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Risk factors of the faiture of vaginal delivery after previous Cesarean section history. Heru Pradjatmo, Heru Pradjatmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.916 KB)

Objective: To know factors influencing the success rate of vaginal delivery after previous Cesarean section history.Methods: Historical cohortSetting: Sardjito General Hospital YogyakartaParticipants: Women who delivered her child in Sardjito General Hospital between the year 1997 to 2001, and had previous Cesarean section history. Their delivery would be vaginally or recesarean section. The factors which were predicted affect the success of the vaginal delivery will be analyzed. The significance level of Odd Ratio was determined by logistic regression analysis.Results: There were 275 pregnant women with previous Cesarean section history reviewed, 110 (40%) patients successfully delivered the fetus vaginally and 165 (60%) patients unsuccessfully delivered the fetus vaginally and were undergone Cesarean section. Several factors that might influence the success of vaginal delivery were analyzed: place (OR =0.97; CI 0.58-1.65), age of the mother (OR =0.74; CI 0.431.29), mother body length (OR =1.15; CI 0.66-2.0), education of the mother (OR =1.41; CI 0.74-2.69), pregnancy interval (OR =0.83; CI 0.47-1.461, number of antenatal care (OR =4.40; CI 0.45-35.85), gestational age (OR =0.52; CI 0.24-1.12), fetal presentation (OR =0.61; CI 0.24-1.57), fetal body weight (OR =0.43; CI 0.21-0.89), history of vaginal delivery (OR =0.86; CI 0.51-1.43).Conclusions: It seems that only fetal body weight had significant influence to the success of the vaginal delivery after previous Caesarean section history. Anyhow, this result is appropriate to encourage a possible trial of vaginal delivery in almost all patients with a previous low-segment Caesarean section.Key words: Caesarean Section History, trial vaginal delivery, re-Caesarean Section

Relationship between toe-heel length and body weight of newborn babies Heru Pradjatmo, Heru Pradjatmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 22, No 04 (1990)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.66 KB)

Relationships between toe-heel length and body weight among newborn babies have been investigated. Five hundred and eighty eight infants were divided into two groups. The first group (training set) consisting of 293 cases was used to obtain the correlation between toe-heel length and body weight quantitatively defining mathematical functions (linear regression). Correlation coefficient was obtained by least squares method. The second group (test set) consisting of 295 cases was used to test whether the mathematical function could be generalized.Mathematical function describing the relationship between toe-heel length and body weight was Y= 77.854X - 2695.6 with correlation coefficient.r = 0.7887.Results of the test with the second group for estimating the body weight showed statistically no significant difference with the actual body weight (P > 0.05).Key words: toe-heel length - body weight - newborn babies - breech presentation - perinatal mortality

Risk factors of the faiture of vaginal delivery after previous Cesarean section history. Heru Pradjatmo Heru Pradjatmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 36, No 3 (2004)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.916 KB)

Objective: To know factors influencing the success rate of vaginal delivery after previous Cesarean section history.Methods: Historical cohortSetting: Sardjito General Hospital YogyakartaParticipants: Women who delivered her child in Sardjito General Hospital between the year 1997 to 2001, and had previous Cesarean section history. Their delivery would be vaginally or recesarean section. The factors which were predicted affect the success of the vaginal delivery will be analyzed. The significance level of Odd Ratio was determined by logistic regression analysis.Results: There were 275 pregnant women with previous Cesarean section history reviewed, 110 (40%) patients successfully delivered the fetus vaginally and 165 (60%) patients unsuccessfully delivered the fetus vaginally and were undergone Cesarean section. Several factors that might influence the success of vaginal delivery were analyzed: place (OR =0.97; CI 0.58-1.65), age of the mother (OR =0.74; CI 0.431.29), mother body length (OR =1.15; CI 0.66-2.0), education of the mother (OR =1.41; CI 0.74-2.69), pregnancy interval (OR =0.83; CI 0.47-1.461, number of antenatal care (OR =4.40; CI 0.45-35.85), gestational age (OR =0.52; CI 0.24-1.12), fetal presentation (OR =0.61; CI 0.24-1.57), fetal body weight (OR =0.43; CI 0.21-0.89), history of vaginal delivery (OR =0.86; CI 0.51-1.43).Conclusions: It seems that only fetal body weight had significant influence to the success of the vaginal delivery after previous Caesarean section history. Anyhow, this result is appropriate to encourage a possible trial of vaginal delivery in almost all patients with a previous low-segment Caesarean section.Key words: Caesarean Section History, trial vaginal delivery, re-Caesarean Section

Relationship between toe-heel length and body weight of newborn babies Heru Pradjatmo Heru Pradjatmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 22, No 04 (1990)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.66 KB)

Relationships between toe-heel length and body weight among newborn babies have been investigated. Five hundred and eighty eight infants were divided into two groups. The first group (training set) consisting of 293 cases was used to obtain the correlation between toe-heel length and body weight quantitatively defining mathematical functions (linear regression). Correlation coefficient was obtained by least squares method. The second group (test set) consisting of 295 cases was used to test whether the mathematical function could be generalized.Mathematical function describing the relationship between toe-heel length and body weight was Y= 77.854X - 2695.6 with correlation coefficient.r = 0.7887.Results of the test with the second group for estimating the body weight showed statistically no significant difference with the actual body weight (P > 0.05).Key words: toe-heel length - body weight - newborn babies - breech presentation - perinatal mortality

Basic principles and diagnostic of colposcopy Heru Pradjatmo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 47, No 2 (2015)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

ABSTRACTThe colposcope is an optical system that offers illumination and magnifications between 10 and 16 times. Colposcopy is the diagnostic test to evaluate patients with an abnormal cervical cytological smear, abnormal VIA (visual inspection with acetic acid application) or VILI (visual inspection with Lugo’s Iodine application), abnormal appearing cervix and directing biopsies. The colposcopic examination of the cervix starts with “General Assessment” to immediately recognize the level of examination reliability. Examination should assessed for three variables: 1) adequate or inadequate, with the reason given; 2) squamocolumnar junction visibility; and 3) transformation zone type. Colposcopic features and patterns will correspond with underlying specific histological features. The greater the expertise and experience of the colposcopist, the greater the confidence in the assessment of the atypical transformation zone (TZ). For practical purposes, the most important aspect is always the recognition or exclusion of underlying actual invasive disease. The presence or absence of precancerous lesions can confirm with colposcopy.

Malignant bilateral ovarian steroid cell tumor without androgenic manifestation: an unusual finding Emilia Theresia; Bob Irsan; Ery Kus Dwianingsih; Moh Nailul Fahmi; Heru Pradjatmo; . Irianiwati
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 54, No 1 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005401202208

Steroid cell tumor is a rarest ovarian neoplasm, classified as a pure stromal tumor and mostly is unilateral. Even though this tumor can exhibit malignant behavior but the morphology of cells showed benign characteristics which can become a diagnosis pitfall especially in the frozen section. Moreover patient without any hormonal imbalance or virilizing signs could make the diagnosis process more difficult. Here we reported a case bilateral steroid cell tumor of the ovary in a 42 y.o. unmarried woman without any virilization or hirsutism symptoms. Abdominal ultrasonography and computed tomography (CT) scan revealed a right ovarian solid tumor accompanied by ascites and right pleural effusion. There was significantly increased of Ca 125 level (1138 U/mL) and normal level of testosterone (0.10 ng/mL). Frozen section was done from the right ovarium mass and ascites fluid, the result was benign. From the total abdominal hysterectomy and bilateral salpingo-oophorectomy tissues, histological picture showed diffuse and nests tumor separated by thin fibrous connective tissue with small round centered nuclei, mild atypia, and abundant pale cytoplasm. Large area of necrosis was found especially in the right ovarian tumor, tumor implant to the right fallopian tube and in the uterine serous layer. Periodic acid-Schiff (PAS) stain was negative in more than half tumor cells population. Immunostaining for Melan-A and Calretinin were focally positive, with Ki-67 labeling index ± 5%, and negative for cytokeratin 7 (CK7), cytokeratin 20 (CK20) and smooth muscle actin (SMA). Based on the tumor size, necrosis area, tumor implantation, and immunohistochemistry profiles, we conclude that were malignant steroid cell tumor. Currently, the patient is undergoing postoperative recovery and planned for platinum-based chemotherapy. A careful correlation between clinical and radiological findings, as well as histopathological results, is always essential, as is amply demonstrated by this particular case.

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