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Ketut Putera Kemara
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Health Professions Medicine & Pharmacology

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ABDOMINAL BLUNT INJURY AMONG PREGNANCY I Gede Egy Saputra Jaya; Ketut Putera Kemara; I Wayan Megadhana
E-Jurnal Medika Udayana vol 2 no5(2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Pregnancy is an important event that blissful for pregnant women, but it can be changed when bad things happen on the pregnancy. Trauma to the pregnant women is one of the most cause of the non-obstetic tresulting in morbidity and mortality in pregnancy by 6-7% on the whole pregnancy. The death of the fetus even more happened many compared with mortality pregnant at gets reinjured because trauma, which reached 65 %. Unique changes in anatomy and Physiology during pregnancy change the pathophysiology and the location of trauma to pregnant women. For doctors, this poses challenges because care must be devoted to two patients, the mother and fetus that it contains. This can be resolved more easily if the doctors understand the changes in anatomy, Physiology, mechanisms of injury and trauma assessment in pregnant women.  
THE MANAGEMENT OF HIV INFECTION IN PREGNANCY Clara Marcaelia Valerian; Ketut Putera Kemara; I Wayan Megadhana
E-Jurnal Medika Udayana vol 2 no1 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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The Human Immunodeficiency Virus (HIV) is a RNA retrovirus which causes the clinical disease termed the acquired immunodeficiency syndrome (AIDS). Mother-to-child transmission is the main source of spreading HIV infection to the child with frequency is as high as 25-30%. This may occurred because of the intrapartum maternal blood exposure, infected genital tract secretions and during breastfeeding. The right combination of ARV treatment and elective section caesarean delivery has been proved to reduce the mother-to-child transmission of HIV infection prevalence and preventing obstetric complications significantly. Consultation and follow up with specialists is highly recommended.
PENUNDAAN PENJEPITAN TALI PUSAT SEBAGAI STRATEGI YANG EFEKTIF UNTUK MENURUNKAN INSIDEN ANEMIA DEFISIENSI BESI PADA BAYI BARU LAHIR Ida Bagus Rendra Kurniawan Artha; Ketut Putera Kemara; I Wayan Megadhana
E-Jurnal Medika Udayana vol 2 no 9 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Iron Deficiency Anemia in infants is a health problem that is almost in the entire developed world. Iron Deficiency Anemia is an anemia that is common in babies with the highest incidence in 6 to 24 months. The high prevalence of anemia in infants aged 6-9 months is associated with insufficient backup storage of iron in the baby so that it can lead to impaired growth and development within the first 6 months of life. Time of Cord Clamping play an important role in determining the adequacy of iron in the newborn. Cord Clamping is one of active management of the third stage. Delayed Cord Clamping about 2-3 minutes can give the redistribution of blood between the placenta and the baby, giving assistance placental transfusion acquired by infants as much as 35-40 ml/kg and contains 75 mg of iron as sufficient hemoglobin, that fulfill the needs iron newborn babies in first three monthsof his life.
POLYCYTHEMIA RISK IN NEONATES WITH DELAYED CORD CLAMPING I Gusti Agung Ayu Sri Wulandari Pramana; Ketut Putera Kemara; I Wayan Megadhana
E-Jurnal Medika Udayana vol 2 no 8 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Delayed Cord Clamping is still a controversial issue in the world of medicine. Until recently, the perfect times to do a Delayed Cord Clamping in various parts of the Earth in the world are still very diverse. There are a few things that became a major concern associated with Delayed Cord Clamping, one of which is the increase in blood volume due to an increase in the number of erythrocytes which led to occurrence of neonatal polycythemia which later can lead to various complications. Polycythemia in neonates is a situation where the value of venous blood hematokrit over 65% (0.65) or the amount of hemoglobin more than 22gr/Dl. However, to date the data from a variety of the latest research and analysis of the studies mention that the polycythemia that occurs in neonates with umbilical cord pinching the flush delay was mild polycythemia that can improve after 48 to 72 hours after the baby is born.
DIAGNOSIS AND MANAGEMENT OF HYPEREMESIS GRAVIDARUM Ary Widayana; I Wayan Megadhana; Ketut Putera Kemara
E-Jurnal Medika Udayana vol 2 no4 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Hyperemesis gravidarum is excessive nausea and vomiting in pregnant women to interfere with everyday activities because of poor patient's general condition due to dehydration. Studies estimate that nausea and vomiting occurred in 50-90% of pregnancies. Nausea and vomiting occurred in 60-80% of primi gravida and 40-60% of multi gravida. The cause of hyperemesis gravidarum is not known. Hyperemesis gravidarum, according to the severity of symptoms can be divided into three levels. The diagnosis of hyperemesis gravidarum is made through history, physical examination, and laboratory and USG finding. In patients with hyperemesis gravidarum levels II and III must be hospitalization with the provision of medical treatment, nutrition, parenteral fluids, and alternatives medicine. With a good treatment, the prognosis of hyperemesis gravidarum will be satisfying.
Co-Authors Ary Widayana Clara Marcaelia Valerian I Gede Egy Saputra Jaya I Gusti Agung Ayu Sri Wulandari Pramana I Wayan Megadhana Ida Bagus Rendra Kurniawan Artha