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All Journal Jurnal Kedokteran Syiah Kuala Proceedings of Annual International Conference Syiah Kuala University - Life Sciences & Engineering Chapter Indonesian Journal of Obstetrics & Gynecology Science Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Budapest International Research in Exact Sciences (BirEx Journal) Indonesian Journal of Perinatology Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh Asian Journal of Healthcare Analytics
Cut Meurah Yeni
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Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health Social Sciences Transportation Veterinary Other

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KEHAMILAN ANEMBRIONIK PADA PRIMIGRAVIDA : SEBUAH TINJAUAN KASUS Cut Meurah Yeni; Muhammad Bayu Z Hutagalung; Dwinka S. Eljatin; Alyani A. Basar
Jurnal Kedokteran Syiah Kuala Vol 18, No 2 (2018): Volume 18 Nomor 2 Agustus 2018
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v18i2.18002

Abstract

Abstrak. Sebuah kasus, wanita berusia 22 tahun hamil 8-9 minggu dengan keluhan perdarahan pervaginam sejak 1 sebelum masuk rumas sakit (RS). Pemeriksaan ultrasonografi menunjukkan gambaran kantung gestasi tanpa pertumbuhan embrio dengan usia kehamilan 8 minggu. Terminasi kehamilan pada kasus ini dilakukan dengan metode dilatasi dan kuretase. Kehamilan anemebrionik merupakan salah satu bentuk kegagalan dalam kehamilan. Diperkirakan 10-15% hasil konsepsi tidak viabel dan akan mengalami abortus dan 3% diantaranya merupakan kehamilan anembrionik. Manifestasi klinis pada kasus ini meliputi riwayat amenorea, tanda-tanda kehamilan muda serta perdarahan pervaginam pada tahap akhir perjalananya. Berbagai faktor secara teoritis dikaitkan dengan kehamilan embrionik meliputi; faktor genetik paternal dan maternal, disfungsi hormonal serta infeksi dan kelainan imunologi. Kehamilan embrionik dapat ditegakkan melalui pemeriksaan ultrasonografi transabdominal maupun transvaginal dengan ditemukannnya kantung gestasi tanpa perkembangan embrio pada minggu 6-10 kehamilan. Kata Kunci: Kehamilan anembrionik, kuretaseAbstract. A case, 22-year-old woman with 8-9 weeks gestational aged with complaints of vaginal bleeding one day before hospital admission. Ultrasound examination showed a picture of gestational sac without embryo growth correspondent to 8 weeks gestational aged. Termination of pregnancy in this case was done by the method of dilation and curettage. Anembryonic Pregnancy is one form of failure in pregnancy. An estimated 10-15% of the pregnancy is not viable and will undergo abortion and 3% of it is anembryonic pregnancy. Clinical manifestations in this case includes a history of amenorrhea, signs of early pregnancy and vaginal bleeding at the final stage perjalananya. Various factors are theoretically associated with embryonic pregnancy include; paternal and maternal genetic factors, hormonal dysfunction, as well as infectious and immunological disorders. Embryonic Pregnancy can be enforced through a transabdominal or transvaginal ultrasound examination with detection of gestational sac without embryo development at 6-10 weeks gestation.Key words: Anembryonic pregnancy, curettage
Mayer-Rokitansky-Küster-Hauser syndrome Cut Meurah Yeni; Khairussani Khairussani; Wardatul Bararah
Jurnal Kedokteran Syiah Kuala Vol 20, No 1 (2020): Volume 20 Nomor 1 April 2020
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v20i1.18299

Abstract

Abstrak. Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) adalah suatu sindrom yang ditandai dengan aplasia uterus, serviks, dan 2/3 vagina bagian atas karena perkembangan yang tidak sempurna dari duktus Mullerian. Dilaporkan seorang perempuan berusia 26 tahun yang mengeluh belum pernah menstruasi sampai saat ini. Secara fenotip pasien tampak sebagai perempuan yang memiliki perawakan normal. Payudara dan distribusi pertumbuhan rambut aksila serta kemaluan berkembang normal, disertai pertumbuhan lemak pada bokong dan paha. Tuba fallopi, rahim, dan vagina 2/3 proksimal tidak terbentuk. Pada pemeriksaan klinis ginekologi tampak introitus vagina dengan sonde vagina sepanjang 2 cm. Pemeriksaan USG abdominal, uterus berupa garis dan kedua ovarium sulit dinilai. Pemeriksaan MRI didapatkan agenesis uterus dan agenesis adnexa. Pemeriksaan analisa hormonal, LH 9,81 mIU/mL, FSH 6,87 mIU/mL, progesteron 0,51 ng/mL, estradiol 46,4 pg/mL, testosteron 60,45 mg/dl, TSH 1,216 mIU/L, T4 11 ug/dl, serta analisa kromosom 46XX. Pasien direncanakan untuk dilakukan vaginoplasti.Kata kunci : sindrom MRKH, anomali duktus Mulleri, vaginoplastiAbstract. Mayer–Rokitansky–Küster–Hauser syndrome (MRKH) is a syndrome characterized by uterine, cervix, and the two third of upper vagina aplasia which is the cause of incomplete development of the Müllerian duct. Reported a case of woman 26 years old, patient has not menstruated until now. The phenotype of the patient appears to be female, and with normal stature. Breast, axilla dan pubic hair distribution, fatty in buttocks and thigh developed normally. Fallopian tubes, uterine and 2/3 upper part of vagina were not formed. On gynecological clinical examination, found vaginal introitus with a vaginal sonde was 2 cm. On abdominal ultrasound examination, the uterus was seen as a line and both ovaries were difficult to assess. MRI examination obtained theresults as uterine and adnexa agenesis. Hormonal analysis showing LH 9.81 mIU/mL, FSH 6.87 mIU/mL, progesteron 0.51 ng/mL, estradiol 46.4 pg/mL, testosterone 60.45 mg/dl, TSH 1.216 mIU/L, T4 11 ug/dl, and chromosome examination is 46 XX. Patient are planned for vaginoplasty. Key words: MRKH syndrome, mullerian duct anomalies, vaginoplasty
Profil Ketuban Pecah Dini pada Ibu Bersalin di RSUD Dr. Zainoel Abidin Banda Aceh Rima Novirianthy; Safarianti Safarianti; Maimun Syukri; Cut Meurah Yeni; Muhammad Ikhsan Arzda
Jurnal Kedokteran Syiah Kuala Vol 21, No 3 (2021): Volume 21 Nomor 3 Desember 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i3.21299

Abstract

Abstrak. Angka Kematian Ibu (AKI) merupakan salah satu indikator keberhasilan suatu negara dalam bidang kesehatan. Salah satu penyebab kematian pada ibu adalah infeksi. Ketuban Pecah Dini (KPD) merupakan salah satu penyebab tersering infeksi. Tujuan dari penelitian ini yaitu untuk mengetahui profil KPD pada ibu bersalin di RSUDZA Banda Aceh tahun 2019-2020. Metode penelitian ini berupa penelitian deskriptif dengan menggunakan data retrospektif. Jumlah sampel yang digunakan dalam penelitian ini sebanyak 579 rekam medis pasien yang diambil dengan metode total sampling. Analisis data yang digunakan ialah analisis univariat untuk melihat profil pasien KPD. Hasil penelitian menunjukkan bahwa dari 579 sampel pasien KPD sebagian besar sampel berusia 20-35 tahun (79,3%), status pekerjaan sebagai IRT (81,3%), usia kehamilan aterm (77,2%), status nullipara (36,8%), mengalami leukosituria (52,9%), anemia (54,9%), kehamilan tunggal (98,4%), janin presentasi kepala (89,8%), lama KPD ≥ 12 jam (53,9%), dan metode persalinan sectio caesarea (66%). Kesimpulan penelitian ini menunjukkan bahwa KPD banyak terjadi pada ibu nullipara yang berusia 20-35 tahun dengan usia kehamilan aterm serta mengalami leukosituria dan anemia, oleh karena itu tenaga medis perlu memberikan edukasi terkait faktor risiko dan upaya pencegahan KPD. Kata Kunci : Ketuban Pecah Dini (KPD), Profil, RSUDZA Banda  AcehAbstract. Maternal Mortality Rate (MMR) is acknowledge as one of the country’s health sector development. Infection is one of the cause of maternal mortality. Premature Rupture of Membranes (PROM) is the most cause of infection. The objective of this research is to identify the profile of premature rupture of membranes on mother who gave birth in RSUDZA Banda Aceh year of 2019-2020. The method of this research is descriptive using retrospective data. The number of samples used in research is 579 medical records taken using total sampling method. Data analysis used is univariate analysis to find the profile of premature rupture of membrane patient. The result showed that out of 579 samples of patient with premature rupture of membrane are mostly aged between 20-35 years old (79,3%), occuption status as housewife (81,3%), gestation age of aterm (77,2%), nulliparous status (36,8%), leukocyturia (52,9%), anemia (54,9%), single preganancy (98,4%), fetal head presentation (89,9%), PROM duration ≥ 12 hours (53,9%), and the method delivery by sectio caesarea (66%). The conclusion of thin study showed that PROM occurs mostly in nulliparous who are 20-35 years old with aterm gestational age and have leukocyturia and anemia; therefore, medical personnel need provide education related risk factor and efforts to prevent PROM.Keywords : Premature Rupture of Membranes (PROM), Profile, RSUDZA Banda Aceh
Grave’s disease in 32-34 weeks of pregnancy Jimmy Toga Sitorus; Cut Meurah Yeni
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2777.607 KB)

Abstract

The objective of the present case report was to improve knowledge in the management of pregnancy and delivery with Graves’ disease in 32-34 weeks of pregnancy. Primigravida with Graves’ disease was detected at 28 weeks gestational age in patients Mrs. H, 26 years old came with complaints : shortness of breath, leg sweeling, a lump in the neck, the eyes stood out, finger tremors, can not stand the heat, often sweaty, the hearts was tachycardia, increased appetite but weight doesn’t increase and even decreased 8 kg since last five years ago.  Patients had a history of goitre since five years ago, with an irregular treatment. Pregnancy can be maintained after being treated in Departement of Obstetrics and Gynaecology and routinely controlled to assess fetal wellbeing. At 32-34 weeks of gestational age, the pregnancy was terminated by caesarean section, born baby boy, 1930 gr, Apgar Score 8/9. Mother was in good condition after caesarean section. Baby was dead in six days after birth with respiratory distress syndrome DD/ pneumonia aspiration. Hyperthyroidism which not handled will have a serious complications, but if properly handled and monitored, maybe the results of maternal and fetal outcomes expected good. Antepartum fetal assessment include fetal heart rate, the amount of amniotic fluid can be a parameter for pregnancy termination planning. The results of poor outcomes are things that must be observed that Graves’ disease in pregnancy have a risk of neonatal mortality
Late post partum hemorrhage - causes and defining aspects: Case series in Zainoel Abidin General Hospital, Banda Aceh, Indonesia Bram Pradipta; Cut Meurah Yeni
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1123.242 KB)

Abstract

Improving skill and knowledge in making a diagnosis and management of late post partum hemorrhage.Globally, more than half a million women die annually due to pregnancy and childbirth. Bleeding causes 28% of the direct causes of maternal deaths and remains the most common cause of maternal death. In developing countries, several countries have maternal mortality ratio over 1000 women per 100,000 live births, and WHO statistics illustrates that 25% of maternal deaths resulting from post partum hemorrhage, which counted more than 100,000 maternal deaths per year. Postpartum hemorrhage can be divided into 2 types: early postpartum hemorrhage, which occurs within 24 hours of delivery, and late postpartum hemorrhage, which occurs 24 hours to 6 weeks after delivery. Most cases of postpartum hemorrhage, greater than 99%, are early postpartum hemorrhage. Notably, most women are still under the care of their delivering provider during this time. But a few are considered late postpartum hemorrhage. Here we presented case series consisted of two cases with late postpartum hemorrhage. Both of them enrolled in Zainoel Abidin General Hospital OBGYN emergency ward as an outpatient post c-section patient. The first case was a 38 years old Indonesian women, Parity 4, post-cesarean section that comes with hypovolemic shock and post partum hemorrhage and foul smelling lochia. Six days after treatment the patient is discharged with good condition with abnormalities found in the form of disturbances of uterine contractions and uterine infection. The second case was a 19 years old, parity 1, post-Caesarean section 120 days ago for CPD indication that comes with recurrent bleeding after the operation. Curettage of the endometrium was then done to the patient in Bireun Hospital prior to the Zainoel Abidin General Hospital, but the bleeding persisted. Patients were then treated for 10 days and discharged with good condition with a diagnosis of abnormal uterine bleeding. With many women delivering outside of hospitals and early postpartum hospital discharge being a growing trend, postpartum hemorrhage that presents to the emergency department may be either early or late. Late post partum hemorrhage though a minority still poses great risk to maternal health. Key management of both early and late HPP are rapid assesment and diagnosis of conditions, restoration of blood volume and simultaneously search for the cause. HPP diagnosis is confirmed by observing the amount of bleeding and the patient's clinical symptoms. Management of HPP requires teamwork and a systematic yet comprehensive management
Success of vaginal deliveries among women in labor with previous cesarean section: Analysis of 50 cases Eva Febia; Jimmy Toga Sitorus; Cut Meurah Yeni
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (61.789 KB)

Abstract

This study was purposed to evaluate the success of vaginal deliveries after cesarean (VBAC). This case-series-study was conducted in Zainoel Abidin and Ibu dan Anak  Hospital, as referral and teaching Hospitals, Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, from January until October 2011 with descriptive analytic method. The outcomes were the success of VBAC. There were 50 subjects attempted VBAC. From 50 subjects who attempted VBAC, 45 subjects (90%) were succeed in vaginal delivery, 5 subjects (10%) were unsuccessful and had to undergo emergency C-Section. The parameters which were likely to contribute to the success of vaginal delivery in subjects who attempted VBAC were gestational age less than 40 weeks, the progress of cervical dilatation of less than 1 cm in 60 minutes, more ripened cervix on the labor. Parameters such as lower baby’s weight and history of vaginal delivery also result in the success of VBAC. Gestational age, Bishop score, and the progress of cervical dilatation contributed to higher success of VBAC. 
The Effect of the Comprehensive Midwifery Care Model with the One Student One Client (OSOC) Approach to Birth Outcomes in North Aceh Regency Rildayani Rildayani; Nurjannah Nurjannah; Irwan Saputra; Cut Meurah Yeni; Said Usman
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1099

Abstract

Maternal and Newborn Health is a priority as the main indicator in health. During the pregnancy period until the puerperium it is estimated that as many as 15% can experience life-threatening complications of the mother and baby. However, this death is considered to be prevented through the provision of comprehensive care that can be done with the One Student One Client (OSOC) approach, which is an activity that exists between low-risk pregnant women and midwife students during pregnancy up to 6 weeks post delivery. Objective: This study aims to assess the relationship of comprehensive midwifery care with the One Student One Client (OSOC) approach to birth outcomes (gestational age at delivery, prolonged labor and asphyxia) Method: This study is a retrospective cohort study, using secondary data from medical record documentation Results: Comprehensive midwifery care with the OSOC approach was associated with the occurrence of prolonged labor p value 0.046 (RR 95% CI; 3.2 (1.08-9.74), asphyxia with p value 0.037 (RR 95% CI; 2.57 1.12-6.50) Conclusion: The OSOC method can be used in comprehensive midwifery care for all mothers and babies from pregnancy up to 6 weeks post delivery in an effort to improve birth outcomes.
Description of Gestational Mellitus Diabetes in the General Hospital Dr. Zainoel Abidin Banda Aceh in 2018 Cut Meurah Yeni; Aldilo Talima; Hijdrian Milzam
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 2 (2020): Budapest International Research in Exact Sciences, April
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i2.979

Abstract

Gestasional diabetes mellitus (GDM) is a glucose intolerance of variable severity with onset or first recognition during pregnancy. This is a silence occurred disease by the patient so it made much of morbidity for baby and the mother. Purpose of the research is to found the prevalence of GDM in RSUDZA and how was the delivery outcome in 2018. This is a descriptive research which use medical record as a secondary data. Sample of the research is all of pregnant woman who diagnosed with GDM and got treatment at RSUDZA in 2018. From the research we got from 2538 pregnant woman there are 55 of them was diagnosed with GDM. 15 of them (27,3%) had a baby with birthweight >4000gr, and 6 of them (10,9%) had a baby with birthweight <2500gr.
Evaluasi Respon time Seksio Emergensi Kategori I Terhadap Luaran Maternal dan Neonatal Dengan Tersedianya Alur Pelayanan Seksio Sesarea Emergensi Di RSUDZA Juli-Oktober 2021 Cut Meurah Yeni; Hasanuddin, Hasanuddin; Cut Rika Maharani; Nurul Fadhliati Maulida
Journal of Medical Science Vol 3 No 1 (2022): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (375.322 KB) | DOI: 10.55572/jms.v3i1.57

Abstract

Angka seksio sesarea (SC) mengalami kenaikan dua kali lipat di seluruh dunia yaitu 12,1% pada tahun 2010 dan 21,1 % pada tahun 2015 di 169 negara. The American College of Obstetricians and Gynecologists (ACOG) dan the National Institute of Clinical Excellence (NICE) membuat ketentuan standar baku emas bahwa response time  SC emergensi atau disebut juga decision-to-delivery interval (DDI) pada kelahiran yaitu <30 menit. Tujuan pelitian ini untuk mengetahui gambaran response time  SC emergensi kategori 1 di RSUDZA setelah pembuatan alur pelayanan SC emergensi.  Rancangan penelitian ini adalah kohort prospektif, dengan melihat data pasien yang memenuhi kriteria inklusi dan ekslusi di RSUDZA dari periode Juli sampai Oktober 2021. Luaran cut of point rerata response time, luaran maternal dan neonatal. Data dianalisis dengan menggunakan software SPSS 23.  Didapatkan 19 kasus yang memenuhi kriteria dari total 23 kasus SC emergensi kategori 1. Rerata response time  SC emergensi kategori 1 adalah 36,29±8,59 (28-50 menit). Ada tidaknya demam, perlu tidaknya rawatan pasca operasi di ICU, serta kematian ibu memiliki hubungan yang erat dengan response time SC emergensi kategori I (p<0,05). Skor APGAR, perlu tidaknya bantuan pernapasan seperti CPAP dan intubasi, perlu tidaknya rawatan di NICU, serta kematian bayi memiliki hubungan yang erat dengan response time  SC  emergensi Kategori I (p<0,05). Response time  SC <30 menit memiliki pengaruh yang signifikan terhadap luaran maternal dan neonatal dengan tersedianya alur SC emergensi di RSUDZA.
Gambaran Pola Kuman dan Sensitivitas Antibiotik pada Ibu Hamil dengan Bakteriuria Asimtomatik yang Berobat ke RSUD dr. Zainoel Abidin Welni, Trisia; Yeni, Cut Meurah
Journal of Medical Science Vol 4 No 2 (2023): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55572/jms.v4i2.111

Abstract

Bakteriuria asimtomatik adalah kolonisasi bakteri yang persisten pada traktus urinarius tanpa gejala simtomatik atau klinis dengan ditemukannya bakteri >105 cfu/ml. Tujuan penelitian ini adalah untuk mengkaji gambaran pola kuman dan sensitivitas antiobiotik pada ibu hamil yang berobat ke poli kebidanan dan kandungan RSUD dr. Zainoel Abidin. Rancangan penelitian ini adalah observasional deskriptif. Data diambil dari rekam medik pasien, yang sudah dilakukan pemeriksaan kultur urin. Teknik pengambilan sampel adalah accidental sampling. Hasil penelitian ini menggambarkan insiden terjadinya bakteriuria asimtomatik pada ibu hamil yang berobat ke poli kebidanan dan dan kandungan RSUD dr. Zainoel Abidin adalah 20%. Mikroba terbanyak penyebab bakteriuria asimtomatik adalah Escherichia coli (50%), dengan insiden terbanyak pada multipara (25%), dan usia >35 tahun (100%). Pada uji sensitivitas antibiotik, bakteri Escherichia coli masih sensitif terhadap beberapa jenis antibiotik diantaranya yaitu amoxicillin, ceftriaxone, dan ciprofloxacin. Resistensi terbanyak ditemukan pada bakteri Staphylococcus aureus, dibandingkan bakteri Klebsiella pneumoniae.
Co-Authors Adhi Pribadi Aldiansyah, Dudy Aldika Akbar, Muhammad Ilham Aldilo Talima Aloysius Suryawan Alyani A. Basar Andonotopo, Wiku Ayuni, Intan Nabilla Bachnas, Muhammad Adrianes Bambang Rahardjo Bram Pradipta Cut Rika Maharani Dwinka S. Eljatin Eva Febia Evert Solomon Pangkahila Hasanuddin Hasanuddin Hijdrian Milzam Husnah Husnah I Nyoman Hariyasa Sanjaya Irwan Saputra Jimmy Toga Sitorus Julian Dewantiningrum Khairussani Khairussani Kurjak, Asim Maimun Syukri Muhammad Bayu Z Hutagalung Muhammad Ikhsan Arzda Nurjannah Nurjannah Nurul Fadhliati Maulida Nuswil Bernolian Pramono, Mochammad Besari Adi Rildayani Rildayani Rima Novirianthy Ryan Saktika Mulyana Safarianti Safarianti Said Usman Sakdiah Sakdiah, Sakdiah Sri Sulistyowati Stanojevic, Milan Theresia Monica Rahardjo Wardatul Bararah Welni, Trisia Wiradnyana, Anak Agung Gede Putra