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All Journal Folia Medica Indonesiana Jurnal NERS The Indonesian Journal of Public Health Perspektif : Kajian Masalah Hukum dan Pembangunan Majalah Obstetri dan Ginekologi Health Notions Molecular and Cellular Biomedical Sciences (MCBS) Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Jurnal Abdi Masyarakat Indonesia
Ernawati Ernawati
Deparment Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Airlangga, Dr Soetomo Hospital, Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Promosi Kesehatan Ibu Hamil di Masa Pandemi COVID-19 Menggunakan Pendekatan Punyuluhan Digital Individual di Surabaya Hermanto Tri Joewono; Brahmana Askandar Tjokroprawiro; Ernawati Ernawati; Nareswari Imanadha Cininta Marcianora; Okta Margarita Susiana; Yasyviena Za’ima Elnabila; Nabeel Usama Okbah; Sabrina Kemala Hapsari; Hafiza Amadhin Rusti; Achmad Zam Zam Aghasy
Jurnal Abdi Masyarakat Indonesia Vol 1 No 2 (2021): JAMSI - November 2021
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.01 KB) | DOI: 10.54082/jamsi.94

Abstract

Wanita hamil merupakan populasi yang rentan terdampak penyakit COVID-19. Kehamilan dengan COVID-19 memiliki peningkatan risiko untuk terjadi penyulit seperti persalinan preterm. Data per Januari 2021 di RSUD dr. Soetomo Surabaya, menunjukkan kasus kehamilan dengan COVID-19 telah mencapai 140 kasus, di mana 85% adalah warga Surabaya. Tujuan kegiatan ini adalah untuk mengetahui tingkat pengetahun masyarakat terkait COVID-19 pada kehamilan di Kota Surabaya. Metode yang digunakan dalam kegiatan ini adalah penyuluhan digital menggunakan Whatsapp secara individual dilengkapi video kepada kelompok ibu hamil di wilayah kerja Puskesmas Mulyorejo Kota Surabaya. Video berisi materi mengenai kesehatan ibu hamil dan janin di masa pandemi COVID-19, protokol Kesehatan untuk ibu hamil, serta cara deteksi dini COVID-19 pada kehamilan dan kegawatannya. Selanjutnya dilakukan intervensi secara daring dengan peserta mengisi google form pre-test dan post-test sebagai indikator peningkatan wawasan peserta. Hasil dari kegiatan pelaksanaan ini adalah terdapat pengaruh peningkatan pengetahuan ibu hamil mengenai pentingnya menjaga kesehatan kehamilan di masa pandemi COVID-19.
Cesarean delivery Characteristics during JKN Implementation : Karakteristik persalinan sesar selama Implementasi JKN Sofia Al Farizi; Ernawati Ernawati; Erna W. Ernawaty
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 3 July 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i3.1593

Abstract

Objective: To compare the characteristics of cesarean before and during JKN, also analyzes the factors that influence these differences. Methods: This was a quantitative study with a longitudinal retrospective design and qualitative research used design case studies. The population were delivery women at the Banyuwangi referral hospital before and during JKN. The quantitative data were analyzed firstly by univariable and then bivariable. The bivariable analysis was performed by comparing the prevalence ratio (PR) between two variables. Results: The proportion of cesarean delivery had increased significantly during the implementation of JKN. 50% of maternal deaths before JKN gave birth using cesarean delivery, this proportion increased significantly to 60% during JKN. Indications of fraud committed by health workers to be a factor in increasing the proportion of cesarean delivery. Other contributing factors were repeated cesarean delivery, delayed referral, and the number of obstetric complications. Conclusion: There was an increase in the proportion of cesarean deliveries during the implementation of JKN. BPJS Kesehatan needed to re-evaluate the system they had created so far. The quality of service must be emphasized so that the negative impact on women could be minimized. Keywords: cesarean section, health insurance, maternal mortality. Abstrak Tujuan: Membandingkan karakteristik persalinan sesar sebelum dan selama implementasi JKN, selain itu juga menganalisis faktor-faktor yang berpengaruh. Metode: Studi kuantitatif dengan desain longitudinal retrospective dan studi kualitatif dengan desain case studies. Populasi adalah ibu bersalin di rumah sakit rujukan Kabupaten Banyuwangi sebelum dan selama JKN. Data kuantitatif dianalisis secara univariabel dan bivariabel. Analisis bivariabel dengan membandingkan prevalensi rasio (PR) diantara dua variabel. Hasil: Proporsi persalinan sesar meningkat secara signifikan selama implementasi JKN. 50% ibu yang meninggal bersalin dengan metode sesar, proporsi ini meningkat selama JKN menjadi 60%. Indikasi kecurangan oleh tenaga kesehatan menjadi salah satu faktor yang menyebabkan peningkatan ini. Faktor lain yang berkontribusi adalah persalinan sesar yang berulang, keterlambatan rujukan dan banyakanya komplikasi obstetrik. Kesimpulan: Terdapat peningkatan proporsi persalinan sesar selama implementasi JKN. BPJS Kesehatan perlu mengkaji ulang sistem yang dibuat selama ini. Kualitas pelayanan harus tetap dipertahankan, agar tidak berdampak pada kesehatan ibu. Kata kunci: jaminan kesehatan, kematian ibu, persalinan sesar.
ANTENATAL CARE AND MATERNAL OUTCOME OF PREECLAMPSIA Nurul Mardiyah; Ernawati Ernawati; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 3 (2022): Indonesian Midwifery and Health Sciences Journal, July 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i3.2022.298-309

Abstract

Background: In Indonesia, preeclampsia is the second most common cause of maternal death. One of the government's steps to reduce it by antenatal care policy. This study aimed to analyze whether the frequency of antenatal care and antenatal health care facilities are assosiated with maternal mortality and morbidity of preeclampsia patients treated at a tertiary hospital in Surakarta. Methods: Analytic observational study with a cross-sectional design using secondary data. The sample was preeclampsia patients at RSUD Dr.Moewardi Surakarta from January to December 2019 who were taken by total sampling. Independent variables are frequency of antenatal care and antenatal health care facilities, dependent variables are maternal mortality and morbidity. Data analysis using Chi-Square Test. Results: From 182 samples, antenatal care frequency average was 7,5 times (range: 0-16 times), the most antenatal healthcare facilities were advanced health facilities (85,5%), maternal mortality was 1,6%, and morbidity was 71,4%. Frequency of ANC was not associated with maternal mortality (p=1,000), frequency of ANC was not associated with morbidity of preeclampsia (p=1,000), antenatal healthcare facilities were not associated with maternal mortality (p=1,000), antenatal healthcare facilities were not associated with morbidity of preeclampsia (p=0,223). Conclusion: The frequency of antenatal care and antenatal healthcare facilities were not associated with maternal mortality and morbidity due to preeclampsia. Keywords: antenatal care, maternal outcome, preeclampsia
Prevalence of Spontaneous Delivery and Cesarean Section in Pregnant Patients with Myopia at Pregnancy Clinic Dr. Soetomo General Academic Hospital, Surabaya Rosalia Adriani Malika; Ernawati Ernawati; Prillia Tri Suryani
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 14 No. 1 (2023): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V14I12023.48-51

Abstract

Highlights:1. The selection of delivery methods in pregnant patients with myopia is needed to prevent blindness.2. Although there was no report of retinal detachment either in spontaneous delivery or in cesarean section in this study, all pregnant patients with pathologic myopia or peripheral retinal degeneration should be consulted by Ophthalmologist. AbstractIntroduction: The selection of delivery methods in pregnant patients with myopia is needed to prevent blindness. This study aimed to calculate spontaneous delivery and cesarean section prevalence in pregnant patients with myopia.Methods: This was a descriptive epidemiology study using medical records of Maternity Outpatients Dr. Soetomo General Academic Hospital, Surabaya, from September 2012 to September 2014. Age, stage of myopia, and delivery method data were taken. The sample in this study was all pregnant patients with myopia, as many as 30 patients.Results: Forty percent of pregnant patients with myopia were in the 21-25 age group. There were three patients with low myopia (10%), seven patients with moderate myopia (23.33%), and 20 patients with high myopia (66.66%). More than half of the pregnant patients with myopia had a cesarean section (66.66%), and ten had a vaginal delivery (33.33%). The most indications of cesarean sections were non-myopia in 14 patients (70%), and only six indicated myopia (30%). Myopia was not a primary indication for cesarean sections in Maternity Outpatients Dr. Soetomo General Academic Hospital, Surabaya.Conclusion: Although there was no report of retinal detachment either in spontaneous delivery or in cesarean section in this study, all pregnant patients with pathologic myopia or peripheral retinal degeneration should be consulted by an Ophthalmologist.
CORRELATION BETWEEN COMPLIANCE WITH IRON TABLET CONSUMPTION AND IRON NUTRITION INTAKE WITH PREGNANT WOMEN'S HEMOGLOBINE CONSUMPTION Novi Dwi Ambarsari; Netti Herlina; Linda Dewanti; Ernawati
The Indonesian Journal of Public Health Vol. 18 No. 1 (2023): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v18i1.2023.72-81

Abstract

Introduction: During pregnancy, the need for iron increases, which triggers anemia. Anemia can be described as a decline in the hemoglobin level below a critical level. Meanwhile, based on a preliminary study, 10 out of 13 pregnant women were not obedient in taking iron tablets (76, 92%). The prevalence of anemia at Tanah Kalikedinding Community Health Center in 2015 remained high. Method: The analytical study used a cross-sectional design. The group of pregnant women in the third trimester who received Fe tablets and had their Hb levels checked at the Tanah Kalikedinding Health Center Surabaya were 54 people. The sampling technique chosen was total sampling. The instruments used were questionnaire sheets, data collection sheets, and survey software. Data analysis used the Fisher exact test. Result : Out of the 54 pregnant women, 20.4% of pregnant women were obedient to taking blood-supplement pills and experienced an increase in hemoglobin levels (63.3%), 70.6% of pregnant women were not adherent, and almost all of them had decreased their. The results of a bivariate analysis using Fisher's exact showed a significance value of p-value = 0.001 <α = 0.05 (p <α). Conclusion: This meant a correlation between adherence to consuming Fe tablets and hemoglobin levels in pregnant women. Also, a p-value of 0.001 (p <α). This means there is a correlation between iron nutritional intake and consumption of blood-supplemented tablets and hemoglobin gravida levels at Puskemas Tanah Kalikedinding, Surabaya.
Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave Muhammad Ilham Aldika Akbar; Pungky Mulawardhana; Manggala Pasca Wardhana; Khanisyah Erza Gumilar; Ecccita Raheestyningtyas; Muhammad Ardian Cahya Laksana; Jimmy Yanuar Anas; Ernawati; Hermanto Tri Joewono; Muhammad Adrianes Bachnas; Brahmana Askandar Tjokroprawiro
Folia Medica Indonesiana Vol. 59 No. 2 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v59i2.45226

Abstract

Highlights: These cases of maternal deaths caused by COVID-19 infections illustrated the significant risk factors for maternal mortality during the early phases of the pandemic, while studies had not extensively reported this. COVID-19 infections increase the risk of maternal and neonatal mortality, with infants having a lower chance of survival even if they are delivered. Respiratory support, antiviral medications, antibiotics, anticoagulants, and supportive care are the primary treatments for severe COVID-19 in pregnancy. AbstractThis article presents seven cases of maternal deaths attributed to COVID-19 during the first year of the pandemic wave. These cases provide insights into the natural progression of COVID-19 in pregnant women who were not vaccinated. This study showed that COVID-19 significantly increased maternal and neonatal mortality and morbidity. All of the patients exhibited symptoms of fever, cough, and dyspnea upon admission to the hospital. They were admitted with elevated respiratory rates (26–32 times/minute) and low oxygen saturation (<95%). Four patients had obesity, while one patient had pregestational diabetes. The COVID-19 diagnosis was established using a rapid antibody or antigen test and chest X-ray, which indicated pneumonia. Medical interventions administered to the patients included antiviral therapy (5 patients), antibiotics (6 patients), and anticoagulants (4 patients). From a total of five babies delivered, four babies were delivered via cesarean section. Two babies were not delivered due to previability and maternal deaths before delivery. The patients passed away within 3–10 days of hospital admission. In conclusion, adequate and early intervention and management of pregnant women infected with COVID-19 are crucial in preventing maternal and neonatal deaths, especially in unvaccinated women. 
Is maternal pre-pregnancy Body Mass Index associated with type of Congenital Heart Disease in offspring? Nofita Fachryandini; Taufiq Hidayat; Ernawati Ernawati; Mahrus A Rahman
Majalah Obstetri & Ginekologi Vol. 31 No. 2 (2023): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I22023.80-85

Abstract

HIGHLIGHTS The most common CHD was atrial septal defect for acyanotic CHD and Tetralogy of Fallot for cyanotic CHD. There was no association between maternal pre-pregnancy BMI and type of CHD in offspring.   ABSTRACT Objectives: This study aimed to determine the association between maternal pre-pregnancy BMI and type of congenital heart disease (CHD) in offspring. Materials and Methods: This retrospective cross-sectional study involved all mothers of children with CHD who visited Pediatric Outpatient Unit at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January to December 2019. The maternal data were obtained from the KIA's (Maternal and Child Health) book or through anamnesis by telephone, while the offspring’s data were collected from medical records. The data were analyzed using the Chi-Square test. Significance was determined at a 5% level (p <0.05). Results: We studied 117 mothers of children with CHD. The most frequent maternal pre-pregnancy body mass index (BMI) was normal (BMI 17-23 kg/m2) accounting for 56.4% of the study population. The most common CHD was atrial septal defect (33.3%) among acyanotic patients and Tetralogy of Fallot (8.5%) among cyanotic patients. The Chi-Square test showed p=0.958 for the association between maternal pre-pregnancy BMI and type of CHD in offspring. Conclusion: There was no association between maternal pre-pregnancy BMI and type of CHD in offspring.  
The management of Monochorionic Monoamniotic (MCMA) twin pregnancy Ernawati Ernawati; Jihan Qonitatillah; Agus Sulistyono
Majalah Obstetri & Ginekologi Vol. 31 No. 2 (2023): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I22023.103-109

Abstract

HIGHLIGHTS Monochorionic monoamniotic (MCMA) twin pregnancy has a significant risk of perinatal morbidity and mortality, including intrauterine fetal death (IUFD). The risk of prematurity, the risk of death due to MCMA complications, the availability of the NICU, also high costs on preterm care were factors in deciding to terminate the pregnancy. The ideal time to deliver monochorionic twins in order to reduce the risks of cord entanglement, growth discrepancies, and intrauterine fetal death is still a point of controversy. Early diagnosis, intensive antenatal monitoring, patient and family decision would contribute to antenatal mortality reduction.   ABSTRACT Objectives: To present the management of monochorionic monoamniotic (MCMA) twin pregnancy. Case Report: Advanced prenatal treatment has improved the prognosis for Monochorionic Monoamniotic (MCMA) pregnancies; however, there is still no agreement on how to handle MCMA twins. The authors report 2 cases of monoamniotic monochorionic twin pregnancies. In the first case, a 30-years-old primi pregnant woman detected MCMA at 14 weeks of gestation; no complications related to MCMA were found; she planned delivery at 32 weeks, but one of the babies died in the womb at 31/32 weeks pregnant, a live baby born by cesarean section. The second case was a 36-year-old pregnant woman, on her third pregnancy, diagnosed with MCMA after 12 weeks of pregnancy, no complications related to MCMA, the baby was born at 32 weeks pregnant, and both babies survived. The management was the same in both cases, but different outcomes were obtained; in case 1, the baby died allegedly due to cord entanglement, which could not be detected during pregnancy.
Co-Authors Achmad Zam Zam Aghasy Aditiawarman Aditiawarman, Aditiawarman Agus Sulistyono Aldika Akbar, Muhammad Ilham Ario Danianto Armedian Oktaviani Puspaningrum Askandar Tjokroprawiro Atika Atika Ayu Maghfira Nida Putri Budi Utomo Cempaka Yudithia Junandar Devy Putri Zenita Dina Delvin Anggriani Dwi Putri Rahayu Tampubolon Dwiyanti Puspitasari, Dwiyanti Ecccita Raheestyningtyas Eka Suci Wulandari Ernawaty Ernawaty Hafiza Amadhin Rusti HERAWATI, LILIK Hermanto Tri Joewono I Gusti Made Reza Gunadi Ranuh Ika Mardiyanti Indah Mayang Sari Ismoedijanto Ivon Diah Wittiarika Jihan Qonitatillah Jimmy Yanuar Anas Khanisyah Erza Gumilar Khusnul Putri Maharani Laksana, Muhammad Ardian Cahya Linda Dewanti Liofelita Christi Adhi Mulia Made Ayu Suastini Mahrus A Rahman, Mahrus A Martono Tri Utomo Muhammad Adrianes Bachnas Muhammad Arief Adibrata Nabeel Usama Okbah Nareswari Imanadha Cininta Marcianora Netti Herlina Nofita Fachryandini Novi Dwi Ambarsari Nurul Mardiyah Nuswantoro, Djohar Nuzulul Azizah Ramdan Wulandari Okta Margarita Susiana Prillia Tri Suryani PUNGKY MULAWARDHANA, PUNGKY Qonita Hanifah Raissa Manika Purwaningtias Risa Etika, Risa Rizki Amalia Sari Rosalia Adriani Malika Sabrina Kemala Hapsari Shrimarti Rukmini Devy Sjahjenny Mustokoweni, Sjahjenny Sofia Al Farizi Sulistiawati Sulistiawati Taufiq Hidayat Ucik Rochmayanti Wahyul Anis Wahyunnisa Indrarosiana Wardhana, Manggala Pasca Yasyviena Za’ima Elnabila Yemima Sonita Nugraheni