Kanadi Sumapradja
Departemen Kebidanan Dan Penyakit Kandungan, Fakultas Kedokteran, Universitas Indonesia, Rumah Sakit Cipto Mangunkusumo, Jakarta; Human Reproductive, Infertility And Family Planning Research Center, Indonesia Medical Education And Research Institute

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KORELASI KARAKTERISTIK DEMOGRAFIS DAN KLINIS IBU HAMIL DENGAN PENGETAHUAN, SIKAP, DAN PERILAKU MENGENAI KONTRASEPSI PASCAPERSALINAN Frans Liwang; Felix Chikita Fredy; Farisa Anggreana; Fatma Afira; Fransisca Dewi Kumala; Gracia Lilihata; Kanadi Sumapradja
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 2 No 1 (2013): JIMKI : Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

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Abstract

Meski kebijakan kontrasepsi pascapersalinan telah diimplementasikan, angka kematian ibu diIndonesia masih tinggi. Hal tersebut sangat berkaitan dengan pengetahuan, sikap, dan perilaku(PSP) masyarakat. Penelitian ini bertujuan untuk meningkatkan angka penggunaan kontrasepsimelalui identifikasi tingkat PSP ibu hamil serta karakteristik demografis dan klinis yangmempengaruhinya.Dilakukan penelitian potong lintang pada 106 ibu hamil peserta pemeriksaanantenatal di Puskesmas Kecamatan Makasar, Jakarta Timur. Dari seluruh responden (n=106,median=26 tahun), 74,5% adalah ibu rumah tangga, 56,6% berpendidikan sedang, 55,7% memilikipendapatan di atas UMR Jakarta Timur. Sebanyak 62,3% responden adalah multigravida (medianusia kehamilan 28 minggu) dan 52,8% belum pernah menggunakan kontrasepsi. Dari aspek PSP,korelasi terkuat ditemukan antara pengetahuan dengan perilaku. Mayoritas responden memilikitingkat pengetahuan kurang, sikap baik, dan perilaku sedang. Riwayat kontrasepsi, usia ibu, dan usiakehamilan tidak berkorelasi kuat dengan PSP terhadap kontrasepsi pascapersalinan. Tingkatpengetahuan dan perilaku ibu multigravida lebih baik dari primigravida. Secara keseluruhan, tidakterdapat korelasi kuat antara karakteristik demografis dengan PSP. Kekuatan korelasi antara usia dangravida dengan pengetahuan, pendapatan dengan sikap, dan riwayat kontrasepsi dengan perilakulemah. Selain itu, kekuatan korelasi karakteristik demografis dan klinis lainnya, masing-masingterhadap PSP, sangat lemah.
Long COVID in vaccinated women with Polycystic Ovary Syndrome: A retrospective cohort pilot study Muharam, R; Bagastoro, Aswan; Faradina, Anindita Abigail; Yo, Edward Christopher; Irzanti, Alisha Nurdya; Sumapraja, Kanadi; Harzif, Achmad Kemal; Pratama, Gita; Maidarti, Mila; Silvana, Vita; Wiweko, Budi; Hestiantoro, Andon
Majalah Obstetri & Ginekologi Vol. 33 No. 2 (2025): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I22025.89-96

Abstract

HIGHLIGHTS Among women with PCOS, many still reported persistent long COVID symptoms such as hair loss and fatigue. COVID-19 vaccination does not exacerbate symptoms of PCOS, which further emphasizes the importance of completing COVID-19 doses for women with PCOS to avoid long COVID sequelae.   ABSTRACT Objective: Long COVID, or the persistence of symptoms after acute COVID-19 illness, can affect individuals with pre-existing health conditions such as polycystic ovary syndrome (PCOS). Long COVID and PCOS may share overlapping pathogenesis which potentially exacerbate one another. The aim of this study was to evaluate the symptoms of long COVID in women with PCOS who have been vaccinated and investigate whether COVID-19 vaccination or infection worsened PCOS symptoms. Materials and Methods: We carried out a retrospective cohort study on 44 women with PCOS who have been vaccinated and previously diagnosed with COVID-19. Questionnaires were distributed to find out the effect of COVID infection and vaccines in these women, as well as the symptoms of long COVID-19. Results: Of all participants, 28 women (70%) continued to report persistent long COVID symptoms, with the highest number of complaints being fatigue and hair loss. The results, using Mann-Whitney test, showed that there was no difference in PCOS symptoms before and after COVID-19 vaccination (p = 0.520) or after COVID-19 infections (p = 0.241). Although this study revealed a substantial prevalence of long COVID symptoms among women with PCOS, an encouraging finding emerged: neither the administration of COVID-19 vaccination nor prior infection with COVID-19 had a significant impact on PCOS-associated symptoms. Conclusion: This study further underscores the importance of vaccination for all individuals, including women with a history of PCOS. Furthermore, the purpose of COVID-19 vaccination is to mitigate symptom severity, thus potentially diminishing the occurrence of long-term COVID-19 symptoms in future cases.
Laporan Kasus Pilihan Kontrasepsi pada Pasien Diabetes Melitus Tipe 2 dengan Komorbiditas Multisistem Surya, Ilham; Sumapraja, Kanadi; Pangestuti, Mugi Rahayu; Fatya, Atikah Isna; Tarigan, Tri Juli Edi
eJournal Kedokteran Indonesia Vol. 13 No. 3 (2025): Vol. 13 No. 3 - Desember 2025
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.13.1169.1

Abstract

Diabetes melitus tipe 2 meningkatkan risiko morbiditas dan mortalitas pada ibu dan janin selama kehamilan. Pengaturan jarak kehamilan melalui kontrasepsi merupakan langkah penting dalam mempersiapkan kehamilan berikutnya. Seorang perempuan berusia 30 tahun datang ke Rumah Sakit Dr Cipto Mangunkusumo dengan riwayat diabetes melitus tipe 2, nodul di ismus tiroid, kolelitiasis, hipertensi, serta sedang menyusui bayi berusia 1 bulan. Riwayat persalinan sebelumnya adalah bayi makrosomia yang dilahirkan melalui seksio sesarea. Pasien saat ini menggunakan insulin untuk regulasi gula darah dan mendapat terapi ursodeoxycholic acid untuk batu empedu. Metode kontrasepsi yang sesuai pada pasien ini adalah IUD tembaga serta kontrasepsi berbasis progestin saja, seperti IUD hormon, implan, pil, dan suntikan. Pemilihan kontrasepsi pada pasien dengan diabetes melitus tipe 2 dan komorbiditas multisistem harus mempertimbangkan kondisi klinis, keamanan, serta efektivitas metode. IUD tembaga dan kontrasepsi progestin-only merupakan pilihan yang aman dan efektif.
Detection of Uterine Cavity Pathology in Subfertile Women Prior to In Vitro Fertilization Using Transvaginal Sonography and Office Hysteroscopy Lusiana, Nadya; Werdhani, Retno Asti; Maidarti, Mila; Harzif, Achmad Kemal; Sumapraja, Kanadi; Yanfaunnas, Atika Mahira; Ampri, Irfan Arieqal Hatta; Talya, Natasha; Pratama, Gita
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2795

Abstract

Objective: To compare transvaginal sonography (TVS) and office hysteroscopy in detecting uterine cavity pathology in subfertile women prior to in vitro fertilization (IVF).Methods: This retrospective cross-sectional study included 104 subfertile women who underwent both TVS and office hysteroscopy at the Yasmin IVF Clinic, Dr. Cipto Mangunkusumo Kencana Hospital, Jakarta. Findings from TVS and hysteroscopy were compared with histopathological results for chronic endometritis, endometrial polyps, submucosal fibroids, and endometrial hyperplasia. Findings of uterine septum and intrauterine synechiae on TVS were compared with hysteroscopy as the reference standard. Results: Office hysteroscopy detected chronic endometritis in 16.3% of subjects, with a sensitivity of 33% and specificity of 68%, whereas TVS did not identify any cases. Submucosal fibroids were detected by both modalities with identical specificity (100%) and sensitivity (75%). Endometrial polyps were identified in 47.1% of cases by hysteroscopy and 15.4% by TVS. TVS demonstrated higher specificity (88% vs. 35%), although both modalities showed low sensitivity (15% for TVS vs. 50% for hysteroscopy). Both methods accurately detected endometrial hyperplasia, showing high specificity (97%). Uterine septum and intrauterine synechiae were detected exclusively by hysteroscopy. Conclusion: Both TVS and office hysteroscopy are effective in detecting submucosal fibroids and endometrial hyperplasia. However, only hysteroscopy can identify chronic endometritis, uterine septum, and intrauterine synechiae, while TVS demonstrates higher specificity for detecting endometrial polyps. Histopathology remains the gold standard, and office hysteroscopy provides important complementary diagnostic value prior to IVF. Keywords: in vitro fertilization, office hysteroscopy, sub-fertility, transvaginal sonography