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All Journal Buletin Udayana Mengabdi WMJ (Warmadewa Medical Journal) Jurnal Kesehatan Reproduksi ISM (Intisari Sains Medis) : Jurnal Kedokteran Aesculapius Medical Journal Warmadewa Minesterium Medical Journal
A.A. Raka Budayasa
Universitas Warmadewa
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health

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PEMBERDAYAAN MASYARAKAT DALAM DETEKSI DINI KEHAMILAN RISIKO TINGGI PADA KELOMPOK IBU HAMIL DAN PENUNGGU PASIEN RS SANJIWANI A.A. Raka Budayasa; Dewa Made Sadguna; DAP Niti Widari; DAP Sri Masyeni
Buletin Udayana Mengabdi Vol 20 No 2 (2021): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.621 KB) | DOI: 10.24843/BUM.2021.v20.i02.p12

Abstract

Kehamilan risiko tinggi adalah kehamilan yang harus dideteksi sejak dini karena dapat menimbulkan terjadinya bahaya atau komplikasi baik terhadap ibu ataupun janin. Kompilkasi dapat terjadi selama kehamilan, pada masa persalinan atau masa nifas. Keadaan ini dapat terjadi sebagai akibat atau komplikasi dari kehamilan atau disebabkan oleh suatu kondisi yang dimiliki ibu dari sebelum hamil. Kehamilan risiko tinggi merupakan penyebab terbanyak kematian pada ibu hamil. Oleh karena itu untuk mengurangi bahaya atau komplikasi akibat kehamilan risiko timggi, pengabdian ini bertujuan untuk membantu ibu hamil beserta penunggu pasien untuk dapat mengenali tanda-tanda kehamilan risiko tinggi sehingga angka kesakita dan kematian untuk ibu hamil dan jani dapat diturunkan. Kegiatan diawali dengan sosialisasi serta koordinasi dengan kelompok mitra, focus group discussion serta pelaksanaan kegiatan kemiteraan kepada masyarakat (PKM). Kegiatan PKM diawali dengan pre-test untuk mengukur tingkat pengetahuan ibu dan penunggu pasien, lalu penyuluhan mengenai kehamilan risiko tinggi dengan pamphlet, serta video. Pada akhir pelaksanaan PKM dilaksanakan post-test untuk mengetahui peningkatan pengetahuan mitra. Output serta outcome PKM dievaluasi dari peningkatan pengetahuan mitra, kedatangan ibu dalam perawatan ante natalcare serta penurunan komplikasi akibat kehamilan risiko tinggi. Peningkatan pengetahuan mitra ditemukan sebesar 90% dalam pengenalan gejala kehamilan risiko tinggi, dan frekuensi antenatal care. Evalausi keberhasilan PKM akan dilaksanakan dari penurunan kasus kehamilan risiko tinggi serta penurunan kesakitan dan kematian ibu hamil.
Management of pregnant women with Refractory Immune Thrombocytopenia Purpura (ITP) receiving eltrombopag therapy at Sanjiwani Hospital, Gianyar, Indonesia Anak Agung Raka Budayasa; Cokorda Gede Angga Ary Nugraha
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.032 KB) | DOI: 10.15562/ism.v12i1.958

Abstract

Background: Immune Thrombocytopenia Purpura (ITP) is an autoimmune disease characterized by a low level of platelets in the blood caused by accelerated platelet destruction or disruption of the thrombopoiesis due to antibodies to platelets. Drugs with similar functions to thrombopoietins (TPO) such as eltrombopag and romiplostim have been widely used and have been shown to be quite successful in treating ITP in nonpregnant patients. This case study aims to evaluate eltrombopag therapy's role in managing the refractory ITP in pregnant women.Case Presentation: A 25-year-old patient, a housewife, presented to the obstetrics clinic at Sanjiwani Hospital for the first time at a gestational age of 13 weeks for her third pregnancy, with a history of two abortions. ITP was diagnosed in 2017 during the second abortion treatment. The platelet examination results were between 32,000-66,000/?l, with platelet count during delivery planning at 34 weeks of 41,000/?l. The patient was diagnosed with chronic refractory ITP and was considered for second-line drug administration. Intravenous Immunoglobulin Therapy (IVIG) and anti-D administration as second-line drugs were not possible due to cost. The patient was given 50 mg eltrombopag per day for a week. The platelet counts increased to 202,000/?l a week after therapy. The patient then underwent vaginal delivery with a baby weight of 2,850 gram, Apgar Score of 8-10. The baby was exclusively breastfed and subjected to clinical monitoring and laboratory tests. The patient's clinical condition was favorable and the platelets fell to 20,000/?l nineteen days after delivery.Conclusion: In this case, the patient with chronic ITP refractory to steroid therapy showed an immediate response to eltrombopag. However, the platelet level decreased two weeks after the treatment cessation. More studies are needed on the use of eltrombopag in pregnant women.
Hubungan Antara Preeklampsia Dengan Kejadian Bayi Berat Lahir Rendah (BBLR) Di Rumah Sakit Umum Daerah Sanjiwani Gianyar I Made Adi Putra Wiguna; Ni Putu Diah Witari; Anak Agung Gede Raka Budayasa
Aesculapius Medical Journal Vol 3 No 2 (2023): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.2.2023.267-271

Abstract

Low birth weight (LBW) is a condition when babies are born below normal weight limits 2.500 grams and is the highest cause of death in neonates. One of the risk factors for LBW is preeclampsia. Preeclampsia is a common condition in pregnant women which is characterized by blood pressure of 140/90 mmHg and proteinuria, which is 300 mg or more of protein in urine per 24 hours or 30 mg/dL (1+ on the dipstick) according to the results of the urine sample test. Preeclampsia in pregnant women can affect the condition of the fetus conceived by pregnant women from the period of pregnancy, childbirth, and postpartum. The purpose of this study was to determine the relationship between preeclampsia and LBW at the Sanjiwani Regional General Hospital, Gianyar. This study used an analytic observational method with a cross sectional study design. This study is considered to be unpaired categorical scale. Research data collection is done through secondary data in the form of medical records between 2018 - 2020. Bivariate data analysis is done to determine the relationship between variables using the chi-square test with a significance level of 0.05. The results showed that the p value = 0.000 and the PR was 7.917 (95% CI =2,569-24,395). As such, there is a significant relationship between preeclampsia and the incidence of LBW. Keywords: low birth weight baby, preeclampsia, sanjiwani regional hospital gianyar
Hubungan antara Anemia dengan Kejadian Ketuban Pecah Dini di Rumah Sakit Sanjiwani Tahun 2020 Sintya Sevadani; Asri Lestarini; Anak Agung Gede Raka Budayasa
Aesculapius Medical Journal Vol 3 No 1 (2023): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.1.2023.132-137

Abstract

Prelabor rupture of membranes (PROM) is a condition rupture of the membranes before the time of labor. The prevalence of PROM that occurs in Indonesia is still high. Anemia as one of the factors causing PROM. The purpose of this study to determine the relationship between anemia and the incidence of prelabor rupture of membranes at the Sanjiwani Hospital in 2020. This study used a cross-sectional and using secondary data from medical records from January 2020-December 2020. The study sample size was 96 samples obtained using the consecutive sampling method. Data analysis was carried out univariate and bivariate with chi-square test with a significance level (α) of 0.05. The data will be analyzed using SPSS. The result of this study obtained the number of prevalence of PROM in pregnant women with anemia is 26,9 with a significance level is 0,412. The result of this study is that there is no significant relationship between anemia and the incidence of prelabor rupture of membranes at the Sanjiwani Hospital in 2020. A non significant result can occur because the antenatal care (ANC) carried out by the mother during pregnancy has been good. Pregnant women are expected to carry out ANC properly to prevent anemia. Keywords: Premature rupture of membranes, Anemia, Sanjiwani Hospital
The Association Between Treatment Failure of Bacterial Vaginosis with Metronidazole and the Incidence of the Maternal–Perinatal Composite Index Kennedy Winartan; I Gusti Ayu Sri Anjani; Anak Agung Raka Budayasa
WMJ (Warmadewa Medical Journal) Vol 11 No 1 (2026): May 2026
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.11.1.13975.17-21

Abstract

There is high incidence of Bacterial vaginosis (BV) in pregnancy and increasing rate of treatment failure with metronidazole, the drug of choise in BV in pregnancy. The occurrence of bacterial vaginosis in pregnancy results in morbidity and complications for both the mother and the fetus, especially in untreated cases or cases of treatment failure. This study aims to determine the association between treatment failure and the incidence of the maternal–perinatal composite index (preterm labour, PPROM, low birth weight ). This is a cohort  study,  conducted at Sanjiwani Hospital, Gianyar, from September 2024 to April 2025.  involving 52 pregnant less than 20 weeks  diagnosed with BV who received metronidazole therapy, divided into two groups, 26 pregnant woman with successful treatment and 26 pregnant woman  with treatment failure.The results demonstrated that pregnant women with treatment failure of bacterial vaginosis had a 5.33-fold higher risk of maternal–perinatal complications (OR 5.33; 95% CI = 1.008–28.209; p = 0.049) compared to those with successful treatment.
Penguatan Peran Kader Posyandu Sebagai Pendamping Keluarga Ibu Hamil dalam Mencegah Stunting di Puskesmas Payangan Anak Agung Gede Raka Budayasa; I Wayan Rusdiarna Eka Putra; Made Surya Pramana
Warmadewa Minesterium Medical Journal Vol. 5 No. 2 (2026): Mei 2026
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.5.2.2026.104-110

Abstract

Stunting merupakan manifestasi gangguan gizi kronis yang memberikan pengaruh jangka panjang terhadap produktivitas sumber daya manusia, sehingga penanganannya wajib dimulai sejak fase kehamilan. Posyandu, sebagai pilar upaya kesehatan berbasis masyarakat, memiliki posisi strategis dalam menekan prevalensi stunting, khususnya melalui pemberdayaan kader sebagai mitra pendamping bagi ibu hamil. Program pengabdian masyarakat ini dilaksanakan untuk mengoptimalkan kompetensi dan kontribusi kader posyandu dalam mengedukasi keluarga di wilayah kerja UPT Puskesmas Payangan, Kabupaten Gianyar. Metodologi program mencakup tahapan persiapan, implementasi, hingga tinjauan evaluatif. Inti kegiatan berfokus pada sosialisasi intensif yang meliputi dua aspek fundamental: pemenuhan nutrisi maternal untuk pencegahan stunting serta manajemen ekonomi rumah tangga guna mendukung ketahanan pangan keluarga. Efektivitas intervensi diukur melalui perbandingan skor pre-test dan post-test serta pengamatan partisipatif. Hasil program menunjukkan keterlibatan aktif seluruh peserta selama proses edukasi berlangsung. Berdasarkan evaluasi kuantitatif, lebih dari 70% kader meraih peningkatan nilai signifikan, yang merefleksikan penguatan pemahaman mengenai gizi ibu hamil dan fungsi pendampingan keluarga. Capaian ini diharapkan mampu mengukuhkan peran kader dalam memberikan bimbingan berkelanjutan bagi ibu hamil sebagai langkah preventif stunting yang komprehensif sejak masa gestasi demi masa depan generasi yang lebih berkualitas.  
Perbandingan Karakteristik Ibu, Indikasi, dan Klasifikasi Robson pada Persalinan Seksio Sesarea Tahun 2013 dan 2018 Putu Devi Gema Partamayani; Putu Indah Budi Apsari; Anak Agung Gede Raka Budayasa
JURNAL KESEHATAN REPRODUKSI Vol 13, No 1 (2026)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.92707

Abstract

Latar Belakang: Angka persalinan seksio sesarea terus meningkat secara global maupun nasional. Klasifikasi Robson direkomendasikan WHO sebagai metode standar untuk audit dan evaluasi seksio sesarea.Tujuan: Tujuan penelitian ini untuk menganalisis perbandingan karakteristik ibu, indikasi operasi, dan distribusi klasifikasi Robson pada persalinan seksio sesarea di sebuah rumah sakit daerah pada tahun 2013 dan 2018.Metode: Penelitian analitik dengan desain cross-sectional menggunakan data rekam medis ibu bersalin dengan seksio sesarea tahun 2013 dan 2018. Sampel total sebanyak 472 kasus (2013: 260; 2018: 212).Hasil: Terdapat tidak perbedaan distribusi usia ibu, paritas dan usia kehamilan antara tahun 2013 dan 2018. Distribusi indikasi seksio sesarea berbeda signifikan antara kedua tahun, dengan indikasi terbanyak tahun 2013 adalah riwayat seksio sesarea (24,2%), sedangkan tahun 2018 adalah gawat janin (27,4%). Distribusi kelompok Robson tahun 2013 didominasi kelompok Robson 2 (31,9%), sedangkan tahun 2018 didominasi kelompok Robson 4 (24,5%).Kesimpulan: Terdapat perubahan signifikan pada distribusi usia, indikasi, dan klasifikasi Robson persalinan seksio sesarea antara tahun 2013 dan 2018. Audit berkelanjutan menggunakan klasifikasi Robson diperlukan untuk mengendalikan angka seksio sesarea.
Co-Authors Asri Lestarini Cokorda Gede Angga Ary Nugraha Dewa Ayu Niti Widari Dewa Nyoman Sadguna I Gusti Ayu Sri Anjani I Made Adi Putra Wiguna I Made Adi Putra Wiguna I Wayan Rusdiarna Eka Putra Kennedy Winartan Made Surya Pramana Ni Putu Diah Witari, Ni Putu Putu Devi Gema Partamayani Putu Indah Budi Apsari Sintya Sevadani Sintya Sevadani Sri Masyeni, Dewa Ayu Putri