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All Journal Majalah Kedokteran Bandung Althea Medical Journal Global Medical and Health Communication The Indonesian Biomedical Journal Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) JTP - Jurnal Teknologi Pendidikan Jurnal Integrasi Kesehatan dan Sains Jurnal Kebidanan Khatulistiwa JOURNAL LA MEDIHEALTICO Jurnal Kesehatan Metro Sai Wawai Media Penelitian dan Pengembangan Kesehatan
Setyorini Irianti
Department Of Obstetric And Gynecology, Faculty Of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Perbandingan Angka Kejadian Bayi Lahir Kecil Masa Kehamilan pada Periode Pre-pandemi dengan Selama Pandemi COVID-19 Arshandi Faisal Shiddiq; Setyorini Irianti; Dodi Suardi; Fidkya Allish
Jurnal Integrasi Kesehatan dan Sains Vol 4, No 2 (2022): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v4i2.9685

Abstract

AbstrakPandemi COVID-19 diduga telah mengakibatkan terjadinya penurunan kondisi kesehatan termasuk indikator bayi kecil masa kehamilan (KMK) akibat gangguan nutrisi ibu hamil selama pandemi tersebut. Sehingga, penelitian ini bertujuan membandingkan angka kejadian bayi kecil masa kehamilan pada periode pre-pandemi dengan periode pandemi COVID-19 di Rumah Sakit dr. Hasan Sadikin Bandung. Penelitian ini menggunakan metode studi analitik observasional dengan rancangan potong lintang menggunakan data sekunder dari rekam medik selama periode Maret 2018–Februari 2020 (pre-pandemi) dan periode Maret 2020–Juni 2021 (pandemi). Karakteristik subjek meliputi usia ibu, kadar hemoglobin, usia kehamilan, komorbid, berat badan lahir bayi, status bayi hidup atau stillbirth dan APGAR 1 dan 5 menit. Analisis menggunakan uji chi-square. Nilai p<0,05 dianggap bermakna secara statistik. Didapatkan angka kejadian bayi kecil masa kehamilan antara periode pre-pandemi dan periode pandemi sebanyak 454/5.899 (7,7%) dan 196/2.523 (7,8%) dengan p=0,990. Berdasarkan variabel didapatkan perbedaan bermakna nilai APGAR 1 menit dengan hasil APGAR 0-3 (12,6% vs 17,9%), APGAR 4-5 (9,7% vs 11,2%) dan APGAR 6 (26,7% vs 33,7%) dengan p=0,012, dan angka kejadian bayi kecil masa kehamilan stillbirth (0,4% vs 0,8%, p=0,015 dibanding dengan seluruh kelahiran, dan p=0,022 dibanding dengan seluruh kelahiran kecil masa kehamilan). Angka kejadian bayi kecil masa kehamilan antara kedua periode tidak berbeda. Terdapat peningkatan kejadian bayi kecil masa kehamilan stillbirth pada periode pandemi COVID-19 sebanyak 2 kali lipat dan terdapat peningkatan kasus asfiksia berdasarkan nilai APGAR 1 menit.The Comparison of Small for Gestational Age (SGA) Incidence between the Period of Before and During the COVID-19 PandemicAbstractThe COVID-19 pandemic is suspected to bring a decline in health conditions including indicators for small infants during pregnancy (KMK) due to nutritional disorders of pregnant women during the pandemic. Hence, this research aims to compare the incidence of small for gestational age in the pre-pandemic and the COVID-19 pandemic period at dr. Hasan Sadikin Bandung. This research uses an observational analytical study method with a cross-sectional design using secondary data from the medical records during the period March 2018–February 2020 (pre-pandemi) and the period March 2020–June 2021 (pandemic). Subject characteristics included maternal age, hemoglobin level, gestational age, comorbidities, infant birth weight, status of live or stillbirth infants and APGAR 1 and 5 minutes. Analysis using the chi-square. P value <0.05 was considered statistically significant. The incidence of small for gestational age between the two periods 454/5,899 (7.7%) and 196/2,523 (7.8%) with p=0.990. There were significant differences in the 1 minute APGAR value variable with the results of APGAR 0-3 (12.6% vs 17.9%), APGAR 4-5 (9.7% vs 11.2%) and APGAR 6 (26.7% vs 33.7%) with p=0.012, and the incidence of stillbirth small for gestational age (0.4% vs. 0.8%, p=0.015 when compared to all births, and p = 0.022 when compared to all small for gestational age). The incidence between the two periods was not significantly different. There was an increase in the incidence of stillbirth small for gestational age during the COVID-19 pandemic period by 2 times and there was an increase in asphyxia cases based on the 1 minute APGAR.
Knowledge Level of Midwives before and after an Online Training Participation Windi Nurdiawan; Setyorini Irianti; Dyah Ayu Puspita; Alfonsus Zeus; Billy Nusa Anggara; Vebri Anita Sinaga; Wulan Ardhana Iswari; Will Hans; Eduward Yacub Prasangka; Fadhilah Zulfa
Global Medical & Health Communication (GMHC) Vol 10, No 3 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v10i3.9602

Abstract

Fetal growth restriction is a prevalent pregnancy issue linked to numerous unfavorable postnatal outcomes. Suboptimal uterine-placental perfusion and inadequate fetal feeding are the vital pathophysiologic causes. Midwives play a crucial role in informing pregnant women about vitamin D inadequacy. This paper aims to determine the difference between midwives' prior and post-webinar knowledge levels. It was a cross-sectional study of individuals who participated in a webinar on November 21, 2021. Subjects were selected using a total population sampling approach from all midwives who participated in the webinar and completed pre-and post-tests. The difference between knowledge levels was evaluated using the difference between the pre-test and post-test scores in the general category. There was an increase in the number of participants who successfully answered the five-question component, a decrease in the number of participants who correctly answered the two-question section, and no change in the number of subjects who correctly answered question number one. The average score on the post-test was higher (67.28) than the pre-test (63.10), while the median score was the same at both time points. After attending a webinar, there was an increase in the proportion of subjects with a high level of knowledge (11.4% to 24%) and a drop in the proportion of subjects with a poor level of knowledge (32.3% to 27.1%). In conclusion, there was an improvement in the knowledge level of midwives before and after the webinar participation.
Maternal Risk Factors among Pregnant Women with Miscarriage Sofia, Norlaila; Fadlyana, Eddy; Irianti, Setyorini; Krisnadi, Sofie; Susiarno, Hadi
Althea Medical Journal Vol 11, No 1 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n1.3037

Abstract

Background: Approximately, 4.1% of maternal deaths in Indonesia occur due to miscarriage. Miscarriage might be caused by various factors such as fetal, maternal, and external factors. Monitoring and early detection of maternal factors might prevent miscarriage.  This study aimed to analyze the influence of maternal factors on the incidence of miscarriage. Methods: This was an analytic observational study with a case-control design conducted in Banjar District, South Kalimantan in August–September 2022. Data was collected from the medical records of pregnant women who experienced miscarriage (n=60) and pregnant women who did not (n=120). Data was analyzed using the chi square test and logistic regression. The level of maternal risk factors for the incidence of miscarriage was determined from the odds ratio (OR) value at a 95% confidence interval.Results: The results revealed that parity (p=0.000; OR=2.2), nutritional status (p=0.000; OR=77.1), level of education (p=0.001; OR=3.5), and employment status (p=0.000; OR=8.1) had a significant effect on the incidence of miscarriage.Conclusion: Maternal factors such as parity, nutritional status, education level, and employment status influence on the incidence of miscarriage, therefore, it is essential to educate pregnant women on various factors related to miscarriage.
Penggunaan Media Online Youtube dan Media Cetak Booklet pada Masa Pandemic Covid-19 Meningkatkan Pengetahuan Skrining Kanker Serviks pada Wanita Usia Subur Octaviana, Hana Rifa; Pramatirta, Akhmad Yogi; Irianti, Setyorini
Jurnal Kesehatan Metro Sai Wawai Vol. 15 No. 2 (2022): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v15i2.3348

Abstract

Latar Belakang: Kurangnya informasi tentang deteksi dini kanker serviks membuat pengetahuan wanita usia subur. Dampaknya kesadaran untuk skrining kanker serviks rendah. Media online youtube dan media cetak booklet dapat dikembangkan menjadi pilihan pemberian informasi atau edukasi kesehatan. Tujuan: Studi bertujuan untuk mengevaluasi efektivitas pemberian informasi melalui media online dengan media cetak untuk meningkatkan pengetahuan deteksi dini kasus kanker serviks pada wanita usia subur. Peningkatan pengetahuan dapat mempunyai dampak perubahan domain prilaku skrining kanker serviks. Metode: quasi experimental dengan pretest-post test with control grup design sebagai rancangan penelitian ini. Subjek penelitian ini adalah wanita usia subur berusia > 19 tahun berjumlah 106 wanita yang terbagi menjadi 2 kelompok, yaitu kelompok satu penggunaan media online youtube dan kelompok dua penggunaan media cetak booklet. Analisis data menggunakan uji Kolmogorov-Smirnov, uji Mann-Whitney dan uji Chi-Square. Hasil: Peningkatan skor pengetahuan ibu tentang deteksi dini kanker serviks pada kelompok media cetak lebih rendah dibandingkan dengan kelompok media online (10% : 18,8%). Hasil uji statistik didapatkan penggunaan media online youtube lebih efektif meningkatkan pengetahuan ibu tentang deteksi dini kanker serviks dibandigkan media cetak booklet (RR = 1,44). Simpulan: Pemberian edukasi menggunakan media online youtube terbukti memiliki pengaruh lebih tinggi dalam meningkatkan pengetahuan ibu tentang deteksi dini kanker serviks dibandingkan dengan media cetak pada wanita usia subur. Media online bisa menjadi pilihan metode edukasi kesehatan untuk peningkatan pengetahuan. Abstract: The Use of YouTube Online Media and Booklet Print Media During the Covid-19 Pandemic Increases Knowledge of Cervical Cancer Screening in Women of Reproductive Age. Background: Lack of information about the early detection of cervical cancer makes knowledge of women of childbearing age. The impact of awareness for cervical cancer screening is low. YouTube online media and booklet print media can be developed as an option for providing health information or education. Purpose: The study aims to evaluate the effectiveness of providing information through online and print media to increase knowledge of early detection of cervical cancer cases in women of childbearing age. Methods: quasi-experimental with pretest-posttest with control group design as the design of this study. The subjects of this study were women of childbearing age aged > 19 years, totaling 106 women who were divided into 2 groups, namely group one using the online media YouTube and group two using booklet print media. Data analysis used the Kolmogorov-Smirnov test, Mann-Whitney test, and Chi-Square test. Results: The increase in the score of mothers' knowledge about early detection of cervical cancer in the print media group was lower than that in the online media group (10%: 8.8%). Statistical test results showed that the use of the online media YouTube was more effective in increasing mothers’ knowledge about the early detection of cervical cancer compared to printed booklet media (RR = 1.44). Conclusion: Providing education using the online media YouTube has proven to have a higher effect on increasing mothers’ knowledge about the early detection of cervical cancer compared to print media in women of childbearing age. Online media can be a choice of health education methods to increase knowledge.
Atypical Findings of Suspect Twin to Twin Transfusion Syndrome Quintero V: a Rare Case Report Gusasih, Bahar Sangkur; Irianti, Setyorini; Aziz, Muhammad Alamsyah; Kurniadi, Andi
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 4 October 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i4.2352

Abstract

Introduction: Twin-to-twin transfusion syndrome (TTTS) is a serious complication in monochorionic multiple pregnancies. Case Illustration: A-38 years old woman with G3P2AO felt 8 months pregnant and came for polyclinic control with the diagnosis of G3P2A0 gravida 34-35 weeks; Gemelli; Baby I Breech position; Baby I Polyhydramnios, IUFD; Suspected Twin Twin Transfusion Syndrome (TTTS Quintero V). However, atypical findings of TTTS are rarely found and should be taken as special notes such in this case. We will report a rare finding of TTTS in which the SDP level of the donor fetus was normal (not oligohydramnios). The suspected diagnosis of TTTS Quintero V in this case was made clinically based on the maternal-fetal ultrasound findings of a diamniotic monochorionic gemelli pregnancy with IUFD in the 2nd fetus II. However, there were non-standard findings in this case where the SDP level of the donor fetus was normal (not oligohydramnios). No other sequele complications were found in this case based on other examinations. Conclusions: Several therapies are available for TTTS including amnioreduction, laser ablation of the vascular placental anastomosis, selective feticide, and septostomy. Timing of delivery after management of singleton fetal death in the late second or early third trimester is debatable. Delivery method is determined based on obstetric indications.
Folate Metabolism and Its Implications in Pregnancy Puspitasari, Maya Khaerunnisa; Irianti, Setyorini; Pramatirta, Akhmad Yogi; Wirawan, Wahyudi; Islamy, Nurul; Maelissa, Merlin Margreth; Lumentut, Anastasia Mariane
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.1885

Abstract

The impact of folate nutritional status on a variety of pregnancy outcomes has been acknowledged for a considerable period of time. Folate is increasingly recognized not just as a nutrient required to prevent megaloblastic anemia during pregnancy, but also as a vitamin necessary for reproductive health. Folate plays an important role in several metabolic processes including DNA synthesis and methylation. Changes in folate status can affect the stability and integrity of DNA or affect the methylation patterns of some tissues. Folate is required for cell division and cell maintenance, as it acts as a co-enzyme in the transfer and processing of carbon units and plays an important role in the synthesis of nucleotides (thymidine) that are essential for de novo construction or DNA repair. The purpose of this article is to examine the function of folic acid in human health especially in pregnancy and to evaluate the benefits, concerns, and epigenetic effects of maternal FA in light of recent discoveries that are crucial for the development of future research.
Overview of The Risk Factors of Spontaneous Abortus Among Young Pregnancy Woman: A Systemic Review Tan, Zaki Miftah Nalalindra; Irianti, Setyorini; Rakhmilla, Lulu Eva; Ramdhan, Muhammad Raihan; Judistiani, Raden Tina Dewi; Handono, Budi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.741

Abstract

Objective: To identify the risk factors of spontaneous abortus among young pregnancy women.Methods: We used PubMed and ScienceDirect databases and electronic journals such as the American Journal of Obstetrics and Gynecology and the International Journal of Gynecology and Obstetrics. The articles were screened based on inclusion and exclusion criteria. The keywords used for inclusion were “Risk Factors,” “Abortus,” and “Young Maternal Age.” Next, articles were quality assessed using the JBI Critical Appraisal Checklist. The extracted data were presented in the table and narrative synthesis.Result: This review has six studies that has identified the risk factors of spontaneous abortus among young pregnancy woman. The risks were body mass index, maternal habits, infection, coital, and experience of IPV. However, some factors, such as iodine level, are insignificant to spontaneous abortuses. This review also found that infection also had a role in the complications of spontaneous abortus. The limitation of this study was each variable was different in each survey. So, we couldn’t compare each variable to avoid bias from each study.Conclusion: The most affected risk factors of spontaneous abortus among young pregnancy woman are an infection, followed by first coital age, IPV, partner controlling behaviour, BMI, and maternal smoking habit.Faktor Risiko Abortus Spontan pada Kehamilan Usia Muda: Systematic ReviewAbstrakTujuan: Mengidentifikasi faktor risiko abortus spontan pada kehamilan usia muda.Metode: Kami menggunakan database web-based berupa PubMed dan ScienceDirect dan jurnal elektrik berupa American Journal of Obstetrics and Gynecology dan International Journal of Gynecology. Artikel yang didapatkan akan dilakukan skrining berdasarkan kriteria inklusi dan kriteria eksklusi. Kata kunci yang digunakan untuk melakukan inklusi berupa “Faktor Risiko”, “Abortus”, dan “Kehamilan Usia Muda”. Selanjutnya, artikel dilakukan penilaian kualitas menggunakan JBI Critical Appraisal Checklist. Data yang diekstrak disajikan dalam bentuk dabel dan narasi.Hasil: Sebanyak 6 penelitian yang ditelaah mengidentifikasi faktor risiko abortus spontan pada kehamilan usia muda berupa indeks massa tubuh, kebiasaan ibu hamil, infeksi, koitus, dan pengalaman kekerasan oleh pasangan. Namun, kadar iodine dalam tubuh tidak memengaruhi secara signifikan kejadian abortus spontan. Penelitian ini juga menemukan bahwa infeksi juga memiliki peran dalam terjadinya komplikasi pada abortus spontan. Keterbatasan pada penelitian ini adalah tidak ada variable yang sama dari artikel ditelaah. Oleh karena itu perbandingan tidak dapat dilakukan untuk mencegah kemungkinan kecenderungan pada penelitian yang ditelaah.Kesimpulan: Faktor risiko yang paling mempengaruhi abortus spontan pada ibu hamil Ketika usia muda adalah infeksi, diikuti dengan usia pada saat koital pertama, kekerasan dari pasangan, kebiasaan mengontrol pasangan, indeks massa tubuh, dan kebiasaan merokok.Kata Kunci: Abortus Spontan, Faktor Risiko, Kehamilan Usia Muda 
The Influence of COVID-19 Severity on Maternal and Perinatal Outcomes: Evidence from a Cohort Study in Indonesia Aziz, Muhammad Alamsyah; Nurdiawan, Windi; Avivi, Safiya Fathina; Wahyudi, Kurnia; Irianti, Setyorini; Fauzi, Ali Amali; Lillah, Alfarisi Syukron; Mariana, Ana; Nugrahani, Annisa Dewi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.883

Abstract

Objective: This study aimed to assess the association between COVID-19 severity and maternal and neonatal outcomes at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.Methods: A retrospective cohort study was conducted among pregnant women with confirmed COVID-19 who delivered between March 1, 2020, and March 31, 2022. Patients were categorized by disease severity (asymptomatic, mild, moderate, severe, or critical). Demographic, clinical, maternal, and neonatal data were collected. Statistical analyses included Fisher’s exact and Kruskal-Wallis tests for bivariate analysis and Poisson regression for multivariate analysis (significance level α = 0.05).Results: Among 199 pregnant women, most were asymptomatic (42.7%) or had mild symptoms (37.2%). Higher COVID-19 severity was significantly associated with increased ICU/semi-ICU admission and oxygen therapy, as well as neonatal complications. After adjustment, moderate to critical cases showed significantly increased risks for ICU/semi-ICU care (p = 0.012, aRR 14.6; 95% CI: 1.8–118.2) and oxygen therapy (p = 0.001, aRR 12.2; 95% CI: 2.7–55.3). Mild cases were not linked to adverse outcomes.Conclusion: Moderate to critical COVID-19 during pregnancy is associated with higher risks of adverse maternal and neonatal outcomes, emphasizing the importance of early detection and close monitoring.Dampak Keparahan COVID- 19 pada Luaran Kehamilan: Studi Kohort di IndonesiaAbstrakTujuan: Penelitian ini bertujuan mengevaluasi hubungan antara tingkat keparahan COVID-19 dan luaran kehamilan serta neonatal di RSUP Dr. Hasan Sadikin, Bandung.Metode: Metode yang digunakan pada penelitian ini adalah kohort retrospektif pada ibu hamil dengan konfirmasi COVID-19 yang melahirkan antara 1 Maret 2020 hingga 31 Maret 2022. Pasien dikelompokkan berdasarkan tingkat keparahan (asimtomatik, ringan, sedang, berat, kritis). Data demografi, klinis, serta luaran ibu dan bayi dikumpulkan. Analisis statistik dilakukan menggunakan SPSS, dengan uji Fisher’s exact dan Kruskal-Wallis untuk bivariat, serta regresi Poisson untuk multivariat (α=5%).Hasil: Hasil penelitian menunjukkan dari 199 ibu hamil yang dianalisis, mayoritas bersifat asimtomatik (42,7%) atau ringan (37,2%). Keparahan penyakit yang lebih tinggi secara signifikan berhubungan dengan peningkatan kebutuhan perawatan ICU/semi-ICU dan terapi oksigen, serta komplikasi neonatal. Setelah penyesuaian, COVID-19 sedang–kritis berkorelasi dengan peningkatan risiko ICU/semi-ICU (p=0,012, aRR 14,6; 95% CI 1,8–118,2) dan terapi oksigen (p=0,001, aRR 12,2; 95% CI 2,7–55,3). Kasus ringan tidak menunjukkan hubungan dengan luaran buruk.Kesimpulan: Keparahan COVID-19 sedang hingga kritis pada kehamilan meningkatkan risiko luaran buruk sehingga diperlukan identifikasi dini dan pemantauan ketat.
Characteristics of Patients with Placenta Accreta Spectrum at Dr. Hasan Sadikin Central General Hospital in 2019-2023 Passamula, Muhammad Hasan; Susiarno, Hadi; Irianti, Setyorini
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.926

Abstract

Objective: This study aimed to describe the epidemiological characteristics of placenta accrete spectrum (PAS) and to identify contributing factors of the patients treated at Dr. Hasan Sadikin General Hospital, Bandung. PAS is a serious obstetric complication caused by abnormal trophoblast invasion into the myometrium. Historically rare—1 in 30,000 conceptions in 1960—its incidence has increased significantly, now occurring in 1 in 500 to 1 in 533 pregnancies. Methods: A cross-sectional study was conducted using secondary data from 2019–2023. Patient characteristics were analyzed using descriptive statistics. Result: This study shows the median age of patients was 35 years (23 – 45 years). Nearly half (49.1%) had a history of one prior cesarean section. Urinary tract complications occurred in 8.5% and digestive tract involvement in 9.4% of cases. Additionally, 84.9% of neonates had low birth weight. Higher degrees of PAS were more frequently managed with hysterectomy. However, so far there is no guideline stating the definite indications for conservative management and hysterectomy.Conclusion: The study highlights the importance of risk identification and prenatal care in managing PAS cases and reducing adverse outcomes. Further longitudinal research is necessary to explore associations between identified risk factors and maternal-fetal outcomes.Karakteristik Pasien dengan Spektrum Plasenta Akreta di RSUD Dr. Hasan Sadikin Tahun 2019 – 2023AbstrakTujuan: Penelitian ini bertujuan untuk mendeskripsikan karakteristik epidemiologis kasus spektrum plasenta akreta (Placenta Accreta Spectrum/PAS) dan mengidentifikasi faktor-faktor yang berkontribusi pada pasien yang dirawat di Rumah Sakit Umum Pusat Dr. Hasan Sadikin, Bandung. PAS merupakan komplikasi obstetri serius yang disebabkan oleh invasi abnormal trofoblas ke dalam miometrium. Dahulu kondisi ini sangat jarang terjadi—sekira 1 dari 30.000 konsepsi pada tahun 1960—namun kini insidennya meningkat secara signifikan menjadi 1 dari 500 hingga 1 dari 533 kehamilan. Metode: Penelitian dilakukan secara potong lintang menggunakan data sekunder dari tahun 2019 hingga 2023. Karakteristik pasien dianalisis menggunakan statistik deskriptif.Hasil: Hasil penelitian menunjukkan median usia pasien 35 tahun (23 – 45 tahun). Hampir setengah dari pasien (49,1%) memiliki riwayat satu kali operasi sesar. Komplikasi saluran kemih ditemukan pada 8,5% pasien, dan keterlibatan saluran pencernaan pada 9,4% kasus. Selain itu, 84,9% neonatus lahir dengan berat badan lahir rendah. Terdapat hubungan yang signifikan antara derajat PAS dengan jenis penatalaksanaan yang diterima pasien. Namun, hingga kini belum ada pedoman yang menyatakan secara pasti indikasi penggunaan manajemen konservatif atau histerektomi.Kesimpulan: Penelitian ini menekankan pentingnya identifikasi faktor risiko dan perawatan antenatal dalam menangani kasus PAS guna mengurangi komplikasi. Penelitian longitudinal lebih lanjut diperlukan untuk menilai hubungan antara faktor risiko yang teridentifikasi dengan luaran maternal dan janin.Kata Kunci: Deskripsi; Epidemiologi; Karakteristik; Spektrum Plasenta Akreta
A Five-Year Study of Maternal and Neonatal Risk Factors Contributing to Early Neonatal Death at a Tertiary Referral Hospital Syahidah, Putri Nadya; Irianti, Setyorini; Nurdiawan, Windi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.921

Abstract

Objective: This study aims to explore maternal and neonatal risk factors associated with early neonatal death at a central referral hospital in West Java.Methods: A cross-sectional study was conducted. Over five years, 310 early newborn mortality samples were collected from 9,240 births. Key characteristics associated with early infant death were identified using univariate and multivariate analysis.Results: Among the mothers, 63.9% were from outside Bandung and aged 15–46. 64.5% (n=200) of neonates died within two days. Primiparous mothers accounted for 33.2% (103). Common maternal conditions included premature contractions (27.1%), premature rupture of membranes (22.9%), hypertension (14.2%), placenta previa (6.5%), and eclampsia (3.5%). 84.8% of neonates were premature, and 59.4% experienced early death. Bivariate analysis showed significant relationships with parity, maternal diseases, mode of delivery, and newborn hypoxia. Death after 48 hours was notably associated with mode of delivery (p=0.009; OR 1.54).Conclusion: END is associated with parity, maternal conditions, delivery mode, and asphyxia. Improved prenatal care and stronger referral systems can reduce mortality rates.Analisis Faktor Risiko Ibu dan Neonatus terhadap Kematian Neonatal Dini di RS Rujukan Tersier: Studi Lima TahunAbstrakTujuan: Penelitian bertujuan untuk mengidentifikasi faktor risiko maternal dan neonatal yang terkait dengan kematian neonatal dini pusat rujukan di Jawa Barat.Metode: Metode penelitian dilakukan dengan studi potong lintang selama lima tahun. 310 sampel kematian neonatal dini diambil dari 9,240 kelahiran. Analisis multivariate dan univariate dilakukan untuk melihat hubungan faktor-faktor penting yang berhubungan dengan kematian neonatal diniHasil: Hasil penelitian menunjukan sebanyak 63,9% berasal dari luar Bandung dan berusia antara 15 dan 46 tahun. 64,5% (n=200) bayi meninggal dalam dua hari. 33,2% persalinan prematur (103). Kondisi patologis ibu yang ditemukan kontraksi prematur (27,1%), ketuban pecah dini (22,9%), hipertensi (14,2%), plasenta previa (6,5%) dan eklampsia (3,5%). 84,8% lahir prematur, dan 59,4% meninggal dini. Menurut analisis bivariat, ada hubungan yang signifikan antara cara persalinan, penyakit ibu, hipoksia bayi baru lahir, dan paritas (p=0.009; OR 1.54). Kematian bayi setelah 48 jam memiliki korelasi yang signifikan dengan metode persalinan.Kesimpulan: KND dikaitkan dengan paritas, penyakit ibu, cara persalinan, dan asphyxia. Memperkuat sistem referral dan meningkatkan perawatan antenatal dapat mengurangi angka kematian.Kata kunci: faktor risiko maternal; kematian neonatal dini; komplikasi maternal; metode persalinan
Co-Authors Adhi Pribadi Ahmad Parwis Ahmad Parwis Akhmad Yogi Pramatirta, Akhmad Yogi Alfonsus Zeus Amillia Siddiq, Amillia Ana Mariana, Ana Andi Kurniadi, Andi Andri Reza Rahmadi Anita D Anwar Anita Deborah Anwar Anwar, Anita D Aprianti, Nurul Azmi Arshandi Faisal Shiddiq Avivi, Safiya Fathina Aziz, Muhammad Alamsyah Benny Hasan Purwara Billy Nusa Anggara Budi Handono Budi Setiabudiawan Budi Setiabudiawan Dany Hilmanto Dida Akhmad Gurnida Dodi Suardi Dyah Ayu Puspita Eddy Fadlyana Eduward Yacub Prasangka Fadhilah Zulfa Fahdiansyah Fahdiansyah Fahdiansyah Fahdiansyah Fauzi, Ali Amali Fidkya Allish Gusasih, Bahar Sangkur Herman Susanto Johanes C. Mose Johannes Cornelius Mose Jusuf Sulaeman Effendi Krisnadi, Sofie Kurnia Wahyudi, Kurnia Kusteja, Nadya Fauzia Laniyati Hamijoyo, Laniyati Lillah, Alfarisi Syukron Lulu Eva Rakhmilla, Lulu Eva Lumentut, Anastasia Mariane M. Rizkar Arev Sukarsa Maelissa, Merlin Margreth Nugrahani, Annisa Dewi Nurul Islamy Octaviana, Hana Rifa Passamula, Muhammad Hasan Puspitasari, Maya Khaerunnisa Raden Tina Dewi Judistiani Ramdhan, Muhammad Raihan Ruswana Anwar Sapiie, Tuti Wahmurti A. Sefty Mariany Samosir Sofia, Norlaila Sofie R. Krisnadi Sulaiman, Aina Zakia Supriyatin, Dedeh Susiarno, Hadi Syahidah, Putri Nadya Sylvia Rachmayati Tan, Zaki Miftah Nalalindra Teuku Kyan Nuryasin Truly Deti Rose Sitorus Truly Deti Rose Sitorus Vebri Anita Sinaga Will Hans Windi Nurdiawan Wirawan, Wahyudi Wiryawan Permadi Wulan Ardhana Iswari Yuni Susanti Pratiwi, Yuni Susanti Yuniartis, Putri Yunita Suryani Yunita Suryani Zulvayanti Zulvayanti