Maria Loho
Faculty of Medicine University of Sam Ratulangi/ Prof. Dr. RD Kandou Hospital Manado

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C-Telopeptide in Relation with Osteoporosis Risk Classification Using Osteoporosis Self Assessment Tools for Asian (OSTA) in Postmenopausal Women Pangestu, Willy; Loho, Maria; Wagey, Freddy
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.935 KB) | DOI: 10.32771/inajog.v3i1.23

Abstract

Objective: To determine the correlation between C‐telopeptide with osteoporosis risk by using Osteoporosis Self Assessment Tools for Asian (OSTA) in postmenopausal women. Method: An analytic cross‐sectional study of 31 postmenopausal women in Prof. Dr. RD Kandou Hospital, Manado. Samples were collected through consecutive sampling. Data was analyzed using Pearson test with significance level of p>0.05. Result: Our sample consisted of 31 postmenopausal women. Mean OSTA score is ‐1.02K2.54. Sixteen women (51.61%) were deemed to have low risk, 8 women (25.81%) deemed to have moderate risk and 7 women (22.58%) deemed high risk based on the OSTA score. The mean C‐telopeptide plasma level of our sample is 0.52K0.25 ????g/l. We found plasma C‐telopeptide level and OSTA score were normally distributed. Correlation analysis using Pearson test identified a significant negative correlation between plasma C‐telopeptide level and OSTA score (r=‐0.768; p=0.001). Conclusion: There is a significant negative correlation between plasma C‐telopeptide level with risk of osteoporosis based on OSTA score in postmenopausal women. Keywords: OSTA score, plasma C‐telopeptide, postmenopausal women
C-Telopeptide in Relation with Osteoporosis Risk Classification Using Osteoporosis Self Assessment Tools for Asian (OSTA) in Postmenopausal Women Pangestu, Willy; Loho, Maria; Wagey, Freddy
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.935 KB) | DOI: 10.32771/inajog.v3i1.23

Abstract

Objective: To determine the correlation between C‐telopeptide with osteoporosis risk by using Osteoporosis Self Assessment Tools for Asian (OSTA) in postmenopausal women. Method: An analytic cross‐sectional study of 31 postmenopausal women in Prof. Dr. RD Kandou Hospital, Manado. Samples were collected through consecutive sampling. Data was analyzed using Pearson test with significance level of p>0.05. Result: Our sample consisted of 31 postmenopausal women. Mean OSTA score is ‐1.02K2.54. Sixteen women (51.61%) were deemed to have low risk, 8 women (25.81%) deemed to have moderate risk and 7 women (22.58%) deemed high risk based on the OSTA score. The mean C‐telopeptide plasma level of our sample is 0.52K0.25 ????g/l. We found plasma C‐telopeptide level and OSTA score were normally distributed. Correlation analysis using Pearson test identified a significant negative correlation between plasma C‐telopeptide level and OSTA score (r=‐0.768; p=0.001). Conclusion: There is a significant negative correlation between plasma C‐telopeptide level with risk of osteoporosis based on OSTA score in postmenopausal women. Keywords: OSTA score, plasma C‐telopeptide, postmenopausal women
Gambaran kematian maternal di RSUP Prof. Dr. R. D. Kandou Manado 1 Januari 2013 – 31 Desember 2015 Lumbanraja, Mustika S.; Tendean, Hermie M.M.; Loho, Maria
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i2.14595

Abstract

Abstract: Maternal death is the death of a pregnant woman or death within 42 days after the termination of pregnancy, irrespective of the length and location of the pregnancy, caused by anything related to pregnancy, or aggravated by the pregnancy or its handling, but not the death caused by accident or accidentally. Maternal mortality is one of the indicators to evaluate the progress of the health of a country, especially those related to maternal and child health issues. This study was aimed to determine the characteristics of maternal death. This was a descriptive retrospective study using data of the Medical Record Department of Prof. Dr. R. D. Kandou Manado from 1 January 2013 to 31 December 2015. In this study, there were 41 cases of maternal deaths. In 2013 and 2014, the highest death rate was in the age group >35 years, while in 2015 in the age group 20-25 years. Based on the number of parity, the highest mortality rates in the number of parity 2-3 in 2013 and 2014, while in 2015 the number of parity ≤1. The highest mortality rate by level of education was high school educated. Based on employment status, the highest mortality rate was in the group of working mother. The highest death toll was based on marital status in the group who are married. Based on the status of the referral highest mortality rate was in status is not a referral. This study found that the highest cause of maternal mortality is three consecutive years eclampsia, sepsis, eclampsia. Conclusion: Of 41 cases of maternal deaths in the Department of Prof. Dr. R. D. Kandou Manado for 3 years, the most cause of death was due to eclampsia/pre-eclampsia which was 4-7 cases each year. Maternal mortality rate per 100000 live births yearly in sequence were 373, 427, 789.Keywords: maternal death Abstrak: Kematian maternal adalah kematian wanita yang terjadi saat hamil atau dalam 42 hari setelah berakhirnya kehamilan, tidak tergantung dari lama dan lokasi kehamilan, disebabkan oleh apapun yang berhubungan dengan kehamilan, atau yang diperberat oleh kehamilan tersebut atau penanganannya, tetapi bukan kematian yang disebabkan oleh kecelakaan atau kebetulan. Kematian maternal merupakan salah satu indikator untuk melihat kemajuan kesehatan suatu negara, khususnya yang berkaitan dengan masalah kesehatan ibu dan anak. Penelitian ini bertujuan untuk mengetahui gambaran kematian maternal. Jenis penelitian ini ialah deskriptif retrospektif menggunakan rekam medik di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2013-31 Desember 2015. Pada penelitian ini, ditemukan 42 kasus kematian maternal. Pada tahun 2013 dan 2014 angka kematian tertinggi di kelompok usia >35 tahun, sedangkan tahun 2015 ditemukan di kelompok usia 20-25 tahun. Berdasarkan jumlah paritas, angka kematian tertinggi pada jumlah paritas 2-3 di tahun 2013 dan 2014, sedangkan untuk tahun 2015 pada jumlah paritas ≤1. Angka kematian tertinggi berdasarkan tingkat pendidikan ialah SMA. Berdasarkan status pekerjaan, angka kematian tertinggi berada pada kelompok ibu yang bekerja. Angka kematian tertinggi berdasarkan status pernikahan berada pada kelompok yang sudah menikah. Berdasarkan status rujukan angka kematian yang tertinggi ialah pada status bukan rujukan. Pada penelitian ini ditemukan penyebab kematian ibu yang tertinggi 3 tahun berurutan ialah pre-eklampsia/eklampsia, infeksi, pre-eklampsia/eklampsia. Simpulan: Jumlah kematian maternal di RSUP Prof. Dr. R. D. Kandou Manado selama 3 tahun yaitu sebanyak 41 kasus. Penyebab kematian terbanyak disebabkan oleh eklampsia/pre-eklampsia yaitu 4-7 kasus per tahun. Angka kematian ibu per 100000 kelahiran hidup per tahun berurutan ialah 373, 427, 789. Kata kunci: kematian maternal
TINGKAT PENGETAHUAN IBU MENYUSUI TENTANG PEMBERIAN ASI EKSKLUSIF DI BAGIAN OBSTETRI DAN GINEKOLOGI BLU RSU PROF. DR. R. D. KANDOU MANADO Rondonuwu, Vanda; Loho, Maria; Suparman, Eddy
e-CliniC Vol 2, No 2 (2014): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v2i2.5425

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Abstract: Breast milk is the best food for infants, it can not be replaced with other foods and no one food that can substitute for breast milk. Breast milk is the one of food types that meet all the needs of infant's elements . The elements include physical, psychological, social, and spiritual. Breast milk contains nutrients, hormones, growth factors elements of immunity, anti-allergic, and anti-inflammatory. Methods: This is a descriptive study with cross sectional approach. This study was conducted with samples taken  randomly in the postpartum section of Obstetrics Gynecology of Prof. DR. RD Kandou Public Hospital in Manado city. the total numbers of samples is 50 mothers. The data was collected using a questionnaire interview.  Results: From the results obtained, based on age less than 20 years of 22%,  21-25 years of 8%, 26-30 years of 28%, 31-35 years of 24%, more than 36 years of 18%. Educational levels of samples are  elementary of 8%,  junior high school of 18%, senior high school of 62%, and college of 4%. Based on the occupation that working outside  home of 32%, while mothers who working in house as much as 22% and 46% mothers is a housewife. Based on the level of mothers knowledge towarda exclusive breastfeeding was found and most mothers have a sufficient level of knowledge about exclusive breastfeeding with 62% rates. Under the provision, we found 22% Exclusive breastfeeding mothers.  Conclusions: It is recommended that mothers should improve their knowledge of exclusive breastfeeding and exclusive breastfeeding attitude, therefore the infants needs can be fullfilled well. Keywords: Knowledge of the mother, Breastfeeding, Exclusive breastfeeding     Abstrak: ASI merupakan makanan terbaik bagi bayi, tidak dapat digantikan dengan makanan lainnya dan tidak ada satupun makanan yang dapat menggantikan ASI. ASI adalah satu jenis makanan yang mencukupi seluruh unsur kebutuhan bayi baik fisik, psikologi, sosial, maupun spiritual. ASI mengandung nutrisi, hormon, unsur kekebalan faktor pertumbuhan, anti alergi, serta anti inflamasi. Metode: Penelitian ini bersifat deskriptif dengan pendekatan cross sectional. Penelitian ini dilakukan dengan pengambilan sampel yang diambil secara acak di ruang nifas bagian Obstetri Ginekologi BLU RSU Prof DR. R.D Kandou Manado, dengan jumlah sampel berjumlah 50 orang. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Hasil: Dari hasil yang didapatkan, berdasarkan umur kurang dari 20 tahun 22%, 21-25 tahun 8%, 26-30 tahun 28%, 31-35 tahun 24%, lebih dari 36 tahun 18%. Berdasarkan pendidikan SD 8%, SLTP 18%, SLTA 62%, Akademik/D3 4%. Berdasarkan pekerjaan yang bekerja diluar rumah 32%, sedangkan yang bekerja didalam rumah sebanyak 22% dan tidak bekerja atau IRT 46%. Berdasarkan tingkat pengetahuan ibu tentang ASI eksklusif didapatkan bahwa paling banyak ibu memiliki tingkat pengetahuan cukup tentang ASI Eksklusif, yakni sebanyak 62%. Berdasarkan pemberian, didapatkan 22% ibu memberikan ASI Eksklusif. Simpulan: Disarankan kepada ibu agar lebih meningkatkan pengetahuan tentang ASI Eksklusif dan juga sikap pemberian ASI Eksklusif agar kebutuhan bayi bisa terpenbuhi dengan baik. Kata kunci: Pengetahuan Ibu, Pemberian ASI, ASI Eksklusif
Karakteristik penderita kanker serviks di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2013 – 31 Desember 2015 Watulingas, Andre M.; Loho, Maria; Wagey, Freddy
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i2.14477

Abstract

Abstract: Cervical cancer and breasts cancer are both a cancer disease with the highest presentation in Indonesian in the time of 2013, that is 0,8% for cervical cancer and 0,5% for breasts cancer. In general this disease are managed 70-75% already on the advanced stadium with high mortality rate. Untill now cervical cancer are the reason of the highest death cases cause by cancer in the developing country.This study aimed to obtain the characteristics of patients with cervical cancer in the Department of Obstetric and Gynaecology in the Prof. R. D. Kandou Manado General Hospital. The method of this study was descriptive retrospective. The highest percentage that already been obtain in the Department of Obstetric and Gynaecology in the Prof. R. D. Kandou Manado General Hospital are patients with age 45-49 with 18 cases (20,48%), clinical stadium III B with 22 cases (25,12%), and Patients occupation as a housewife are the highest with 61 cases (69,35%).Keywords: cervical cancer, age, clinical stadium, and patients occupation. Abstrak: Kanker serviks dan kanker payudara merupakan penyakit kanker dengan persentasi tertinggi di Indonesia pada tahun 2013, yaitu kanker serviks sebesar 0,8% dan kanker payudara sebesar 0,5%. Pada umumnya penyakit ini dirawat kira-kira sekitar 70-75% sudah berada pada stadium lanjut dengan tingkat kematian yang sangat tinggi. Hingga saat ini kanker serviks merupakan penyebab kematian terbanyak akibat penyakit kanker di Negara berkembang. Penelitian ini bertujuan untuk mengetahui karakteristik penderita kanker serviks di bagian Obstetri dan Ginekologi RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan adalah deskriptif retrospektif. Hasil tertinggi yang didapat di bagian Obstetri dan Ginekologi RSUP Prof. R. D. Kandou Manado adalah usia 45-49 tahun dengan jumlah 18 pasien (20,48%), stadium III B dengan jumlah 22 pasien (25,12%), dan pekerjaan dari penderita sebagai IRT (Ibu Rumah Tangga) merupakan yang terbanyak yaitu 61 pasien (69,35%). Kata kunci: kanker serviks, usia, stadium klinis, dan pekerjaan penderita.
LUARAN PEMBERIAN KLOMIFEN SITRAT BERUPA ANGKA KEBERHASILAN KEHAMILAN PADA WANITA SINDROM OVARIUM POLIKISTIK Syah, Irwan; Loho, Maria; Wagey, Freddt
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.6508

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Abstract: Polycystic ovary syndrome is the most common endocrinopathy in woman of reproductive age with an incidence that causes infertility. Woman who want to have children recomended to use ovulation induction is clomiphene citrate. Expected with the use of clomiphene citrate as first choice therapy has significcant numbers so that the use of drugs is always preffered. Purpose of this research to determine the number of pregnancies in patient with polycystic ovary syndrome with clomiphene citrate. Method used a retrospective descriptive, data of patient who treatment polycystic ovary syndrome in Prof. Dr. R. D. Kandou General Hospital Manado and practice clinical doctor conducted in the form medical therapy with clomiphene citrate. Polycystic ovary syndorme found 35 cases in the year 2012-2014 with 2 cases in Prof. Dr. R. D. Kandou General Hospital Manado and 33 cases in practice clinical doctor. Conceive with clomiphene citrate therapy were 9 people. Available data show clomiphene citrate still as the first choice drug for ovulation induction of polycystic ovary syndrome.Keywords: polycystic ovary syndrome, clomiphene citrate, succsesful, pregnancyAbstrak: Sindrom ovarium polikistik merupakan salah satu endokrinopati paling umum pada wanita usia reproduksi dengan angka kejadian yang menyebabkan infertilitas. Wanita yang ingin mempunyai anak direkomendasikan untuk induksi ovulasi adalah klomifen sitrat. Diharapkan dengan pemberian klomifen sitrat sebagai terapi pilihan pertama mempunyai angka bermakna sehingga penggunaan obat selalu diutamakan. Tujuan Penilitian ini untuk mengetahui jumlah kehamilan pada penderita sindrom ovarium polikistik dengan terapi klomifen sitrat. Metode yang digunakan bersifat retrosepktif deskriptif, data penderita sindrom ovarium polikistik yang berobat di RSUP Prof. Dr. R. D. Kandou Manado dan dokter praktek klinik yang dilakukan terapi berupa klomifen sitrat. Ditemukan 35 kasus sindrom ovarium polikistik dari tahun 2012-2014 dengan 2 kasus terdapat di RSUP Prof Dr. R. D. Kandou dan 33 kasus di dokter praktek klinik. Berhasil hamil dengan terapi klomifen sitrat sebanyak 9 orang. Data yang ada menunjukan klomifen sitrat masih sebagai pilihan pertama obat induksi ovulasi bagi penderita sindrom ovarium polikistik.Kata kunci: sindrom ovarium polikistik, klomifen sitrat, keberhasilan, kehamilan
EVALUASI PENANGANAN KANKER SERVIKS DI RSUP PROF. DR. R. D. KANDOU PERIODE 1 JANUARI 2013 – 31 DESEMBER 2014 Lala, Zefanya; Wagey, Freddy; Loho, Maria
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.1.2016.12113

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Abstract: Worldwide cervical cancer ranks as the second highest after breast malignancies. Up to now, cervical cancer has a high mortality in developed country including Indonesia. In Indonesia, cervical cancer and breast malignancy have a high prevalence among cancers in 2013. Most of the cancer cases were treated in advanced stage, therefore, the mortality rate is high. This study aimed to evaluate the treatment of cervical cancer in RSUP Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive retrospective study. The results showed that there were 102 cases of cervical cancer. Stage III B had the highest percentage and were found in 27 (26,47%) cases. Most of the treatment given was palliative care in 68 (66,7%) cases. Keywords: cervical cancer , stage and treatment Abstrak: Kanker serviks menempati urutan kedua terbanyak setelah keganasan payudara di seluruh dunia. Hingga saat ini kanker serviks merupakan penyakit kanker pada wanita yang mengakibatkan kematian terbanyak terutama di negara berkembang termasuk Indonesia. Penyakit kanker serviks dan payudara merupakan penyakit kanker dengan prevalensi tertinggi di Indonesia pada tahun 2013. Pada umumnya penyakit ini dirawat ketika sudah berada pada stadium lanjut dengan tingkat kematian yang tinggi. Penelitian ini bertujuan untuk mengetahui penanganan kanker serviks di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ini deskriptif retorspektif. Hasil penelitian memperlihatkan dari 102 kasus kanker serviks, persentase tertinggi ialah stadium III B dengan jumlah 27 pasien (26,47%) dan terapi terapi paliatif sebanyak 68 pasien (66,7 %).Kata kunci: kanker serviks, stadium, dan penanganan
GAMBARAN PENGETAHUAN DAN SIKAP BIDAN DI RSU PROF. DR. R. D. KANDOU MANADO TENTANG INISIASI MENYUSU DINI Maanaiya, Fadhillawatie; Loho, Maria; Mamengko, Linda
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.3.1.2015.6516

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Abstract: Early Initiation of Breastfeeding (IMD) is the process of feeding the baby immediately after birth, which has important benefits such as support the sustainability of exclusive breastfeeding and potentially reduce IMR and MMR. Based on data by RISKESDAS 2013, the percentage of IMD implementation in Indonesia is only 34.5% and in North Sulawesi is only 29%. Midwives are recognized as professionals who work as female partners including help the mothers in initiating breastfeeding. Therefore midwives are expected to have a good knowledge and a positive attitude towards the IMD so the implementation may increase. This study aims to measure the knowledge and attitude of RSU Prof. Dr. R. D. Kandou Manado midwives toward early initiation of breastfeeding in 2014. This is a cross-sectional study using questionnaire administered to midwives in RSU Prof. Dr. R. D. Kandou Manado. As a results from 62 respondents, 41 respondents (66.1%) had a good knowledge on IMD, 14 respondents (22.6%) with moderate knowledge, 7 respondents (11.3%) with poor knowledge and all respondents (100 %) had a positive attitude towards the IMD. Most of midwife with a good knowledge is those who with age 36-40 years, Bachelor of Midwifery (S-I) and has been working for 6-10 years old.Keywords: knowledge, attitude, midwife, early breastfeeding initiation, IMDAbstrak: Inisiasi Menyusu Dini (IMD) adalah proses bayi menyusu segera setelah dilahirkan, yang memiliki manfaat penting diantaranya yaitu menunjang keberlangsungan ASI ekslusif serta berpotensi menurunkan AKB dan AKI. Berdasarkan data oleh RISKESDAS 2013, persentase pelaksanaan IMD di Indonesia baru sebesar 34,5% dan di Sulawesi Utara baru sebesar 29%. Bidan diakui sebagai tenaga profesional yang bekerja sebagai mitra perempuan termasuk membantu ibu dalam memulai pemberian ASI. Oleh karena itu bidan diharapkan memiliki pengetahuan yang baik serta sikap yang positif terhadap IMD sehingga pelaksanaan IMD dapat meningkat. Tujuan penelitian ini untuk mengetahui pengetahuan dan sikap bidan di RSU Prof. Dr. R. D. Kandou Manado tentang IMD tahun 2014. Penelitian ini dilakukan dengan desain penelitian cross-sectional menggunakan kuesioner kepada bidan di RSU Prof. Dr. R. D. Kandou Manado. Hasil penelitian dari 62 responden, didapatkan bahwa 41 responden (66,1%) telah memiliki pengetahuan yang baik tentang IMD, 14 responden (22,6%) berpengetahuan cukup, 7 responden (11,3%) berpengetahuan kurang serta seluruh responden (100%) memiliki sikap positif terhadap IMD. Mayoritas bidan yang berpengetahuan baik ialah bidan dengan umur 36-40 tahun, berpendidikan S-I Kebidanan dan lama kerja 6-10 tahun.Kata kunci: pengetahuan, sikap, bidan, inisiasi menyusu dini, IMD
PENGETAHUAN DAN SIKAP BIDAN MENGENAI PENGGUNAAN PARTOGRAF DALAM PERSALINAN DI PUSKESMAS PONED KOTA MANADO Toemandoek, Jacqueline P.; Wagey, Freddy; Loho, Maria
e-CliniC Vol 3, No 2 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.3.2.2015.9344

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Abstract: The high maternal mortality rate is mostly due to pregnancies and labours. Health workers who can help labour are inter alia midwives. A health center that has the facilities and the ability to provide 24-hours services to cope emergency cases of obstetric and neonatal care is called PONED Public Health Center (PHC). This study aimed to obtain the knowledge and attitude of midwives about partograph in PONED PHCs in Manado. There were 33 respondents of 6 PONED PHCs in Manado. The results showed that most of the midmives (90.9%) in PONED PHCs had good knowledge about the usage of pantograph in labour; 2 respondents (6.1%) had fair knowledge, and 1 respondent (3.0%) had poor knowledge. All midwives (100%) had positive attitude about the usage of partograph. Conclusion: Most midwives in PONED PHC in Manado had good knowledge and positive attitude about the usage of partograph in labour.Keywords: midwives, PONED Public Health Center, partographAbstrak: Tingginya angka kematian ibu terutama pada saat kehamilan dan persalinan. Tenaga kesehatan yang dapat menolong persalinan yaitu salah satunya bidan. Puskesmas yang memiliki fasilitas dan kemampuan memberikan pelayanan untuk menanggulangi kasus kegawatdaruratan obstetrik dan neonatal selama 24 jam yaitu puskesmas PONED. Pada penelitian ini terdapat 33 responden dari 6 puskesmas PONED di Kota Manado. Hasil penelitian memperlihatkan bahwa tingkat pengetahuan bidan tentang penggunaan partograf dalam persalinan di Puskesmas PONED Kota Manado umumnya (90,9%) baik, 2 responden (6,1%) cukup, dan 1 responden (3,0%) kurang. Mengenai distribusi sikap, semua bidan (100%) mempunyai sikap positif. Simpulan: Umumnya bidan di puskesmas PONED Kota Manado mempunyai pengetahuan yang baik dan sikap yang positif mengenai penggunaan partograf dalam persalinan.Kata kunci: bidan, puskesmas PONED, partograf
KARAKTERISTIK PENDERITA KANKER SERVIKS STADIUM LANJUT DI BLU RSUP PROF. DR. R. D. KANDOU PERIODE 1 JANUARI 2010 – 31 DESEMBER 2011 Rarung, Raymond; Loho, Maria; Suparman, Eddy
e-Biomedik Vol 1, No 1 (2013): eBiomedik
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ebm.v1i1.4600

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Abstrak: Di dunia kanker serviks menempati urutan kedua terbanyak setelah keganasan payudara, dan kira-kira 10% dari seluruh penyakit keganasan pada wanita. Diperkirakan diseluruh dunia ditemukan 500.000 kasus baru setiap tahunnya.  Kanker ini masih merupakan penyebab utama kematian dari seluruh kanker pada wanita terutama di usia produktif. Di negara berkembang termasuk Indonesia masih menempati urutan teratas dari seluruh kanker pada wanita.  Di Indonesia sampai saat ini kanker serviks masih merupakan masalah kesehatan pada wanita.  Pada umumnya penyakit ini dirawat kira-kira sekitar 70-75% sudah berada pada stadium lanjut dengan tingkat kematian yang sangat tinggi. Tujuan penelitian ini adalah untuk mengetahui berapa angka kejadian kanker serviks stadium lanjut di BLU RSUP Prof. Dr. R. D. Kandou Manado. Kata Kunci: Usia Produktif, Kanker Serviks, Stadium Lanjut, dan Deteksi Dini.     Abstract: Worldwide cervical cancer ranks second highest after breast malignancies, and approximately 10% of all malignant disease in women. Worldwide estimated 500,000 new cases are found each year. Cervical cancer is still the leading cause of all cancer deaths in women, especially in productive age. In developing countries such as Indonesia still ranks highest of all cancers in women. In Indonesia today cervical cancer is still a health problem in women. In general, the disease is treated roughly about 70-75% are already at an advanced stage with a very high mortality rate. The purpose of this study was to determine how the incidence of advanced cervical cancer in BLU RSUP Prof. Dr. R. D. Kandou Manado. Keywords: Productive Age, Cervical Cancer, Advanced Stage, and Early Detection.