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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Majalah Kedokteran Bandung Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Majalah Obstetri dan Ginekologi Majalah Kesehatan FKUB Warta Ardhia : Jurnal Perhubungan Udara Medical Laboratory Technology Journal Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Care : Jurnal Ilmiah Ilmu Kesehatan Journal of Issues in Midwifery Heart Science Journal Devotion: Journal of Research and Community Service Narra J Indonesian Journal of Perinatology Asian Journal of Health Research Jurnal Info Kesehatan
Bambang Rahardjo
Faculty Of Medicine Universitas Brawijaya Dr. Saiful Anwar General Hospital Malang
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Transportation Veterinary

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Analisis Perkiraan Umur Struktur Center Wing Box pada Pesawat Hercules C-130H Akibat Beban Lelah Aziz, Ali; Jusuf, Annisa; Rahardjo, Bambang; Putra, Ichsan Setya; Setiawan, Hery; Sugiono, Achmad
WARTA ARDHIA Vol. 48 No. 1 (2022)
Publisher : Sekretariat Badan Kebijakan Transportasi, Kementerian Perhubungan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25104/wa.v48i1.442.43-52

Abstract

Failure of aircraft structural components has fatal consequences, namely the plane crash and will cause loss of life. There are many types of failures in aircraft structures, one of which is fatigue failure, which is often the leading cause of aircraft structural failures. Therefore, this study will determine the age of the center wing box (CWB) structure on the Hercules C-130H aircraft for the case of multiple-site damage crack propagation in the lower skin when experiencing fatigue loads. This research will be divided into four stages of analysis. The first stage is to determine the aerodynamic load received by the wing. Then followed by the second stage is to determine the stress distribution on the CWB structure using finite element analysis. Next, the third stage, namely making a stress spectrum based on the aircraft's flight history and analyzing crack propagation in the fourth stage. The analysis found that the maximum age of the CWB structure was 27,065 flight times or 50,070 flight hours. The age of the structure as a result of this analysis is of higher value than the statement by the aircraft manufacturing company, which is 40,000 flight hours.Kegagalan komponen struktur pesawat terbang memiliki konsekuensi yang sangat fatal, yakni kecelakaan pesawat tersebut dan akan menyebabkan hilangnya nyawa. Banyak jenis kegagalan pada struktur pesawat yang mempengaruhi keselamatan transportasi udara, salah satunya adalah kegagalan lelah (fatigue), yang seringkali merupakan penyebab utama terjadinya kegagalan struktur pesawat. Oleh karena itu, pada penelitian ini akan dilakukan penentuan umur dari struktur center wing box (CWB) pada pesawat Hercules C-130H untuk kasus perambatan retak jenis multiple-site damage di skin bawah ketika mengalami beban lelah. Penelitian ini akan terbagi menjadi empat tahap analisis. Tahap pertama adalah menentukan beban aerodinamik yang diterima sayap, kemudian tahap kedua menentukan distribusi tegangan pada struktur CWB menggunakan analisis elemen hingga. Dilanjutkan dengan tahap ketiga yaitu membuat stress spectrum berdasarkan riwayat penerbangan pesawat, dan yang terakhir pada tahap keempat adalah melakukan analisis perambatan retak. Setelah melakukan analisis didapatkan bahwa umur maksimal struktur CWB adalah 27.065 kali terbang atau 50.070 jam terbang. Umur struktur hasil analisis ini bernilai lebih besar jika dibandingkan dengan pernyataan perusahaan manufaktur pesawat terbang tersebut yaitu sebesar 40.000 jam terbang.
Ethnopharmacological insights and clinical prospects of ten Indonesian medicinal plants for pregnancy, postpartum, and lactation: a systematic review Sanjaya, I Nyoman Hariyasa; Andonotopo, Wiku; Bachnas, Muhammad Adrianes; Dewantiningrum, Julian; Pramono, Mochammad Besari Adi; Mulyana, Ryan Saktika; Pangkahila, Evert Solomon; Akbar, Muhammad Ilham Aldika; Rahardjo, Theresia Monica; Suryawan, Aloysius; Rahardjo, Bambang; Yeni, Cut Meurah; Aldiansyah, Dudy; Bernolian, Nuswil; Wiradnyana, Anak Agung Gede Putra; Sulistyowati, Sri; Stanojevic, Milan; Kurjak, Asim
Indonesian Journal of Perinatology Vol. 6 No. 1 (2025): (Available online: 1 June 2025)
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v6i1.77

Abstract

Background: The perinatal period involves significant physiological and metabolic transitions, particularly concerning hypertensive disorders, preeclampsia, hemorrhage, lactation challenges, and oxidative stress. Although pharmacological therapies are available, their safety and accessibility remain inconsistent, especially in resource-limited settings. Indonesia’s extensive biodiversity and deep-rooted ethnomedicinal traditions offer promising yet underutilized botanical alternatives. This study aimed to review the efficacy of Indonesian medicinal plants used in pregnancy, postpartum, and lactation. Methods: This systematic review investigates ten Indonesian medicinal plants traditionally used during pregnancy, postpartum recovery, and lactation: Sauropus androgynus, Curcuma longa, Moringa oleifera, Nigella sativa, Centella asiatica, Orthosiphon aristatus, Syzygium polyanthum, Andrographis paniculata, Solanum nigrum, and Zingiber officinale. Literature from 2000 to 2025 was reviewed using PRISMA guidelines across global and regional databases. Phytochemical composition, mechanisms of action, therapeutic effects (e.g., antihypertensive, antidiabetic, galactagogue, hemostatic, antioxidant), and clinical relevance were critically evaluated. Results: All ten plants demonstrated pharmacological potential relevant to perinatal health challenges. Notably, Zingiber officinale offers antiemetic and anti-inflammatory benefits during early pregnancy, complementing the lactogenic, antihypertensive, and wound-healing properties of other species. However, gaps persist in human trials, dosage standardization, and regulatory oversight. Conclusion: The review highlights the importance of integrating validated traditional botanicals into perinatal care through interdisciplinary research, targeted clinical trials, and culturally responsive health policies. Bridging ethnopharmacology with maternal health systems offers a scalable, sustainable pathway toward maternal wellness and equity in Indonesia and comparable global settings.
Maternal and Fetal Outcome Differences in Pregnant Women with Preeclampsia and Severe Preeclampsia at Dr. Saiful Anwar General Hospital Daniati, Lidya; Rahardjo, Bambang
Asian Journal of Health Research Vol. 4 No. 2 (2025): Volume 4 No 2 (August) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i2.243

Abstract

Introduction: Preeclampsia is a major factor leading to complications for both mothers and infants, significantly raising maternal mortality rates in Indonesia, where severe instances result in approximately 1.5% of maternal deaths. It also heightens the chance of perinatal loss, with severe preeclampsia having a rate of around 4.6%. Frequent complications related to this condition are low birth weight, intrauterine growth restriction, asphyxia, and preterm delivery. The objective of this research was to evaluate the differences in outcomes for mothers and infants between those experiencing preeclampsia and those suffering from severe preeclampsia at Dr. Saiful Anwar General Hospital. Material and Methods: A retrospective analytical observational design was used, analyzing data from pregnant women treated at HKFM Education Center and Dr. Saiful Anwar General Hospital between January 2022 and December 2023. Statistical analysis involved the t-test or the Mann-Whitney test. Results: Findings revealed considerable variations in maternal results, such as eclampsia, elevated hypertension, and alterations in systolic blood pressure the day after delivery, among women diagnosed with preeclampsia versus those with severe preeclampsia. Distinct variations were observed in maternal well-being throughout pregnancy, during delivery, and in postpartum care. Nevertheless, fetal outcomes showed no significant disparities between the two categories, implying that the conditions for the infants during gestation and post-delivery were comparable. Conclusion: Women suffering from intense preeclampsia encountered various maternal outcomes in contrast to those without the condition, although fetal results were similar in both categories at the hospital that was examined.
Correlation of Leucine Intake with Serum Prolactin and Breast Milk Protein Levels in Breastfeeding Women Lestari, Ni Putu Yunita Sri; Wardani, Widya Kusuma; Ratnawati, Linda; Nurseta, Tatit; Rahardjo, Bambang
Devotion : Journal of Research and Community Service Vol. 3 No. 10 (2022): Devotion: Journal of Research and Community Service
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/dev.v3i10.199

Abstract

Breast milk is the best choice food for a baby’s growth and development of infants at some point of the primary 6 months of life. Fulfillment of nutrition during breastfeeding is an important requirement, one of which is the intake of the amino acid leucine which is said to affect prolactin as a regulator of breast milk production and protein synthesis in breast milk. This can support the quality and quantity of breast milk to meet the nutritional needs of infants support infant growth and development and reduce the incidence of stunting at the age of toddlers. This research aims to determine the relationship between leucine intake and levels of prolactin and protein in breast milk in breastfeeding mothers. This research is an analytic observational study with a cross-sectional method. This study carried out normality using the Kolmogorov-Smirnov test and using the Pearson correlation test to determine the relationship between variables. Based on the test results of the relationship between leucine intake and serum prolactin levels, a significance value of 0.005 (p<0.05) was obtained with a correlation coefficient value of 0.183 and the relationship between leucine intake and breast milk protein levels obtained a significance value of 0.033 (p<0.05) with a correlation coefficient of 0.147. The results of this test showed a significant relationship between these variables. There is a weak correlation between leucine intake and levels of prolactin and protein in breast milk
Pengaruh Pemberian Pisang Ambon Sebagai Terapi Tambahan Terhadap Penurunan Tekanan Darah Pada Ibu Hamil Dengan Hipertensi Gestasional (Studi Di Puskesmas Cilimus Dan Puskesmas Linggarjati) Sabilla Khaerunissa, Dymphna; Rahardjo, Bambang; Wardani, Diadjeng Setya
Journal of Issues in Midwifery Vol. 9 No. 2 (2025): Volume 9 No 2 Tahun 2025
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2025.009.02.5

Abstract

ABSTRAK Latar Belakang: Penyebab utama kematian ibu terkait kehamilan dan persalinan di Indonesia adalah tekanan darah tinggi saat hamil. Pengobatan non-farmakologi dapat mengatasi tekanan darah tinggi dengan mengkonsumsi pisang ambon karena pisang ambon mengandung kalium yang tinggi. Tujuan penelitian: mengetahui pengaruh pemberian pisang ambon sebagai terapi tambahan terhadap penurunan tekanan darah pada ibu hamil hipertensi di Wilayah Kerja Kabupaten Kuningan. Metode penelitian: kuantitatif dengan menggunakan metode Quasi Eksperiment dengan Two Group Pretest-Posttest Control Group. Analisis data menggunakan uji Wilcoxon. Sampel penelitian ini berjumlah 32 ibu hamil hipertensi. Responden dibagi dua kelompok, dimana pada kelompok perlakuan diberikan tambahan pisang ambon sebanyak 200 g per hari. Dua kelompok diukur tekanan darah sebelum dan sesudah perlakuan, penelitian ini dilakukan selama 14 hari. Hasil penelitian: kelompok perlakuan sistolik sebelum dan sesudah diberi pisang ambon menunjukan ρ-value 0,000 dan diastolik ρ-value 0,000, artinya terdapat perbedaan antara pre-test dan post-test pemberian obat antihipertensi dan buah pisang ambon dengan kelompok yang hanya diberikan obat antihipertensi saja (ρ-value <0,05). Kesimpulan: pemberian pisang ambon berpengaruh dalam penurunan tekanan darah pada ibu hamil dengan hipertensi gestasional. Kata Kunci: Ibu hamil, Hipertensi, Tekanan Darah, Pisang Ambon ABSTRACT Background: The main cause of maternal death related to pregnancy and childbirth in Indonesia is high blood pressure during pregnancy. Non-pharmacological treatment can overcome high blood pressure by consuming Ambon bananas because its contain high potassium. The purpose of the study: to determine the effect of giving ambon bananas as an additional therapy on reducing blood pressure in hypertensive pregnant women in the Working Area of Kuningan Regency. Research method: quantitative using Quasi-Experimental method with Two Group Pretest-Posttest Control Group. Data analysis using the Wilcoxon test. The sample of this study amounted to 32 hypertensive pregnant women. Respondents were divided into two groups, where the treatment group was given 200 grams of Ambon bananas a day. Two groups measured blood pressure before and after treatment, the study was conducted for 14 days. The results of the study: the systolic treatment group before and after being given ambonese bananas showed ρ-value 0,000 and diastolic ρ-value 0,000, meaning that there was a difference between pre-test and post-test giving ambonese bananas and antihypertensive drugs (ρ-value <0,05). Conclusion: Giving Ambon bananas affects reducing blood pressure in hypertensive pregnant women in the Working Area of Kuningan Regency. Keywords: Pregnant Women, Hypertension, Blood Pressure, Ambon Banana
Idiopathic Pulmonary Arterial Hypertension Newly Diagnosed in Pregnancy with Anemia and Threatened Preterm Labor Harumsari, Stefani; Rahardjo, Bambang; Prasetyorini, Nugrahanti; Dwijayasa, Pande Made; Yogibuana, Valerinna; Rohman, Mohammad Saifur
Heart Science Journal Vol. 3 No. 4 (2022): Prevention, Screening dan Rehabilitation : The Back Bone of Quality Care Improv
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2022.003.04.7

Abstract

Background: Pulmonary hypertension (PH) is a rare cardiovascular disorder that leads to right heart failure (RHF). Although most PH occurs secondary to congenital heart disease (CHD), PH can occur primarily due to pulmonary arterial vasculature abnormalities, known as Idiopathic pulmonary arterial hypertension (IPAH). In addition, the physiologic changes during pregnancy can potentially lead to worsening PAH and confer a poor prognosis. Therefore, when the mother refuses termination, a multidisciplinary team should manage the pregnancy and delivery to improve maternal and fetal outcomes.Objectives: This case report aimed to describe the importance of early diagnosis and treatment in PAH.Case reports: We reported a case of a 24-year-old woman with idiopathic pulmonary arterial hypertension (IPAH) that was newly diagnosed at 25 weeks of pregnancy and previously misdiagnosed with patent ductus arteriosus (PDA). This pregnancy was complicated with anemia and threatened preterm labor. Sildenafil was used as a vasodilator to reduce the symptoms of PAH. Unfortunately, the pregnancy was terminated at 29 weeks because of PPROM after considering giving lung maturation and neuroprotectant to the fetus. The patient was discharged without complication, but the baby died after eight days of intensive care due to HMD II, which led to respiratory failure.Conclusion: PAH in pregnancy is a life-threatening condition if untreated. Continuous treatments can help control the symptoms and avoid further complications for both mother and baby.
Kombinasi Glucomannan Hydrolysates (Gmh) Dan Antibiotik Metronidazole Berpengaruh Terhadap Kadar Sitokin Il-23 Pada Bacterial Vaginosis Wanita Usia Subur Purwanti, Anik Sri; Sumarno, Sumarno; Rahardjo, Bambang; Winasih, Sri; Poeranto, Sri
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 7, No 1 (2019): EDITION MARCH 2019
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (736.765 KB) | DOI: 10.33366/jc.v7i1.1105

Abstract

Woman’s reproductive tract often has problems, especially in women of childbearing age. One of them is Bacterial Vaginosis is a clinical condition that occurs a lot. BV infection is a polymicrobial infection caused by a decrease in the amount of Lactobaclilus with anaerobic bacteria that increases excessively. Alternative treatment for BV is given by using the results hydrolysates of konjac plant extracted in dosage forms Glucomannan Hydrolysates (GMH) containing glucose and mannose prebiotic which can support the growth development of Lactobacillus in the vaginal mucosa. This study was to determine the effect of Glucomannan Hydrolisates (GMH) + Metronidazole on levels of IL 23 cytokines in BV of reproductive age women. The method of this study used the True Experimental design with the type of research The randomized pretest-posttest was in vivo. The subjects selected in this study design used Randomized techniques. A sample of 7 people WUS with BV given GMH 300mg + Metronidazole 1000 mg for 9 days of use, To assess the levels of cytokine IL 23 using the ELISA method. Data analysis using a ratio scale was analyzed using the metric statistical test, normality test using Shapiro-Wilk test and comparative test using Repeated Measure ANOVA. The overall results of the analysis showed that the combination of GMH and Antibiotics Metronidazole could significantly increase the levels of cytokine IL 23 compared to other therapies to treat bacterial vaginosis in women of childbearing age
Evaluation of Hematotoxicity in Female Wistar Rats Following Sub-Acute Inhalation Exposure to Polyethylene Microplastic Sulistomo, Hikmawan Wahyu; Setyowati, Anisa; Situmorang, Melani Chysti; Sulistiani, Ita; Wardani, Dewi Azar Nuria; Gusti, Kharisma Ciptaning; Nurdiana, Nurdiana; Kusuma, Ihda Dian; Rahardjo, Bambang; Reksohusodo, Subandi
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1585

Abstract

Polyethylene (PE) becomes a source of microplastics that can be widely distributed through the digestive and respiratory systems. However, its effects on blood cells are still being investigated. This study aims to analyze the impact of Polyethylene Microplastic (PE-MPs) exposure on the blood of female rats, including erythrocytes, leukocytes, and platelets. This study used female Wistar rats, which were divided into control and PE-MP groups. PE-MP was administered via whole-body inhalation at a concentration of 15 mg/m³ for 4 hours daily for 28 days. The absorption of plastic particles detected in the human bloodstream is likely to occur through mucosal contact (either through ingestion or inhalation). After the exposure period, the rats were euthanized to collect blood samples through the heart. A complete blood count was performed using an automatic hematology analyzer, and blood morphology was analyzed using thin blood smears. This study used the Mann-Whitney test. PE-MP exposure increased erythrocyte and platelet counts without a corresponding rise in leukocytes. Erythrocytes showed abnormal morphology (12.73% with ovalocytes and tear-shaped cells). Erythrocyte indices (MCV, MCH, MCHC) showed no significant differences. Platelet count rose by 1.7% (p-value= 0.017). Leukocyte and neutrophil counts were lower (0.84 and 0.94 times lower, respectively), while lymphocytes and monocytes were higher (1.03 and 1.61 times higher, respectively) in the PE-MP group compared to controls. The neutrophil-to-lymphocyte ratio did not differ significantly. PE-MP exposure in rats disrupts blood parameters, altering erythrocyte morphology and increasing platelet counts. Potential causes include oxidative stress, immune responses, and compensatory mechanisms. Study limitations include a small sample size and exclusive focus on inhalation exposure. Integrating multiple exposure routes (inhalation, ingestion, dermal) could offer a broader view of microplastic impacts. Future research with larger samples, diverse doses and durations, and exploration of additional markers or organ-specific effects is crucial for understanding PE-MP toxicity in real-world scenarios.               
Ethanol extract of Cyclea barbata Miers induces follicle development through 17ß-estradiol level and LHR expression Noviyanti, Noviyanti; Yueniwati, Yuyun; Rahardjo, Bambang; Permatasari, Galuh W.
Majalah Obstetri & Ginekologi Vol. 33 No. 3 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I32025.195-203

Abstract

HIGHLIGHTS Docking analysis revealed that there are four novel compounds in barbata, including Zearalenone, Bis(2-ethylhexyl) phthalate, Benzanthrone, and Octytldecyl phthalate have stronger affinity -9.7; -9.6; -9,2; and -7.7 kcal/mol, respectively. The extract of barbata leaves increased follicle development (75%) by elevating estrogen levels and LHR expression at all doses.   ABSTRACT Objective: Infertility, often linked to anovulation from impaired follicular maturation, affects millions globally. Cyclea barbata Miers, a plant with estrogen-like properties, may enhance follicle development through hormonal modulation. This study evaluated the ethanol extract of C. barbata leaves for its ability to promote in vitro follicle development by increasing 17ß-estradiol levels and luteinizing hormone receptor (LHR) expression. Materials and Methods: Molecular docking analysis identified four novel compounds in C. barbata—Zearalenone, Bis(2-ethylhexyl) phthalate, Benzanthrone, and Octyl decyl phthalate—with binding affinities of -9.7, -9.6, -9.2, and -7.7 kcal/mol to estrogen receptor alpha (ESRa). Secondary follicles (2-3 mm) from goat ovaries were cultured in vitro using TCM-199 medium supplemented with 10% FBS, PMSG, hCG, and C. barbata extract at 25, 50, or 100 ppm for six days. Follicle maturation was assessed via microscopy for size, cumulus-oocyte complex formation, and polar body extrusion. 17ß-estradiol levels and LHR expression were analyzed using one-way ANOVA and LSD tests. Results: The 100 ppm dose achieved 75% follicle maturation, significantly higher than 25% at lower doses and controls. It increased 17ß-estradiol levels (36.83 ± 2.33 pg/mL, p < 0.000) and LHR expression (261.874 ± 54.606, p < 0.000), with dose-dependent effects confirmed by statistical analysis. Conclusion: C. barbata extract at 100 ppm enhances follicular maturation by elevating 17ß-estradiol and LHR expression, likely due to its estrogenic compounds. Further in vivo and clinical studies are needed to confirm its therapeutic potential for ovulatory disorders.
Maternal profiles and outcome of Placenta Accreta Spectrum (PAS) in a retrospective cohort study in Dr. Saiful Anwar General Hospital, Malang, Indonesia Rahardjo, Bambang; Pratama, Harry Dwi; Purbandari, Rosalia; Alim, Fathi Nabila
Majalah Obstetri & Ginekologi Vol. 33 No. 3 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I32025.204-213

Abstract

HIGHLIGHTS This study compares maternal characteristics and outcomes between PAS and non-PAS patients, including analysis using the Placenta Accreta Index. PAS is associated with significantly higher intraoperative blood loss and postoperative ICU admission rates. Findings underscore the importance of early identification and PAI-based risk stratification to optimize surgical planning and maternal outcomes.   ABSTRACT Objective: This study aims to investigate maternal risk factors associated with PAS among patients at Dr. Saiful Anwar Regional General Hospital in Malang. Materials and Methods: This retrospective cohort study was conducted at RSUD Dr. Saiful Anwar Malang, analyzing medical records of patients diagnosed with Placenta Accreta Spectrum (PAS) from January 2023 to August 2024. Patients were categorized into PAS and non-PAS groups, with further classification of PAS patients based on their Placenta Accreta Index (PAI) score (<5 and ≥5) to compare clinical outcomes. A total of 47 eligible patients were included based on gestational age ≥28 weeks, clinical suspicion of PAS, and histopathological confirmation. Demographic, clinical, intraoperative, and postoperative data were collected and analyzed. Data were analyzed using SPSS 27.0. Ethical approval was obtained from the RSUD Dr. Saiful Anwar Ethics Committee. Results: Patients with PAI scores ≥5 had higher intraoperative blood loss (3467.50 ± 2520.35 mL) compared to those with PAI scores <5 (2212.50 ± 1055.32 mL, p=0.764). Hysterectomy was the primary surgical approach in both groups (PAI <5: 88.88%, PAI <5: 92.75%, p=0.667). Bladder trauma (AAST grade IV) occurred in 100% of patients with PAI <5, whereas bladder infiltration was observed only in the PAI ≥5 group (p=0.117). NICU admission was more frequent in the PAI ≥5 group (31.25% vs. 0%, p=0.061). ICU admission was required in all PAI <5 patients (100%) and 75% of PAI <5 patients (p=0.102). No statistically significant associations were found. Conclusion: Higher PAI score may indicate a more complex clinical course, further research with larger sample sizes is necessary to validate its predictive value.
Co-Authors A.A. Santi Dewi Abd. Rasyid Syamsuri Agustina Tri Endharti Aldiansyah, Dudy Aldika Akbar, Muhammad Ilham Alim, Fathi Nabila Aloysius Suryawan Amir, Nayla Nabilla Tahta Avwina Andonotopo, Wiku Anggie Diniayuningrum Anggraeni, Yessy Mulyanur Anik Sri Purwanti Anin Indriani Anisa Setyowati Anita Dwi Rahmawati Annisa Jusuf, Annisa Annissa Febriani Astuti, Ludji Aziz, Ali Bachnas, Muhammad Adrianes Baihaqi, Irfani Cholid Tri Tjahjono Cut Meurah Yeni Daniati, Lidya Dewi Azar Nuria Wardani Dewi, Ratih Frastika Dinda Oktia Maghfiroh Edy Mustofa Erna Amin Evert Solomon Pangkahila Fauqo Wildatil Jannah Gusti, Kharisma Ciptaning Harumsari, Stefani Hery Setiawan, Hery Hidayat Sujuti Hikmawan Wahyu Sulistomo I Nyoman Hariyasa Sanjaya I Wayan Subage Ihda Dian Kusuma Ihda Dian Kusuma Indrayanti Indrayanti Indriani, Anin Indriati Dwi Rahayu Irfani Baihaqi Ita Sulistiani Julian Dewantiningrum Kalsumy, Umi Kharisma Ciptaning Gusti Kurjak, Asim Kusworini Handono Lestari, Ni Putu Yunita Sri Lilik Zuhriyah Ludji Astuti Melani Chysti Situmorang Mohammad Saifur Rohman Mosip, Erinus Mukhamad Nooryanto Noviyanti Noviyanti, Noviyanti Nugrahanti Prasetyorini Nur Sophia Matin Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Nuswil Bernolian Pande Made Dwijayasa Permatasari, Galuh W. Pramono, Mochammad Besari Adi Pratama, Harry Dwi Purba, Irene Silvia Purbandari, Rosalia Puspita Handayani Putra, Ichsan Setya Ratnawati, Linda Regina Ayu Fristiyanti Ryan Saktika Mulyana Sabilla Khaerunissa, Dymphna Safrina Dewi Ratnaningrum Sanarto Santoso Sanggelorang, Margie Cassie Setyowati, Anisa Sirat, Noorhamdani A. Siti Candra Windu Baktiyani Siti Candra Windu Baktiyani Situmorang, Melani Chysti Sri Poeranto, Sri Sri Sulistyowati Sri Winarsih Stanojevic, Milan Subandi Subandi Sugiono, Achmad Sulistiani, Ita Sulistomo, Hikmawan Wahyu Sultanah Zahariah Sumarno . Sumarno Sumarno Sutrisno Sutrisno Talita Nandia Primarintan Tatit Nurseta Tatit Nurseta Theresia Monica Rahardjo Udjianto, Udjianto Wardani, Dewi Azar Nuria Wardani, Diadjeng Setya Wardani, Widya Kusuma Wati, Linda Ratna Wibisono, Hermawan Widyalaksono, Agung Winasih, Sri Wiradnyana, Anak Agung Gede Putra Wiyasa, I Wayan Arsana Yahya Irwanto Yogibuana, Valerinna Yuyun Yueniwati Zahariah, Sultanah