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Masalah dan Tata Laksana Obesitas dalam Kehamilan Ocviyanti, Dwiana; Dorothea, Maya
Majalah Kedokteran Indonesia Vol 68 No 6 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.6-2018-62

Abstract

Pendahuluan: Berat badan lebih (overweight) dan obesitas merupakan kondisi pandemik global yang prevalensinya terus meningkat. Kondisi ini juga banyak ditemukan pada wanita usia subur. Keadaan berat badan lebih dan obesitas pada kehamilan merupakan salah satu kondisi obstetri berisiko tinggi. Kondisi berat badan lebih dan obesitas terbukti dari berbagai penelitian dapat meningkatkan risiko morbiditas dan mortalitas ibu dan janin, antara lain dapat meningkatkan risiko hipertensi dan diabetes gestasional pada masa antepartum, komplikasi intrapartum seperti distosia bahu, perdarahan postpartum, dan kegagalan induksi maupun persalinan pervaginam pasca bedah sesar. Selain itu, pada masa postpartum, obesitas terbukti meningkatkan risiko tromboemboli. Pada janin, obesitas dalam kehamilan meningkatkan risiko makrosomia dan kecacatan janin. Oleh karena itu, guideline-guideline dari Amerika, Kanada, Australia, serta Inggris menganjurkan tata laksana kolaboratif multidisiplin antara dokter umum, bidan, dokter spesialis obstetri dan ginekologi, ahli anestesi, ahli gizi, serta kedokteran olahraga dalam melakukan tata laksana pada ibu hamil dengan obesitas.
Peran Dokter dalam Menangani Pelecehan Seksual pada Anak di Indonesia Ocviyanti, Dwiana; Budiningsih, Yuli; Khusen, Denny; Dorothea, Maya
Majalah Kedokteran Indonesia Vol 69 No 2 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.2-2019-77

Abstract

Introduction: Sexual abuses often occur in Indonesia. In 2010-2014, data fromNational Commission for Child Protection showed that 42-62% of all violencein children were sexual abuses. Child sexual abuse usually happens in placesthat should be the safest place for children like home or schools. Child sexualabuse can occur verbally, non-verbally, or physically. Child sexual abuse mayaffect victim physically and mentally. The role of physicians in child sexualabuse cases are to provide medical care and statement for justice and to pre-vent negative impact of sexual abuse in the future
Penanganan Holistik pada Kasus Pelecehan Seksual pada Anak Ocviyanti, Dwiana; Khusen, Denny
Majalah Kedokteran Indonesia Vol 68 No 4 (2018): Journal of the Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.4-2018-82

Abstract

Introduction: Cases of child sexual abuse still occur in many communities. Children who become victims rarely report for various reasons, such as shame and fear. Therefore, as a parent should be able to recognize the signs of children who experienced sexual abuse.Case Illustration: The 15-years-old children came for a visum. The victim’s parents suspected that the victim had sexually abuse from the community around the house, but the victim did not want to confess.Finally the parents came with the police to the forensic department for a visum examination. After being examined by the forensic department with obstetriciansthen the victim was was consulpted to the psychiatric physician and pediatrician.Discussion: In handling cases of children sexual abuse should be holistic and integrated. It required correcting and handling, both from the medical side, the individual side, legal aspects, and social support. This case provided a lot of experience and taught us to give more education to the community, especially parents who had children to pay more attention to the environment where their children was located and given counseling about prevention of child sexual abuse.Conclusion: Sexual abuse in children could occur anywhere and anytime and could be done by anyone, therefore, children need to be equipped with the knowledge of sexuality.
Tatalaksana Skizofrenia Pada Kehamilan: Laporan Kasus Indarti, Junita; Ocviyanti, Dwiana; Umami, Erda Ayu
Majalah Kedokteran Indonesia Vol 69 No 12 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.12-2019-168

Abstract

Schizophrenia is a severe mental disorder, characterized by deep thinking disturbances, affecting language, perception, and sense of self. This often includes psychotic experiences, such as hearing sounds or delusions. The most common age of onset for schizophrenia in women is from ages 25-35 (reproductive age). We report a case of a 27-year-old woman with pregnancy and schizophrenia paranoid. Reproductive age women with schizophrenia need comprehensive management during their reproductive years, including contraception, prenatal care, antenatal care, postnatal care, as well as safe and effective parenting.
Penularan COVID-19, Laporan Kasus Seorang Peserta Program Pendidikan Dokter Spesialis Obstetri dan Ginekologi Lisnawati, Yuyun; Ocviyanti, Dwiana; Wulan, Diyah Septiti
Majalah Kedokteran Indonesia Vol 70 No 12 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.12-2020-286

Abstract

Since COVID-19 first broke out in Jakarta in early March 2020, the infection rate has been slowly but surely increasing. Health workers who work directly to serve patients, including the resident, are vulnerable to infection. The following is a story of a Obstetrics and Gynecology resident who was infected with COVID-19 and managed to recover after going through a period of independent isolation. In March 2020, the resident who at that time served in the Obstetrics polyclinic at a COVID-19 referral hospital in Jakarta, experienced myalgia, fever, headache, sore throat, cough and runny nose. Due to the condition causes PPDS to be rested. Complaints improved within a few days, after taking medication and multivitamin supplementation. One week later, the resident with the other resident and staff conducted a nasopharyngeal swab examination at the hospital, then the samples were sent to Litbangkes for reverse transcription polymerase chain reaction (RT-PCR) examinations against SARS-CoV-2. The results were obtained 20 days later and the resident was declared positive. When the results came out, PPDS who already felt healthy were undergoing rotation in another hospital. Undergo a 2-week self-isolation protocol, nutritious intake, supplementation, exercise, positive thinking and continued prayer. Transmission of COVID-19 may occur while serving patients, social distancing and wearing less awake masks when with PPDS friends, midwives, nurses and staff. The long duration of the RT-PCR swab results makes it difficult for tracing, the risk of widespread transmission and delays in efforts to break the chain of transmission of COVID-19 besides disrupting education rotation.