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The Comparison of Peripheral Blood Morphology and Ferritin Level in Pregnancy Woman with Anemia Living in Lowland and Highland Areas Yulfa Rizki Amita; Eddy Hartono; Syahruni Syahrir; Firdaus Hamid; Samrichard Rambulangi; Elizabet Catherine Jusuf
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 1 Maret 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n1.352

Objective: Differences in the morphology features of red blood cells in population groups who live in the lowlands areas and the highlands areas will affect the diagnosis and appropriate therapies. Methods: The method used is a cross-sectional study of 75 pregnant women (6-38 weeks gestational age) with anemia living in highland and lowland areas found at Massenrempulu Hospital and Sitti Khadijah I Hospital. Anemia in pregnant women is diagnosed as a hemoglobin level less than 11gr/dl in the 1st and 3rd trimesters or less than 10.5 gr/dl in the 2nd trimester. The patient's blood sample was taken intravenously and performed serological and peripheral blood examination. Data were processed using the SPSS program, analyzed using univariate and multivariate tests.Results: In both results of the parametric and nonparametric test, ferritin levels showed a significant difference (p = 0.001), higher in the lowland areas group subjects (15.44 ± 36.92) compared to the highland areas group subjects (9.55 ± 30.16). There were no significant differences in morphology features (p> 0.05) between both groups.Conclusion: This study showed no significant differences in morphology features between the two groups. The lowland areas group subjects had a significantly higher ferritin level than that of the highland areas group subjects.Perbandingan Gambaran Morfologi Darah Tepi Pasien Gravid dengan Anemia Yang Tinggal di Pesisir Pantai dan Daerah PegununganAbstrakTujuan: Perbedaan ciri morfologi sel darah merah pada kelompok populasi yang tinggal di dataran rendah dan dataran tinggi akan mempengaruhi diagnosis dan terapi yang tepat.Metode: Metode yang digunakan adalah studi potong lintang pada 75 ibu hamil (usia kehamilan 6-38 minggu) dengan anemia yang tinggal di dataran tinggi dan dataran rendah yang ditemukan di RS Massenrempulu dan RS Sitti Khadijah I. Anemia pada ibu hamil didiagnosis berdasarkan kadar hemoglobin kurang dari 11gr/dl pada trimester I dan III atau kurang dari 10,5 gr/dl pada trimester II. Sampel darah pasien diambil secara intravena dan dilakukan pemeriksaan serologis dan darah tepi. Data diolah menggunakan program SPSS, dianalisis menggunakan uji univariat dan multivariat.Hasil: Pada hasil uji parametrik dan nonparametrik, kadar feritin menunjukkan perbedaan yang secara signifikan (p = 0,001), lebih tinggi pada subjek kelompok dataran rendah (15,44 ± 36,92) dibandingkan dengan subjek kelompok dataran tinggi (9,55 ± 30,16). Tidak ada perbedaan yang signifikan dalam morfologi darah tepi (p> 0,05) antara kedua kelompok.Kesimpulan: Penelitian ini tidak menunjukkan perbedaan morfologi yang signifikan antara kedua kelompok. Subyek kelompok dataran rendah memiliki kadar feritin yang jauh lebih tinggi dibandingkan dengan subjek kelompok dataran tinggi.Kata kunci: Morfologi darah tepi, kehamilan, anemia, dataran rendah, dataran tinggi

KejadianEkspulsi Alat Kontrasepsi Dalam Rahim Banded T-Shaped dan Plain T-Shaped pada Pemasangan Intra Seksio Sesarea Dewi Novita; Umar Malinta; Samrichard Rambulangi; Firdaus Kasim
Indonesian Journal of Obstetrics & Gynecology Science Volume 4 Nomor 2 September 2021
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v4n2.308

Tujuan: Mengetahui kejadian ekspulsi alat kontrasepsi dalam rahim banded T-shaped dan plain T-shaped pada pemasangan intra seksio sesarea.Metode: Sebuah studi cohort dilakukan di 4 rumah sakit bersalin Makassar dari bulan September-Desember 2021. Sampel dibagi ke dalam dua kelompok yaitu mendapatkan banded T-shaped dan plain T-shaped.Hasil: Ada 216 pasien yang dipasangkan AKDR. Tidak terdapat perbedaan proporsi penggunaan jenis AKDR (p>0.05). Perubahan letak AKDR terjadi pada hari ke-40 (p(0.006) <0.05), pada hari ke-90 hari tidak terdapat perbedaan bermakna (p (0.073> 0.05). Pada hari ke-40 AKDR Banded T-shaped mengalami ekspulsi sebesar 20.4% sedangkan Plain T-shaped sebesar 8.3% (p (0.020) <0.05). Pada hari ke-90 kejadian AKDR Banded T-shaped sebesar 4.7% sedangkan Palin T-shaped sebesar 5.1% (p (1.000) >0.05).Diskusi: Ekspulsi paling sering terjadi pada 30-90 hari setelah pemasangan akibat perubahan anatomi dan fisiologis selama masa nifas. Ekspulsi yang lebih rendah pada Plain T-shaped karena lengan horizontal yang fleksibel, teknik pedengan pelebaran serviks yang lebih sedikit serta perdarahan lebih sedikit.Kesimpulan: Kejadian ekspulsi tersering pada hari ke-40 dan menurun pada hari ke-90 pasca pemasangan. Jenis AKDR dengan kejadian ekspulsi paling sedikit adalah Plain T-shaped dibandingkan dengan Banded T-shaped.Incidence of Expulsion of Banded T-shaped and Plain T-shaped Intrauterine Device in Intra-Caecarean Delivery InsertionAbstractObjective: Determine contraceptive device expulsion rate of banded T-shaped and plain T-shaped intra-cesarean.Method: A cohort study was conducted in 4 maternity hospitals at Makassar from September-December 2021. Samples were divided into two groups, getting Banded T-shaped and Plain T-shaped.Result: There were 216 patients who had an IUD inserted. There was no difference in the proportion of the use of IUD types (p>0.05). Changes in IUD position occurred on day 40 (p (0.006) < 0.05), on day 90 there was no significant difference (p(0.073 > 0.05). On day 40 the Banded T-shaped IUD expulsion was 20.4% while the Plain T-shaped was 8.3% (p(0.020) <0.05). On the 90th day the incidence of the Banded T-shaped IUD was 4.7%, while the Plain T-shaped was 5.1% ((1,000) >0.05).Dicussion: Expulsion most often occurs 30-90 days after insertion due to anatomic and physiological changes during puerperium. Lower expulsion in plain T-shaped due to flexible horizontal arm, less cervical dilation technique and less bleeding.Conclusion: The incidence of expulsion was most common on the 40th day and decreased on the 90th day after insertion. The type of IUD with the least number of expulsions was Plain T-shaped.Key word : IUD, Banded T-Shaped, Plain T-Shaped, Expulsions IUD

Faktor-Faktor Penyebab Remaja Putus Sekolah Usia 12 - 18 Tahun di Polobangkeng Utara, Kabupaten Takalar Anwar, Yulianti; Hadju, Veni; Rambulangi, Samrichard; Mastuti, Nih Luh Putu Herli
Jurnal Kebidanan Malakbi Vol 3 No 2 (2022): Agustus 2022
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v3i2.690

Dropout is a predicate given to former students who are unable to complete a level of education and unable to continue their studies to the next level of education. This study determines the factors that cause adolescents to drop out of school. This study is qualitative descriptive research with the type of field research. Data collection techniques are by conducting observations, interviews, and documentation. Meanwhile, to determine the informants using the purposive sampling technique, in this case, the researchers chose informants, namely teenagers who dropped out of school, aged 12-18 years, parents of teenagers, and the local government. The analysis used is an interactive model of data analysis technique that includes three paths specifically, data reduction, data presentation, and conclusion drawing. The results showed that the factors that caused teenagers to drop out of school were economic problems, low learning abilities, adolescent associations, and student attitudes towards teachers.

Faktor-Faktor Penyebab Remaja Putus Sekolah Usia 12 - 18 Tahun di Polobangkeng Utara, Kabupaten Takalar Anwar, Yulianti; Hadju, Veni; Rambulangi, Samrichard; Mastuti, Nih Luh Putu Herli
Jurnal Kebidanan Malakbi Vol 3 No 2 (2022): Agustus 2022
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v3i2.690

Dropout is a predicate given to former students who are unable to complete a level of education and unable to continue their studies to the next level of education. This study determines the factors that cause adolescents to drop out of school. This study is qualitative descriptive research with the type of field research. Data collection techniques are by conducting observations, interviews, and documentation. Meanwhile, to determine the informants using the purposive sampling technique, in this case, the researchers chose informants, namely teenagers who dropped out of school, aged 12-18 years, parents of teenagers, and the local government. The analysis used is an interactive model of data analysis technique that includes three paths specifically, data reduction, data presentation, and conclusion drawing. The results showed that the factors that caused teenagers to drop out of school were economic problems, low learning abilities, adolescent associations, and student attitudes towards teachers.

Kadar Human Leukocyte Antigen-G Serum Pada Abortus Spontan Dan Kehamilan Normal Sarjani Linggi Allo; Erni Yetti R; Zadrak Tombeg; Samrichard Rambulangi; Irfan Idris; Anto J. Hadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 2 No. 2 (2019)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Adanya penolakan terhadap janin oleh sistim imun ibu karena adanya antigen paternal, diduga menjadi salah satu penyebab abortus oleh karena itu adanya humanleukocyte antigen-g (HLA-G) memegang peranÂ toleransi imun semialogenik fetus untuk pemeliharaan kehamilan.Penelitian ini bertujuan untuk mengetahui kadar HLAG-G serum pada kehamilan normal dan Abortus dengan metode ELISA.Desain penelitian ini adalah cros-sectional dengan jumlah sampel 50 yang dibagi dalam 2 kelompok yaitu25 abortus dan 25 kehamilan normal. Pengambilan sampel dilakukan secara concequtivesampling.Data dianalisis menggunakan uji Mann-whitneydan Independent-samples T test. Hasil uji statistik diperoleh rerata kadar HLA-G serum ibu abortus lebih rendah (276,08 Â±69 ng/L) dibandingkan dengan hamil normal (345,30 Â± 73,54ng/L) dengan nilaiÂ p 0,001 <p 0,005. Pada usia ibu 20-35 tahun rerata kadar HLAGÂ pada kehamilan normalÂ 357,57 Â± 71,40 dan kelompok abortusÂ 274,57Â±85,95 dengan nilai = p 0,015 sedangkan pada usia ibuÂ <20 dan >35 tahun rerata kadar HLA-G kehamilan normal 306,41Â±72,26 dan kelompok abortus 276,79Â±62,68 dengan nilai p=0,034. Umur kehamilan > 14 mingguÂ pada kelompok hamil normal rerata kadar HLAGÂ =353,43Â±78,17 dan kelompok abortus HLA-G = 243,60 +61,77 dengan nilaip =0,003 sedangkanÂ umur kehamilan 8-14 minggu pada kelompok hamil normal rerata kada HLA-G= 328,01Â±63,82 dan pada kelompok abortusÂ 288,71Â±69,22 dengan nilai p=0,185. Paritas 2-3 pada kelompok hamil normal rerata HLA-G=342,87Â±73,42 dan kelompok abortus rerata HLA-G= 278,35Â±81,25 dengan nilai p=0,051 sedangkan paritas 1&> 3 pada kelompok hamilan normal rerata kadar HLA-G =350,46Â±78,57 dan kelompok abortus rerata kadar HLA-G = 274,80 Â±64,14 dengan nilai p 0,043. Berdasarkan hasil analisis disimpulkan bahwa kadar serum HLA-G pada kelompok abortus lebih rendah dibandingkan kelompok hamilan normal.Â

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