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Vitamin D Supplementation to Reduce the Risk of Preeclampsia: Is It True? Sungkar, Ali
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Preterm Delivery and the Psychological Burden on Parents Sungkar, Ali
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Preterm Delivery and the Psychological Burden on Parents Sungkar, Ali
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

N/A

Vitamin D Supplementation to Reduce the Risk of Preeclampsia: Is It True? Sungkar, Ali
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

N/A

Antenatal Care for High Risk Pregnancy Sungkar, Ali; Surya, Raymond
Cermin Dunia Kedokteran Vol 47, No 10 (2020): Optalmologi
Publisher : PT. Kalbe Farma Tbk.

Despite 38% gradual fall since 2000, there was still approximately 295,000 women died during and following pregnancy and childbirth in 2017. Factors that lead to high maternal mortality include inequality access to health service, severe bleeding (mostly postpartum hemorrhage), infection, high blood pressure during pregnancy, complication from delivery, and unsafe abortion. These deaths are correlated to delay in decision to seek care, delay in reaching care, delay in receiving adequate health care. Improvement of antenatal care was the solution to this problem. Indonesia has not updated to the newest model of WHO antenatal care in 2016. Defining high-risk and updating the model can help Indonesia provides excellent care for mothers and reduce maternal deaths.Meskipun terdapat penurunan angka kematian ibu (AKI) sebesar 38% sejak tahun 2000, 295.000 wanita meninggal peripartum pada tahun 2017. Faktor yang menyebabkan AKI di antaranya tidak meratanya akses pelayanan kesehatan, perdarahan berat, infeksi, tekanan darah tinggi selama kehamilan, komplikasi persalinan, dan aborsi tidak aman. Kematian ini terkait dengan keterlambatan keputusan untuk merujuk, keterlambatan untuk mencapai tempat rujukan, dan keterlambatan mendapatkan tatalaksana yang baik. Hingga saat ini, Indonesia belum mengikuti panduan kunjungan antenatal terbaru dari WHO tahun 2016. Mendefinisikan kehamilan risiko tinggi dan penyesuaian model kunjungan antenatal diharapkan dapat memberikan perawatan yang baik bagi ibu dan menurunkan kematian maternal.Â

Kontroversi Persalinan Spontan pada Miopia Tinggi Iskandar, Ferdy; Surya, Raymond; Sungkar, Ali; Debby Anggriany, Friska
Cermin Dunia Kedokteran Vol 47, No 12 (2020): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Gangguan refraksi khususnya miopia tinggi pada wanita hamil sering dikaitkan dengan kejadian ablasio retina pasca-persalinan, sehingga persalinan per abdominam atau bantuan instrumen cenderung direkomendasikan pada wanita hamil dengan miopia tinggi. Padahal, indikasi persalinan per abdominam pada miopia tinggi adalah adanya neovaskularisasi koroid dan subretinal (dengan bintik Fuchs). Hingga saat ini belum didapatkan bukti bahwa miopia tinggi dan riwayat operasi retina sebelumnya meningkatkan risiko ablasio retina saat persalinan per vaginam.Refractive disorders, especially high myopia in pregnant women are often associated with postpartum retinal detachment, thus there is a tendency to recommend cesarean section or instrument-assisted labor in pregnant women with high myopia. In fact, the indications for cesarean section in patients with high myopia are choroidal and subretinal neovascularization (with Fuchs spots). There is no evidence of increased risk of retinal detachment during vaginal delivery in high myopia and previous history of retinal surgery.

Preeklamsia: Pencegahan hingga Pengelolaan Berbasis Bukti Surya, Raymond; Irwinda, Rima; Sungkar, Ali
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Mekanisme pasti preeklamsia masih tidak diketahui, sering dikaitkan dengan faktor imunologi, genetik, kerentanan terhadap sindrom metabolik, inflamasi/infeksi kronik, hipertensi sebelumnya, penyakit ginjal kronik. Uji prediksi preeklamsia dapat dilakukan dengan melihat faktor risiko demografi, penemuan biofisik, ataupun kombinasi keduanya. Pencegahan preeklamsia di antaranya aspirin dosis rendah pada populasi risiko tinggi dan suplementasi kalsium pada populasi rendah asupan kalsium. Penatalaksanaan preeklamsia yang baik terdiri dari antihipertensi, magnesium sulfat, kortikosteroid, penentuan saat terminasi kehamilan, hingga metode persalinan.The exact mechanism of preeclampsia is unknown; it is associated with immunological, genetic factor, susceptibility to metabolic syndrome, chronic inflammation/infection, history of previous hypertension, and chronic renal disease. Preeclampsia prediction test can be conducted through demographic risk factors, biophysical findings, or both. The prevention measures include low dose aspirin in high risk population and calcium supplementation in low calcium intake population. Good management of preeclampsia consists of antihypertensive, magnesium sulphate, corticosteroid, pregnancy termination, and delivery methods.

Trace elements in maternal serum and their relationships with preterm birth and fetal growth restriction Irwinda, Rima; Sungkar, Ali; Surya, Raymond; Guinto, Valerie Tiempo
Makara Journal of Health Research Vol. 24, No. 1
Publisher : UI Scholars Hub

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Background: Preterm birth (PTB) and fetal growth restriction (FGR) contribute to high hospital costs. An imbalance in the concentration of the four trace elements (i.e., copper, zinc, iron, and calcium) was shown to be associated with complications during pregnancy. This study aimed to analyze the role of these trace elements in the occurrence of PTB and FGR. Methods: A search was conducted in PubMed, Cochrane Library, and Ovid. The articles were filtered based on the inclusion and exclusion criteria, and further screening was based on the association of articles with the clinical question. The risk of bias in each of the studies was assessed using the Cochrane risk of bias table. Forrest plots were created and analyzed using Review Manager 5.3e. Results: Three studies were included in the risk of bias assessment and meta-analysis. Maternal serum levels of copper and iron were lower in the FGR group (p < 0.05), while copper, zinc, iron, and calcium were lower in the PTB group (p < 0.05). The included studies had a low degree of homogeneity (I2 < 50%). Conclusion: Maternal iron deficiency was associated with FGR, while low levels of the trace elements copper, zinc, iron, and calcium were associated with PTB.

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