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Stress Urinary Incontinence (SUI): Conservative and Surgical Approach Santoso, Budi Iman
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.263 KB) | DOI: 10.32771/inajog.v6i1.749

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Risk of small for gestational age babies in preterm delivery due to pregnancy-induced hypertension Irwinda, Rima; Santoso, Budi Iman; Surya, Raymond; Nembo, Lidia Firmiaty
Medical Journal of Indonesia Vol 28, No 1 (2019): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.741 KB) | DOI: 10.13181/mji.v28i1.1795

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BACKGROUND Pregnancy-induced hypertension (PIH) causes high maternal morbidity and mortality worldwide. This study aims to assess the impact of PIH on fetal growth according to gestational age in preterm deliveries.METHODS A prospective cohort study using secondary data was undertaken in Ende District, East Nusa Tenggara, Indonesia from September 2014 to August 2015. The t-test was performed to compare mean birth weight based on gestational week between normotensive and PIH women, continued by linear regression. The chi-square or Fisher exact test was also conducted to determine the probability of birthing small for the gestational age (SGA) and large for gestational age (LGA) babies between normotensive and PIH women.RESULTS A total of 1,673 deliveries were recorded in Ende Hospital over the 1-year study period, among which 182 cases involved preterm births. The PIH group had lower birth weight than normotensive women at each gestational age starting from 32–35 weeks (p=0.004; 95% CI 150.84–771.36). Normotensive women at gestational ages of 32 (p=0.05; 95% CI 0.01–0.83), 34 (p=0.37; 95% CI 0.01–4.12), and 36 (p=0.31; 95% CI 0.02–2.95) weeks had a lower risk of birthing SGA babies than PIH women; LGA babies were recorded at gestational ages of 33 (p=1.00; 95% CI 0.07–37.73) and 35 (p=0.31; 95% CI 0.34–63.07) weeks.CONCLUSIONS Poor perfusion of the uteroplacental is one of the reasons behind intrauterine growth restriction, which results in SGA babies born to PIH women. 
Stress Urinary Incontinence (SUI): Conservative and Surgical Approach Santoso, Budi Iman
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.263 KB) | DOI: 10.32771/inajog.v6i1.749

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Gambaran Faktor Risiko Prolaps Organ Panggul Pasca Persalinan Vaginal di Daerah Istimewa Yogyakarta Pangastuti, Nuring; Sari, Dwi Cahyani Ratna; Santoso, Budi Iman; Agustiningsih, Denny; Emilia, Ova
Majalah Kedokteran Bandung Vol 50, No 2 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (677.733 KB) | DOI: 10.15395/mkb.v50n2.1321

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Prolaps organ panggul merupakan salah satu bentuk disfungsi dasar panggul pada perempuan. Disfungsi dasar panggul adalah keadaan terganggunya fungsi dasar panggul merupakan salah satu kondisi kesehatan yang banyak dikeluhkan perempuan. Lebih dari 46% perempuan dengan riwayat persalinan vaginal mengalami disfungsi dasar panggul,dan peningkatan jumlah paritas berkorelasi dengan peningkatan kejadian prolaps organ panggul. Tujuan penelitian ini adalah untuk mengetahui gambaran karakteristik faktor risiko prolaps organ panggul pasca persalinan vaginal di wilayah Daerah Istimewa Yogyakarta. Penelitian dilakukan pada Januari–Maret 2018. Hasil penelitian didapatkan 51 subjek penelitian dengan persalinan vaginal yang dapat dilakukan pemeriksaan POPQ pada 3 bulan pascapersalinan. Prolaps organ panggul didapatkan pada sebagian besar pasien pascasalin, yaitu sejumlah 46 orang, prolaps uteri 33 orang, sistokel 44 orang, serta rektokel pada 46) orang. Hanya 5 orang yang tidak memiliki gambaran prolaps organ panggul pada 3 bulan pascapersalinan.Dari penelitian ini dapat disimpulkan bahwa faktor risiko prolaps organ panggul pascapersalinan vaginal di Daerah Istimewa Yogyakarta terdiri atas faktor intrinsik (usia ibu, panjang genital hiatus maupun perineal body), dan ekstrinsik (paritas, indeks massa tubuh overweight dan obes, kenaikan berat badan selama hamil >15 kg, serta dilakukan episiotomi dan terjadi robekan perineum). Upaya pencegahan terutama edukasi, perbaikan gaya hidup, pengendalian indeks massa tubuh, pengaturan diet, olahraga penguatan otot dasar panggul, pembatasan jumlah kehamilan dan persalinan, serta pertolongan persalinan sesuai Asuhan persalinan normal. Kata kunci: Disfungsi dasar panggul, faktor risiko, persalinan vaginal, prolaps organ panggul Risk Factors for Pelvic Organ Prolapse in Women with History of Vaginal Delivery in YogyakartaPelvic organ prolapse is one form of pelvic floor dysfunctions in women that impairs the pelvic floor function and also one of the most frequently conditions complained by women. More than 46% women with history of vaginal delivery have experienced pelvic floor dysfunction where higher number of parity correllates to increased pelvic organ prolapse incident. The aim of this study was to understand the  characteristic risk factors of pelvic organ prolapse incident post vaginal delivery in Special Region of Yogyakarta. The study ws performed during the period of January to March 2018 on 51 subjects with history of vaginal delivery evaluated using POPQ in 3 months postpartum. Pelvic floor dysfunction was present in most postpartum patients, i,e, 46 people while 33 experienced uterine prolapse, 44 experienced cystocele, and 46 experienced rectocele. Only 5 subjects had no pelvic floor dysfunction in any form. Risk factors for pelvic organ prolapse in post vaginal delivery in the Special Region of Yogyakarta consist of intrinsic factors (maternal age, genital length of hiatus, and perineal body), and extrinsic factors (parity, overweight status and obese status based on body mass index, weight gain during pregnancy exceeding 15 kg,  episiotomy and the occurrence of perineal rupture). Prevention actions include  education followed by lifestyle improvement, control of body mass index, dietary regulation, exercise, restrictions on the number of pregnancies and childbirth, and safe delivery according to normal birth care standard.Key words: Pelvic floor dysfunction, pelvic organ prolapse, risk factors, vaginal delivery
The Impact of Dehydration in the Third Trimesters on Pregnancy Outcome-Infant Birth Weight and Length Erry Yudhya Mulyani; Hardinsyah Hardinsyah; Dodik Briawan; Budi Iman Santoso
Jurnal Gizi dan Pangan Vol. 13 No. 3 (2018)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (399.182 KB) | DOI: 10.25182/jgp.2018.13.3.157-164

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This cohort study aimed to analyze the effect of dehydration on pregnancy outcome. A total of 66 pregnant women aged (18-35 years) at second trimester (>12 weeks) of pregnancy was recruited from seven health centers (Puskesmas) Kebon Jeruk, West Jakarta from December 2016 to January 2018. Five biomarkers (urine color, urine osmolality, urine specific gravity, serum osmolality, serum sodium) were utilized to determine hydration status. Based on the result, subjects were then assigned to dehydration group (DG) and normal group (NG), 51.5% was in the DG and 48.5%, in the NG respectively. Independent t-tests and Chi-square were employed to answer research questions. There were differences in weight of the mothers in the second and third trimester between the two groups (p<0.05), but no differences in weight gain during pregnancy (p≥0.05). More than fifty percent of subjects suffered nausea and vomiting during pregnancy in the two groups. Water intake level in DG (72.53±14.41%) were lower than NG (118.68±14.37%). The accounted difference in Infant birth weight, length, chest circumference and head circumference; were 491.84 g, 0.98 cm, 0.98 cm, and 1.11 cm, respectively where infant from the NG had higher measurements than DG. After adjustment for water intake level, the infant birth weight and length in DG (2,798.53±97.85 g; 47.32±0.32 cm) was lower than NG (3,371.77±102.60 g; 49.09±0.33 cm). The accounted difference in infant birth weight and length between the two groups were 596.1 g and 1.8 cm, respectively. Thus in addition to nutrient intake and weight gain during pregnancy, pregnant mothers should also concern for their fluid intake in order to maintain their health condition and feotal growth - development.
Is Zuspan Regimen Adequate for Preventing Eclampsia?: A Case Report Raymond Surya; Budi Iman Santoso; Surahman Hakim
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.258 KB) | DOI: 10.15850/amj.v5n4.1357

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Magnesium sulphate (MgSO4) is believed to treat preeclampsia and eclampsia for more than a century with a total dose of MgSO4 varying from 2 to 5g per 24 hours. Zuspan and Pritchard are two internationally recommended regimens that are accepted as the standard regimen. In this case report, we presented a 41 year old woman with puerperal preeclampsia prescribed with a complete Zuspan regimen. She had eclamptic seizure after completing Zuspan regimen with Mg SO4 level of 4.3 mg/dL. In this case, the possibility of eclamptic seizures might be due to a lack of MgSO4 dose. The administration of MgSO4 for preeclampsia with severe features and prophylactic of eclampsia should be adjusted.  
Analisis Status Hidrasi dan Asupan Zat Gizi Serta Air pada Ibu Hamil Erry Yudhya Mulyani; Hardinsyah Hardinsyah; Dodik Briawan; Budi Iman Santoso
Media Kesehatan Masyarakat Indonesia Vol. 14 No. 3: SEPTEMBER 2018
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.177 KB) | DOI: 10.30597/mkmi.v14i3.4343

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Pregnancy is a specific physiological period, which is the nutritional requirements increase more than thoseof normal condition. About 50-70% of pregnant women experience nausea and vomiting, it was affects to the lack ofnutrient intake for mothers and infants. The sustainability of mother’s condition can cause an imbalance of body fluidwhich has impact on the mother’s hydration status. The aims of this study were to analyze the relationship between characteristics,socio-economic, nutritional status, nutritional intake and water with hydration status. This study was a crosssectional study, conducted on the area of primary of public health at Kebon Jeruk Regency, West Jakarta. The subjectwere pregnant women who in the second trimester, examined pregnancy in the study area amounted to 107 subjects.Independent t-test and chi-square test were used to analyzed the data. Subjects were divided into two groups based onhydration status from urin osmolality concentration; normal and hypohydrated. The average of urine osmolality in thehypohydration group and normal, were 838.78±172.35 mOsm/Kg and 268.05±116.64 mOsm/Kg, respectively. Subject’scharacteristics (age, gestational age, body weight, height, nutritional status before pregnancy, upper arm circumference,waist circumference, hip circumference, blood pressure) did not differ between two groups (p≥0.05). There were no relationshipbetween edu- cation of mothers and fathers, employment status of mothers and fathers, household expenditure,and mother’s know-ledge (p≥0.05). There were differences of energy, carbohydrate and zinc intake between two groups(p<0.05), but didn’t found differences intake of (protein, fat, calcium, iron, folic acid) and water between two groups(p≥0.05). However, the mother should more attention to fulfil their nutrients and water intakes to support the foetusgrowth.
The awareness of urinary tract infection management in pregnant women. A qualitative study Budi Iman Santoso; Raymond Surya; Farah Asyuri Yasmin; Rima Irwinda
Majalah Obstetri dan Ginekologi Vol. 25 No. 3 (2017): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (79.781 KB) | DOI: 10.20473/mog.V25I32017.92-96

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Objectives: to identify knowledge, attitude, and practice of health providers including GPs and gynecologists to the implementation of the national guideline on the treatment of UTI among pregnant women.Materials and Methods: A cross-sectional study design was used. Subjects were women who attended the International Sym-posium of UTI. Questionnaires consisting ofregarding demo-graphic characteristics, knowledge, attitude, and practice were given to the subjects. The questionnaires had been tested for valid-ity and reliability by applying the Pearson correlation and Cronbach’s alpha test. Statistical analyses were performed using SPSS 23.0 for Windows.A two-tailed p value less than 0.05 was considered to be statistically significant.Results: A total of 140 subjects were recruited in this study. Of these, 104 subjects (74.3%) returned the questionnaire, and 99 subjects (70.7%) were eligible for this study. Nine (9.1%), 69 (69.7%), and 21(21.2%) subjects had good, fair, and poor know-ledge, respectively. Sixty-five (65.7%) and 64 subjects (64.6%) showed a positive attitude and had positive practice, respectively.Conclusion: Knowledge, attitude, and practice among respon-dents are good enough, despite only a few of them have read the updated guideline. Continuous medical education through online update or symposium may be one effective method to disseminate new update in guidelines.
Classifying cesarean section using Robson Classification: An Indonesian tertiary hospital survey Ali Sungkar; Budi Iman Santoso; Raymond Surya; Adly NA Fattah
Majalah Obstetri dan Ginekologi Vol. 27 No. 2 (2019): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.23 KB) | DOI: 10.20473/mog.V27I22019.66-70

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Objectives: Cesarean delivery rates have increased remarkably and cause a major public health concern. This study aims to evaluate the feasibility of using the Robson Ten Group Classification System (TGCS) for cesarean delivery (CD) indications at institutional level.Materials and Methods: Database of all women delivering at Cipto Mangunkusumo Hospital, Jakarta, Indonesia were analayzed. The CD rates overall and in each Robson group were calculated, as was the contribution of each group to the overall CD rate. In addition, the CD indications in each group were analyzed.Results: Approximately almost half (48.04%) of women delivered by CS in our study. Groups 10 was the largest groups representing 27.82% of the obstetric population. The second and third largest were group 3 and 1, which represents 18.00% and 17.34%, respectively. The highest relatively contribution of CS rate were group 10, 1, and 3 with the percentage of 28.24%, 17.59%, and 15.19%; contributively.Conclusion: The TGCS can be applied at institutional level. It helps in planning strategies for specific subgroups of women to reduce CS rate and improve outcomes.
Incidental Finding of Bicornuate Uterus during Caesarean Section: A Case Report Raymond Surya; Edward Sugito Manurung; Ekarini Aryasatiani; Andrew Pratama Kurniawan; Ramot Arif Banamtuan; Charles Yulian Boru; Leomard Evan Mella; Budi Iman Santoso
The Avicenna Medical Journal Vol 3, No 2 (2022)
Publisher : Faculty of Medicine, UIN (State Islamic University) Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v3i2.28304

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Background: The prevalence of uterine anomalies is estimated from 3% to 5% in the general population. This report would like to discuss a case of successful pregnancy outcome at term delivery in patient with bicornuate uterus in district area of Indonesia Soe, East Nusa Tenggara, Indonesia.Case Report: A 30-year-old first gravida with 39 weeks of gestation coming for elective cesarean section due to primipara in breech pregnancy. There was baby girl born in 2,500 grams of birthweight. During exploration of uterus, both tubes and ovaries, there was found bicornuate uterus with a single common cervix. We found both kidneys in normal size, bicornuate uterus with thickening of endometrial line in left side and normal endometrial line in right side. We measured that the septum was 38 mm. Both mother and baby were healthy at discharge.Result: Bicornuate uterus is usually asymptomatic and diagnosed due to obstetrical complication or accidentally. Uterine abnormalities are increased risk of first and second-trimester loss of pregnancy, preterm delivery <28 weeks, low birth weight babies, and malpresentation at delivery. Imaging plays an essential role in diagnosis and management of bicornuate uterus. It is fundamental to educate a woman with this anomaly. Malpresentation with breech presentation is caused by uterine abnormality of bicornuate uterus.