosis setelah dilakukan pengangkatan ad bonam. Meskipun ada kemungkinan bertansformasi menjadi keganasan. Kata Kunci: Kista Ovarium, Kista Dermoid, Ultrasonografi, Kistektomi per Laparoskopi Abstract. Ovarian cysts are the most common tumor, the prevalence is approximately more than 30%. Dermoid cysts in the ovary can occur at any time with the highest prevalence at reproductive period (16-55 years), especially at the age of  30 years. A 33-year-old woman came with chief complaint  lower abdominal pain since 2012. The pain  spread to the waist. Then the patient performed an ultrasound examination revealed the presence of cyst on the right ovary measured 5.35x4.52 cm. The patient then performed laparoscopic cystectomy. Postoperative diagnosis was a right ovarian dermoid cyst. The laparoscopic approach does not require long periods of time with minimal bleeding. Ovarian dermoid cysts are benign  with a better prognosis after removal. Although there is a possibility to transform into malignancy.Keywords: Ovarian Cyst, Dermoid Cyst, Ultrasonography,  Laparoscopic, Cystectomy
Kehamilan Dini Setelah Sleeve Gastrectomy pada Pasien dengan Triple Metabolic Burden: Kasus Kompleks Diabetes Tipe 2, Hipotiroid, dan Preeklampsia Berat dengan Pertumbuhan Janin Terhambat Amal Bahrum Penas; Cut Meurah Yeni; Yusra Septivera; Cut Rika Maharani; Fara Julyta Aliyah
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 5 No. 2 (2026): Agustus: Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v5i2.9152

Abstract

Bariatric surgery is effective in treating obesity and type 2 diabetes mellitus (T2DM); however, pregnancy occurring within 12–24 months after surgery carries significant risks. This report presents a complex pregnancy case in a patient with a history of sleeve gastrectomy, post-hemithyroidectomy hypothyroidism, and T2DM. A 29-year-old primigravida conceived 2 months after undergoing sleeve gastrectomy, which successfully induced T2DM remission, with HbA1c decreasing from 11% to 5.5%. Although glycemic control and euthyroid status were maintained throughout pregnancy, the patient developed severe preeclampsia at 35–36 weeks of gestation, complicated by intrauterine growth restriction (IUGR) and oligohydramnios. An emergency cesarean section delivered a male infant weighing 2000 grams with Apgar scores of 8 and 9 at the first and fifth minutes, respectively. The neonate required 14 days of NICU care due to respiratory distress syndrome, respiratory failure, and hyperbilirubinemia. Maternal gestational weight gain was suboptimal at only 4 kg, below the recommended range for pregnant women with obesity. This case highlights the importance of adhering to the recommended surgery-to-conception interval following bariatric surgery. Early pregnancy after surgery, combined with multiple metabolic comorbidities, may contribute to adverse maternal and neonatal outcomes. Multidisciplinary management, comprehensive nutritional monitoring, and optimization of comorbidities before conception are essential to improve pregnancy outcomes in this population.
Efektivitas Slow-Stroke Back Massage (S2BM) Untuk Menurunkan Kecemasan Ibu Pascapersalinan di Rumah Sakit Umum Daerah dr. Zainoel Abidin Darmawati Darmawati; Cut Meurah Yeni; Cut Rika Maharani; Mira Rizkia; Ratna Juwita; Elka Halifah; Nurul Aini
Journal of Medical Science Vol 7 No 2 (2026): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v7i2.255

Abstract

The first day after childbirth, especially for primiparous mothers, is a critical period for mothers as they face various biological, psychological, and social changes and the need to adapt to their new roles, which can trigger anxiety. Slow Stroke Back Massage (S2BM) is expected to provide a relaxing effect to reduce anxiety. This study aims to determine the effectiveness of the S2BM technique in reducing anxiety in post-partum mothers at RSUDZA. The method used is a quasi-experimental study with a pre-post test with control group design. The population used in this study were primigravida post-partum mothers in Room Arafah 2 of the Dr. Zainoel Abidin Regional General Hospital. The sample consisted of 30 respondents. The intervention was carried out by providing Slow Stroke Back Massage (S2BM), which involved touching and pressing the skin on the back area of post-partum mothers. The instrument used was Spielberger's State Anxiety Inventory (STAI) questionnaire to measure the mothers' anxiety levels. The results of the independent T-test on anxiety levels in the post-test between the control and intervention groups obtained p=0.043. And the results of the paired sample T-test in the post-test between the control and intervention groups with p=0.001 showed that the S2BM intervention was effective in reducing anxiety in post-partum mothers. The S2BM action provides a relaxing effect on the muscles, which is beneficial for improving blood circulation, thereby increasing