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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

Abstract

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. 
Potential Maternal Risk Factors for Low Birth Weight in Indonesia: A Systematic Review Yuni Nurwati; Hardinsyah Hardinsyah; Sri Anna Marliyati; Budi Iman Santoso; Dewi Anggraini
Jurnal Gizi dan Pangan Vol. 18 No. 3 (2023)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.3.167-176

Abstract

This review was conducted with the aim of summarizing the articles on the potential maternal risk factors for Low Birth Weight (LBW) in Indonesia. All observational studies conducted in Indonesia between 2010 and 2022 were thoroughly reviewed in this study. The articles were retrieved from "PubMed", "ScienceDirect", "Web of Science", and "Garuda". The retrieval was supplemented by snowball sampling technique. This review was constructed according to the PRISMA guidelines and the quality of the articles was assessed according to the STROBE guidelines. Of the 129 articles, only 12 articles met the inclusion criteria. Maternal variables such as education (50%), household wealth (33.3%), nutritional status (33.3%), age (25%), pregnancy complications (25%), marital age (16.7%), gestational weight gain (16.7%), ANC visit (16.7%), weight at third trimester (16.7%), twin birth (16.7%), birth interval (16.7%), iron supplementation (8.3%), parity (8.3%), and anemia status (8.3%) were found to be the risk factors for LBW incidence. This review found that almost all potential maternal risk factors contributing to LBW are preventable. It may help policy makers to design a more effective LBW prevention intervention and early risk identification for pregnant women. Appropriate follow-up by health workers for clinical intervention will also help to improve their pregnancy outcomes.
Low zinc serum affects insulin-like growth factor-1 level in dehydrated pregnant women Mulyani, Erry Yudhya; Hardinsyah, Hardinsyah; Briawan, Dodik; Santoso, Budi Iman; Jus'at, Idrus
International Journal of Public Health Science (IJPHS) Vol 14, No 1: March 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i1.24431

Abstract

Maternal body fluids imbalance affects amniotic fluid, serum sodium-potassium, edema, and preeclampsia. Insulin-like growth factor-1 (IGF-1) is a growth hormone and a regulator in sodium balance regulation. This study aimed to determine the correlation of IGF-1, zinc, calcium, and sodium with hydration status and the nutrients impact to IGF-1 based on hydration status of pregnant women at Kebon Jeruk Health-Center, West Jakarta. This cohort-prospective study was conducted in December 2016 to January 2018. A total of 66 pregnant women in the second trimester were examined. Urine color, urine specific gravity, serum sodium, serum osmolality and urine were used as hydration status indicators. Zn, Ca, Na, and IGF-1 levels as the growth indicator from mother to fetus. Pearson correlation test, independent t-test and linear regression were used in statistical analysis. There were no differences in IGF-1, Zn, Ca, and Na serum between the two groups (p³0.05). There was no relationship between Ca, Na and IGF-1 level (p³0.05). The regression results show a possitive relation that low zinc serum affect IGF-1 level in dehydrated pregnant women. Therefore, it is necessary for pregnant women to consume zinc-rich foods to increase IGF-1 level and keep hydration status with water consume 3.0 L per-day.
Characteristics and Management Outcome of Vaginismus Hidayah, Gita Nurul; Meutia, Alfa Putri; Chan, Muhammad Syah Nadir; Moegni, Fernandi; Sebastian, Kevin; Djafar, Lubna; Santoso, Budi Iman
eJournal Kedokteran Indonesia Vol. 12 No. 2 (2024): Vol. 12 No. 2 - Agustus 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Vaginismus, a common pelvic floor dysfunction characterized by involuntary vaginal muscle spasms, often impedes sexual intercourse and is exacerbated by cultural barriers in Indonesia, where sexual issues are taboo. Healthcare providers' lack of knowledge contributes to patient dissatisfaction with treatments. This study aimed to evaluate risk factors and management outcomes in 36 Indonesian women with vaginismus. Primary data, including demographic details, vaginismus history, severity, and FSFI-6 scores, were collected through interviews and medical records. Results showed that 94.4% of participants were under 40 years old, 66.7% had been married for over two years, and 94.5% were university graduates. Most had normal BMI and no significant illness history. Among them, 77.8% had no history of penetration, with the majority having no medical, social, or psychological risk factor yet reporting good sexual satisfaction. Self-dilation was the primary treatment, with a 29.41% success rate in achieving penetration. Younger age and higher education were notable characteristics among cases, suggesting a need for increased disease awareness. The study highlights that while traditional risk factors were not predominant, self-dilation therapy yielded moderate success, and patient satisfaction with sexual and interpersonal relationships remained high.
An Additional Adequate Water Intake Increases the Amniotic Fluid Index in Pregnant Women with Oligohydramnios: A Systematic Review Rosemiarti, Tria; Siregar, Parlindungan; Hardinsyah, Hardinsyah; Pardede, Sudung O.; Santoso, Budi Iman; Riza, Ras Adiba; Tjahjono, Erinna
Jurnal Gizi dan Pangan Vol. 17 No. 1 (2022)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (374.281 KB) | DOI: 10.25182/jgp.2022.17.1.47-56

Abstract

This systematic review aimed to answer whether an additional amount of water intake can increase the Amniotic Fluid Index (AFI) in pregnant women with oligohydramnios. Article searches were conducted and data was obtained from “SCOPUS”, “EBSCO”, “PUBMED”, “COCHRANE” and “Google Search” databases using the following keywords: “hypovolemic”, “dehydration” “pregnancy” “outcome”, “hydration”. “water intake”, “oligohydramnios”, and “amniotic fluid index”. We used MeSH headings (hydration pregnancy) for search keyword, Inclusion criteria were subjects who were pregnant women with oligohydramnios (without any pathological disorder in the mother and fetus), the outcomes include AFI of <5 cm, study design was prospective cohorts and clinical trials, consumption of plain water (non-calorie beverages) and language restriction applied for articles published in English. Out of 391 articles, eight articles that met these criteria for anaylsis. Result showed that additional amount of water intake for pregnant women with oligohydramnios without maternal/fetal abnormalities in the third trimester (28−37 weeks) can increase AFI. Oral maternal hydration gave a better effect than intravenous maternal hydration on AFI. The additional amount of water intake per day required by pregnant women with oligohydramnios to increase AFI to normal ranges from 1,500 to 2,500 ml depending on the condition of each pregnant woman. Additional water intake via oral can be a strategy for oligohydramnios therapy in pregnant women.
A Review of Nutritional and Health Risk Factors for Low Birth Weight Infants in Indonesia Nurwati, Yuni; Hardinsyah, Hardinsyah; Marliyati, Sri Anna; Santoso, Budi Iman; Angraini, Dewi
Jurnal Gizi dan Pangan Vol. 18 No. Supp.1 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.Supp.1.22-24

Abstract

This review aimed to identify the determinants of nutritional and health factors associated with high risk of Low Birth Weight (LBW) among infants in Indonesia. The review was conducted systematically based on all articles published between 2012–2022 in PubMed, ScienceDirect, and SAGE databases. In the end, four articles were used in this review. The results showed that potential risk factors associated with LBW are maternal nutritional factors such as Mid-Upper Arm Circumference (MUAC) (25%) and pre-pregnancy Body Mass Index (BMI) (50%), and maternal health factors that can be assessed during routine Antenatal Care (ANC). Therefore, identification of risk factors for LBW is important to minimize the incidence of LBW.
Validation of Thomas Formula in Estimation of Pre-Pregnancy Weight in Bogor City, Indonesia Siregar, Mukhlidah Hanun; Hardinsyah, Hardinsyah; Roosita, Katrin; Santoso, Budi Iman
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i1.3975

Abstract

Accurate pre-pregnancy weight is crucial for optimal pregnancy outcomes. However, self-reported pre-pregnancy weight often differs from estimated values owing to various factors. This study aimed to compare pre-pregnancy weight with the self-reported method and estimated using the Thomas formula in pregnant women in Bogor, Indonesia. This cross-sectional study was conducted among 160 pregnant women in Bogor. Pre-pregnancy weight was assessed using both self-reported and the Thomas formula estimation. Differences between the two methods were analyzed using the Wilcoxon Signed-Rank Test. Our study revealed a significant median difference between self-reported and estimated pre-pregnancy weight, with 56.5 kg and 58.4 kg, respectively (pvalue<0.001). Women tended to underestimate their pre-pregnancy weight by -1.7 kg (SD=3.8). There was a difference in the proportion of body mass index (BMI) categories based on self-reported and estimated pre-pregnancy weights. However, the classification of BMI before pregnancy was generally consistent between the two methods. The Thomas formula proved to be more sensitive in predicting the incidence of overweight than underweight in Bogor City. A limitation of this study is that it did not directly validate the measured pre-pregnancy weight, which led to the result that self-reported pre-pregnancy weight may underestimate the actual weight. Although Thomas’s formula provides a precise estimate, it is important to consider the limitations of the self-report and estimation methods. Therefore, healthcare providers should be aware of these differences, use a combination of approaches to assess pre-pregnancy weight, and provide appropriate nutritional counseling
Effects of Maternal Anthropometry on Infant Anthropometry: A Cross-sectional Study at Public Hospital X in Ternate, Indonesia Nurwati, Yuni; Hardinsyah, Hardinsyah; Marliyati, Sri Anna; Santoso, Budi Iman; Anggraini, Dewi
Kesmas Vol. 19, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Infant anthropometry is an indicator of neonatal survival. This study aimed to determine the effects of maternal anthropometry on estimating infant anthropom­etry. This cross-sectional study on 173 pregnant women at Public Hospital X in Ternate, Indonesia, was conducted from August 2018 to March 2023. The el­igible criteria were pregnant women aged ≥18 years, single pregnancy, and antenatal care (ANC) visits to the same hospital. The variables used included ma­ternal anthropometric measurements (body weight, body height, third-trimester weight (TTW)), gestational weight gain (GWG), education, age, ANC visits, and gestational age at delivery (GAD). A logistic regression model was employed to estimate significant variables related to infant anthropometric measure­ments (birth weight, birth length, and head circumference). The results showed that TTW, GWG, ANC, and GAD had significantly affected birth weight. Bodyweight, height, and TTW also significantly affected birth length. In addition, only GAD significantly affected the head circumference. In multivariate analysis, TTW and GWG significantly affected birth weight. Furthermore, only body height and GAD affected the birth length. Maternal anthropometrics become impor­tant indicators for estimating birth weight and birth length.