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All Journal e-CliniC Jurnal e-Biomedik Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) JOURNAL LA MEDIHEALTICO
Hermie Tendean
Universitas Sam Ratulangi
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Neutrophil and Platelet to Lmphocyte Ratio in Ovarian Malignancy Utama, Francesca; Tendean, Hermie; Laihad, Bismarck J
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.59 KB) | DOI: 10.32771/inajog.v5i1.467

Abstract

Objective: To determine the sensitivity and specificity of neutrophil - lymphocyte ratio compared with platelet - lymphocyte ratio in predicting ovarian malignancies. Methods: This was an observational analytic study with diagnostic test design on 37 ovarian tumor patients who were planned to perform laparotomy in Prof. Dr. R.D. Kandou Hospital Manado and network hospitals in Manado from March to May 2016. We took blood samples to assess the complete blood count. Results: During the period, we obtained the mean age of 28.1 years old (range 18-71 years old). A total of 13 samples showed malignancy which the cystadenocarcinoma mucinosum (27.0%) as the most common histopathological types. Sensitivity and specificity value of neutrophil - lymphocyte ratio were 92.3% and 95.8% with 2.47 as the cut-off point. Meanwhile, the sensitivity and specificity of platelet - lymphocyte ratio were 61.5% and 75.0% with 152.86 as cut-off point. Conclusion: Both neutrophil - lymphocyte ratio and platelet - lymphocyte ratio are associated with ovarian malignancy. The sensitivity and specificity of neutrophil - platelet ratio show better prediction for ovarian malignancies. [Indones J Obstet Gynecol 2017; 5-1: 55-59] Keywords: neutrophil - lymphocyte ratio, ovarian cancer, platelet - lymphocyte ratio
Bladder Function after Hysterectomy Wijaya, Johanna; Tendean, Hermie; Laihad, Bismarck J
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.688 KB) | DOI: 10.32771/inajog.v4i2.83

Abstract

Objective: To determine the effect of hysterectomy on bladder function pre- and post-radical hysterectomy in early stage of cervical cancer. Method: This study was a pre-post intervention study. Data were collected through questionnaires from women who had radical hysterectomy and total hysterectomy in Prof. Dr. R. D. Kandou Manado general hospital and other networking hospitals since January 1st, 2014 to November 31st, 2014. We analyzed the data using Wilcoxon and Mann-Whitney statistical test. Result: There were each 18 respondents for the radical and total hysterectomy group in Prof. Dr. R. D. Kandou general hospital and networking hospitals. The age distribution of radical hysterectomy was 41-45 years old for 44.4%. The parity was dominated by second parity for 38.8%. In pre- and post-surgery, there were significant differences for urinary incontinence disorder (p=0.003), emptying disorder (p=0.008), urinary pain (p=0.034), and total urinary disorder (p=0.001). While, between radical and total hysterectomy, there was no significant difference in bladder function (p>0.05). Conclusion: There is an association before and after surgery to urinary function. However, there is no association between the radical and total hysterectomy group. [Indones J Obstet Gynecol 2016; 4-2: 97-100] Keywords: bladder function, cervical cancer, radical hysterectomy
Bladder Function after Hysterectomy Wijaya, Johanna; Tendean, Hermie; Laihad, Bismarck J
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.688 KB) | DOI: 10.32771/inajog.v4i2.83

Abstract

Objective: To determine the effect of hysterectomy on bladder function pre- and post-radical hysterectomy in early stage of cervical cancer. Method: This study was a pre-post intervention study. Data were collected through questionnaires from women who had radical hysterectomy and total hysterectomy in Prof. Dr. R. D. Kandou Manado general hospital and other networking hospitals since January 1st, 2014 to November 31st, 2014. We analyzed the data using Wilcoxon and Mann-Whitney statistical test. Result: There were each 18 respondents for the radical and total hysterectomy group in Prof. Dr. R. D. Kandou general hospital and networking hospitals. The age distribution of radical hysterectomy was 41-45 years old for 44.4%. The parity was dominated by second parity for 38.8%. In pre- and post-surgery, there were significant differences for urinary incontinence disorder (p=0.003), emptying disorder (p=0.008), urinary pain (p=0.034), and total urinary disorder (p=0.001). While, between radical and total hysterectomy, there was no significant difference in bladder function (p>0.05). Conclusion: There is an association before and after surgery to urinary function. However, there is no association between the radical and total hysterectomy group. [Indones J Obstet Gynecol 2016; 4-2: 97-100] Keywords: bladder function, cervical cancer, radical hysterectomy
Neutrophil and Platelet to Lmphocyte Ratio in Ovarian Malignancy Utama, Francesca; Tendean, Hermie; Laihad, Bismarck J
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.59 KB) | DOI: 10.32771/inajog.v5i1.467

Abstract

Objective: To determine the sensitivity and specificity of neutrophil - lymphocyte ratio compared with platelet - lymphocyte ratio in predicting ovarian malignancies. Methods: This was an observational analytic study with diagnostic test design on 37 ovarian tumor patients who were planned to perform laparotomy in Prof. Dr. R.D. Kandou Hospital Manado and network hospitals in Manado from March to May 2016. We took blood samples to assess the complete blood count. Results: During the period, we obtained the mean age of 28.1 years old (range 18-71 years old). A total of 13 samples showed malignancy which the cystadenocarcinoma mucinosum (27.0%) as the most common histopathological types. Sensitivity and specificity value of neutrophil - lymphocyte ratio were 92.3% and 95.8% with 2.47 as the cut-off point. Meanwhile, the sensitivity and specificity of platelet - lymphocyte ratio were 61.5% and 75.0% with 152.86 as cut-off point. Conclusion: Both neutrophil - lymphocyte ratio and platelet - lymphocyte ratio are associated with ovarian malignancy. The sensitivity and specificity of neutrophil - platelet ratio show better prediction for ovarian malignancies. [Indones J Obstet Gynecol 2017; 5-1: 55-59] Keywords: neutrophil - lymphocyte ratio, ovarian cancer, platelet - lymphocyte ratio
PERSALINAN DISTOSIA PADA REMAJA DI BAGIAN OBSTETRI-GINEKOLOGI BLU RSUP PROF. DR. R. D. KANDOU MANADO Paat, Judita; Suparman, Eddy; Tendean, Hermie
e-CliniC Vol 3, No 2 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i2.8145

Abstract

Abstract: Labour process depends on 3 factors as follows: power, passanger, and passage. Power consists of contraction of the uterus, abdominal wall muscles, and diaphragm, as well as action of the ligaments. Passanger is the fetus itself and passage is the anatomical structures involved in expulsion of fetus during labour. Adolescent is a transition period with physical, emotional, and psyhological changes. In pregnant women aged less than 20 years, the uterus and pelvis have not fully developed with a consequence of dystocia. This study aimed to obtain the profile of dystocia among adolescent in Prof. Dr. R. D. Kandou Hospital Manado from Januari 2012 to December 2013. This was a descriptive retrospective study. The results showed that most dystocia among adolescent occured in age group >16 years, and the most frequent causes were the position of fetus in utero, the fetus itself, and the anatomical passage. The most frequent treatment was sectio caesaria. Dystocia rarely causes severe complications.Kata kunci: persalinan distosia, remajaAbstrak: Proses persalinan dipengaruhi oleh tiga faktor yaitu: kekuatan mendorong janin keluar (power) yang meliputi his (kekuatan uterus), kontraksi otot dinding perut, kontraksi diafragma dan ligamentum action. Faktor lainnya ialah faktor janin (passanger) dan faktor jalan lahir (passage). Masa remaja merupakan masa transisi yang ditandai oleh perubahan fisik, emosi, dan psikis. Pada ibu berumur kurang dari 20 tahun rahim dan panggul belum tumbuh mencapai ukuran dewasa yang berakibat kemungkinan terjadinya distosia. Penelitian ini bertujuan untuk mendapatkan gambaran persalinan distosia pada remaja di BLU RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2012 - Desember 2013 ditinjau dari umur ibu, paritas, etiologi, tindakan dan komplikasi. Penelitian ini bersifat deskriptif retrospektif. Hasil penelitian memperlihatkan bahwa persalinan distosia pada remaja umumnya terjadi pada usia >16 tahun dengan penyebab yang tersering ialah faktor letak, bentuk janin, dan faktor jalan lahir. Tindakan utama yang paling banyak dilakukan yaitu operasi seksio. Distosia jarang menimbulkan komplikasi yang berarti.Kata kunci: persalinan distosia, remaja
GAMBARAN PERSALINAN PADA PROGRAM JAMPERSAL DI RSU PROF. DR. R. D KANDOU MANADO Tondolambung, Priscillia; Tendean, Hermie; Kaeng, Juneke J.
e-Biomedik Vol 1, No 1 (2013): eBiomedik
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ebm.v1i1.4598

Abstract

Abstract: Jampersal stand for financing service childbirth is covering to examine the pregnancy, birth aid, the parturition, including family planning service post delivery and newborn service performed by health professionals in health facilities. The purpose of this study was to know description of childbirth on Jampersal program at Prof. Dr. R. D Kandou. This research used retrospective descriptive methods. The sample in this study were all of the birthing mother who used Jampersal at Prof. Dr. R. D Kandou general hospital Manado from April to December 2011. This study has shown indicate that there are 2800 delivery cases was found using the Jampersal program from 3561 total of childbirth. Most childbirth which used Jampersal program is followed by multigravida (55,18%) at the age of 20 to 25 years (29,00%). Most woman came directly to the hospital (71,82%) and treated in hospital for more than 3 days (39,11%). Most labors using the Jampersal program were commonly aided spontaneously (66,93%). Conclusion: Description of childbirth on Jampersal program at Prof. Dr. R. D Kandou General Hospital most was followed by multigravida, at the age of 20-25 years, came directly to the hospital, treated for more than 3 days, and aided spontaneously. Keywords: Jampersal, Childbirth.     Abstrak: Jampersal adalah jaminan pembiayaan pelayanan persalinan yang meliputi pemeriksaan kehamilan, pertolongan persalinan, pelayanan nifas termasuk pelayanan Keluarga Berencana (KB) paska persalinan dan pelayanan bayi baru lahir yang dilakukan oleh tenaga kesehatan di fasilitas kesehatan.Tujuan penelitian ini untuk mengetahui gambaran persalinan pada program Jampersal di RSU Prof. Dr. R. D Kandou. Penelitian ini menggunakan metode retrospektif deskriptif. Sampel penelitian yaitu semua ibu bersalin dengan program Jampersal di RSU Prof. Dr. R. D Kandou periode April - Desember 2011. Hasil penelitian menunjukkan bahwa terdapat 2800 kasus persalinan menggunakan program Jampersal dari 3561 total persalinan. Kebanyakan persalinan dengan menggunakan program Jampersal diikuti oleh ibu yang multigravida (55,18%) dengan usia 20-25 tahun (29,00%). Ibu yang bersalin paling banyak langsung datang sendiri ke rumah sakit (71,82%) dan kebanyakan dirawat di rumah sakit selama lebih dari 3 hari (39,11%). Persalinan menggunakan program Jampersal paling sering ditolong secara spontan (66,93%). Simpulan: Gambaran persalinan pada program Jampersal di RSU Prof. Dr. R. D Kandou kebanyakan diikuti oleh ibu yang multigravida, usia 20-25 tahun, langsung datang sendiri ke rumah sakit, dirawat selama lebih dari 3 hari dan ditolong secara spontan. Kata kunci: Jampersal, Persalinan.
KEMATIAN PERINATAL DI BLU RSU PROF. DR. R. D. KANDOU MANADO Tumundo, Mercy; Tendean, Hermie; Suparman, Eddy
eBiomedik Vol 1, No 1 (2013): eBiomedik
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ebm.1.1.2013.4585

Abstract

Abstract: Perinatal death is a big problem especially in a developing country. Some of the hospitals in Indonesia have declared that the number of perinatal death in developing countries is higher than in  developed countries. The purpose of this research is to determine the incidence of the factors that affecting perinatal mortality at Prof. DR. R. D. Kandou General Hospital Manado. This research used retrospective descriptive method through medical records of perinatal deaths patients. There were 164 cases of perinatal deaths found where 109 cases still births and 55 cases were early neonatal deaths in 2011, so the number of perinatal mortality rate was 40.17 per mil. The highest number of perinatal death was from multigravide mother, mother with age  ≥ 35 years old, spontaneous parturition. There were unknown caused of still births cases (77,06%) and sepsis in early neonatal deaths. The normal birth weight is also with most include of perinatal deaths. Keywords: still birth, early neonatal death, perinatal deaths, perinatal mortality rate.     Abstrak: Kematian perinatal merupakan masalah besar khususnya di negara sedang berkembang. Beberapa rumah sakit pendidikan di Indonesia melaporkan angka kematian perinatal yang tinggi dibandingkan dengan laporan angka kematian perinatal di negara – negara maju yang jumlahnya rendah. Tujuan penelitian untuk mengetahui angka kejadian kematian perinatal serta faktor – faktor yang mempengaruhinya. Penelitian ini menggunakan metode deskriptif retrospektif dengan menggunakan data catatan medik pasien. Hasil penelitian yaitu jumlah kematian perinatal pada tahun 2011 sebanyak 164 kasus dengan 109 kasus lahir mati dan 55 kasus kematian neonatal dini sehingga angka kematian perinatal pada tahun 2011 yaitu 40.17 per mil. Kematian perinatal paling banyak pada ibu multigravida, ibu dengan kelompok usia ≥ 35 tahun, menggunakan jenis persalinan spontan. Pada lahir mati 77.06 % penyebab kematiannya tidak diketahui sedangkan sepsis paling banyak menyebabkan kematian neonatal dini. Berat badan lahir normal juga menjadi salah satu faktor terjadinya kematian perinatal. Kata kunci: lahir mati, kematian neonatal dini, kematian perinatal, angka kematian perinatal.
Tuberculosis in Pregnancy Lumentut, Anastasia Mariane; Tendean, Hermie; Najoan, Rizki; Islamy, Nurul; Khaerunnisa, Maya; Wirawan, Wahyudi; Maelissa, Merlin
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.1870

Abstract

Tuberculosis (TB) during pregnancy presents significant risks to both the mother and fetus, including complications such as abortion, preterm birth, low birth weight, and postpartum hemorrhage. The immune changes in pregnancy, particularly the shift in TH1/TH2 balance, increase the risk of latent TB reactivation. Diagnosing TB in pregnant women is challenging due to overlapping symptoms with normal pregnancy changes. However, early diagnosis is crucial for effective management, with molecular tests offering assistance, although bacterial culture remains the gold standard. High-risk pregnant women include those with close contact with active TB patients, HIV, immunosuppressive conditions, or severe immunocompromised states such as lymphoma, leukemia, or organ transplant recipients. These women should undergo sputum testing for acid-fast bacilli smear, mycobacterial culture, and nucleic acid amplification testing if TB is suspected. Immunosuppressed patients may require further testing, even if interferon-gamma release assays or tuberculin skin tests are negative. Retesting is recommended eight weeks after exposure to infectious TB. The management of TB in pregnancy involves a multidisciplinary approach, including obstetricians, infectious disease specialists, and neonatologists. First-line anti-TB medications are safe during pregnancy and help prevent maternal and perinatal complications. Treatment for latent TB infection (LTBI) is generally delayed until after delivery. Breastfeeding is safe for mothers on first-line anti-TB medications, as drug levels in breast milk are too low to harm the infant. Early diagnosis, prompt treatment, and proper care are essential to reduce TB-related risks during pregnancy.
Co-Authors Bismarck J Laihad Eddy Suparman Judita Paat, Judita Juneke J. Kaeng Khaerunnisa, Maya Lumentut, Anastasia Mariane Maelissa, Merlin Mercy Tumundo Najoan, Rizki Nurul Islamy Priscillia Tondolambung Utama, Francesca Wijaya, Johanna Wirawan, Wahyudi