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All Journal Jurnal Kedokteran Syiah Kuala Nexus Kedokteran Komunitas Nexus Kedokteran Klinik Folia Medica Indonesiana Majalah Obstetri dan Ginekologi Universa Medicina Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of Maternal and Child Health Jurnal Biomedika dan Kesehatan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Plexus Medical Journal

Eric Edwin Yuliantara

Department Of Obstetrics And Gynaecology, Faculty Of Medicine, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta

Author-ID : 424684

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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LEARNING TO PREVENT AND BREAK THE CHAIN OF TRANSMISSION OF COVID-19 BY VACCINATE WOMEN, PREGNANT AND BREASTFEEDING MOTHERS THROUGH THE WEBINAR Muhammad Adrianes Bachnas; Nutria Widya purna Anggraini; Sri Sulistyowati; Eric Edwin Yuliantara; Wisnu Prabowo; Gagah B Adi Nugraha; Aldi Firmansyah; Dympna Prameilita
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 10, No 1 (2022): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v10i1.52880

Background: The incidence of Covid-19 in women, pregnant, and breastfeeding mothers is still high. Currently, the government is trying to prevent and break the chain of Covid-19 transmission by vaccination. However, knowledge about Covid-19 vaccination is still limited. Therefore, Indonesian Obstetrics and Gynecology Association/Perkumpulan Obstetri dan Ginekologi Indonesia (POGI) members, as the spearhead of women's health, play an essential role in breaking the chain of transmission by providing knowledge about Covid-19 vaccination.Methods: All member of POGI and Youth POGI in Surakarta was educated by online method via the webinar zoom application. The level of knowledge was evaluated pre and post-webinar by using a questionnaire to see the significance.Result: Analysis of 110 participants with paired t-test obtained an average pretest value of 44.82 while the average post-test value was 57.45, with a significance value of p=0.001 (p<0.05). The results of the analysis with the Chi-square test obtained p = 0.002 (p <0.05) and OR = 23.40.Conclusion: There is an increased understanding of preventing and breaking the chain of transmission of Covid-19 in women, pregnant, and breastfeeding mothers by vaccinating youth POGI and POGI members after webinar and discussion, with a significance value of p=0.001 (p<0.05). Webinars and discussions on preventing and breaking the chain of transmission of Covid-19 to women, pregnant, and breastfeeding mothers with vaccination by researchers provided 23.40 times better understanding than before the webinar and discussions were given.

Prenatal Diagnosis and Management of Advanced Abdominal Pregnancy in Dr. Moewardi Hospital Surakarta: A Case Series Akbar, Uchti; Anggraini, Nutria Widya Purna; Yuliantara, Eric Edwin; Bachnas, Muhammad Adrianes; Ridwan, Robert; Sulistyowati, Sri
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The abdominal pregnancy is a pregnancy anywhere in the abdominal cavity other than the tube, ovary, and broad ligament. Abdominal pregnancy has 7.7 times greater risk than tubal pregnancy and 90 times greater than intrauterine pregnancy. This study aims to reveal the diagnosis and treatment of abdominal pregnancy in Dr. Moewardi Hospital Surakarta. Subjects and Method: This was a case series study conducted at Dr. Moewardi Hospital Surakarta. This study report three cases of advanced abdominal pregnancy at Dr Moewardi Hospital (2019 – 2020), that consisted of two cases of advanced abdominal pregnancy to term, and one advanced abdominal pregnancy with acute abdomen. Case presentation: Case 1 (it was found abdominal pregnancy at 30 weeks), the condition of the mother and the fetus was good, the pregnancy was continued until the gestational age was term. The patient was given corticosteroids for lung maturation and magnesium sulfate for neuroprotection. Case 2 (an abdominal pregnancy was found at term), it was decided to immediately terminate it with good preoperative preparation. Both patients in case 1 and case 2 had good result in both the mother and the fetus. The placenta was left in situ in both cases to prevent massive bleeding and injury to the gastrointestinal organs. Case 3 (advanced abdominal pregnancy with acute abdominal symptoms) decided to undergo an emergency laparotomy and removal of the placenta. Conclusion: Abdominal pregnancy must be diagnosed and managed properly to reduce maternal mortality and morbidity. In advanced abdominal pregnancy, it could be considered to continue the pregnancy until the term. The placenta management of in situ without methotrexate might be considered in cases of abdominal pregnancy.

Enhancing Nutrients Knowledge during Pregnancy through Webinars to Prevent Stunting Bachnas, Muhammad Adrianes; Sulistyowati, Sri; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Prabowo, Wisnu; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Yuliani, Saffana Oka; Carissa, Dinda; Alamsyah, Meuthia
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Indonesia still has a high stunting rate, 1.2 million out of 5 million births each year result in stunted baby growth. linear growth in utero, the process can be caused by maternal malnutrition, which can result in intrauterine growth inhibition and low birth weight, and result in stunting. This study aims to analyze the effectiveness of the webinar in improving nutrition knowledge during pregnancy to prevent stunting growth. Subjects and Method: This is a cross sectional study conducted in July, 15th 2022 using the Zoom Meeting webinar platform. Target population are all young POGI and POGI Members who took part in webinars and online conversations using the Zoom Meeting program. This study used random sampling, and sample size are 161. The independent variables of this study was learning via webinars while the dependent variable was nutrient knowledge. Data were analyzed by paired t-test statistical test. Results: There was a significant difference score of knowledge in pregnant women after (Mean= 8.60) compared to before webinars (Mean= 6.52). Conclusion: The result of this study indicates that learning method via webinars increased maternal understanding about optimal nutrient during pregnancy. Keywords: stunting, nutrients, webinar, pregnant women Correspondence: Nutria Widya Purna Anggraini. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Jl. Kolonel Sutarto No. 132 Jebres, Surakarta. Email: nutria_dr@staff.uns.ac.id. Mobile: 08122651819.

Early Detection and Good Team Collaboration for Preventing Maternal Death Caused by Placenta Accreta Spectrum Disorder Eric Edwin Yuliantara; Muhammad Adrianes Bachnas; Nutria Widya Purna Anggraini; Wisnu Prabowo; Gagah Baskara Adi Nugraha; Meriska Dewi Chasanah; Fadel Muhammad S. Alim; Hikmah F. Merina
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 2 (2023): August
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i2.71047

Background: Placenta accreta spectrum (PAS) is considered one of the most harmful pregnancy conditions, as it is strongly linked with maternal morbidity and mortality. An accurate and early prenatal diagnosis of PAS allows time for a multidisciplinary team to plan the best course of action for delivery management. The aim of this study is to describe placenta accreta spectrum management and outcomes with early detection and a multidisciplinary team approach.Method: A retrospective cohort study was conducted on 167 cases of placenta accreta from 2016 to 2021. Medical records were then reviewed, and data were collected for delivery management and maternal outcome, including estimated amounts of bleeding, urinary tract injury, delivery time, ICU referral, and maternal death.Result: Delivery management (hysterectomy and conservative management) and maternal bleeding were significantly associated with MAP score (p < 0.05), while urinary tract injury, delivery time, ICU admission, and maternal death were not significantly associated (p > 0.05). 55.1% of patients underwent hysterectomy, and the rest 44.9% underwent conservative surgery. Massive bleeding of more than 2500 mL happened in 54.5% of patients, and the rest 45.5% managed to bleed less than 45.5%. Preterm deliveries accounted for 29.9% of all deliveries, with the remaining 70.1% being term. 5.4% of patients experienced urinary tract injuries. 6.6% of patients were referred to the intensive care unit. The maternal mortality rate is 4.8%.Conclusion: Early detection of the placenta accreta spectrum, as well as good collaboration among members of a multidisciplinary team from various medical fields, are required to ensure the mother and baby's safety and survival.

Perbedaan Kadar D-dimer antara Persalinan Pervaginam dan C-section pada Ibu Hamil COVID-19 Garwita Anindya Restisa; Teguh Prakosa; Eric Edwin Yuliantara; Hermawan Udiyanto
Plexus Medical Journal Vol. 1 No. 5 (2022): Oktober
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v1i5.400

Pendahuluan: COVID-19 merupakan penyakit yang disebabkan oleh virus SARS-CoV-2 yang sebagian besar menyerang sistem pernapasan dan bersifat menular. COVID-19 memiliki jumlah kasus dan tingkat mortalitas yang tinggi. Bahkan, ibu hamil pun rentan tertular penyakit COVID-19. D-dimer merupakan produk akhir degenerasi cross-linked fibrin oleh aktivitas kerja plasmin dalam sistem fibrinolitik. D-dimer dapat menjadi biomarker aktivitas koagulasi dan alat prognosis pasien COVID-19. D-dimer meningkat pada kehamilan, persalinan, dan infeksi COVID-19. Penelitian ini dilakukan untuk mengetahui perbedaan kadar D-dimer antara persalinan pervaginam dan C-section pada ibu hamil COVID-19, sehingga mengetahui apakah riwayat persalinan memengaruhi kadar D-dimer. Metode: Penelitian dilakukan di RSUD Dr. Moewardi Surakarta dengan pendekatan cross sectional. Penelitian menggunakan 67 sampel yang tercatat pada rekam medis sejak Maret 2020 hingga Maret 2022. Analisis data menggunakan uji Mann-Whitney pada software SPSS. Hasil: Hasil uji Mann-Whitney pada 26 subjek dengan persalinan pervaginam dan 41 subjek dengan C-section didapatkan P-Value 0,031 (P<0,05) yang menunjukkan terdapat perbedaan kadar D-dimer yang bermakna antara persalinan pervaginam (mean 40,44) dan C-section (mean 29,91). Kesimpulan: Terdapat perbedaan kadar D-dimer antara persalinan pervaginam dan C-section pada ibu hamil COVID-19, kadar D-dimer lebih tinggi pada persalinan pervaginam dibandingkan dengan C-section.

The Effectiveness of Online Learning to Improve Knowledge About Metabolic Syndrome in Pregnancy Sri Sulistyowati; Muhammad Adrianes Bachnas; Eric Edwin Yuliantara; Anggraini, Nutria Widya Purna; Wisnu Prabowo; Supriyadi Hari Respati; Hafi Nurinasari; Robert Ridwan; Lini Astetri; Arib Farras Wahdan; Yonathan Siswo Pratomo; Vidya Ismiaulia
Journal of Maternal and Child Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.02.04

Background: Metabolic syndrome is a persistent global health problem and a risk factor for diabetes and heart disease. A metabolic syndrome that occurs during pregnancy will pose a threat to maternal and fetal health. The incidence of metabolic syndrome during pregnancy, especially in developing countries, will become a serious public health problem in the future. This study aims to assess the effectiveness of online learning in improving the knowledge of online learning participants on metabolic syndrome cases in pregnancy. Subjects and Method: This was a cross-sectional study conducted in July through Zoom online learning on Metabolic Syndrome in Pregnancy attended by 125 participants. The dependent variable was knowledge about metabolic syndrome in pregnancy. The independent variable was online learning. The data obtained from this study were in the form of pretest and post-test scores. The data were analyzed by t-test. Results: The mean score of knowledge about metabolic syndrome in pregnancy after online learning was higher (Mean= 90.8; SD= 14.05) than before (Mean= 60.08; SD= 6.94), and this was statistically significant (p= <0.001). Conclusion: Online learning is effective to improve knowledge about metabolic syndrome in pregnancy among Indonesian Obstetrics and Gynecology Association (POGI) members and young POGI members.

Perbandingan Kadar Hemoglobin dan Hematokrit pada Early Onset dan Late Onset Preeclampsia di RSUD Dr. Moewardi Surakarta Annisa Rizki Savitri; Wisnu Prabowo; Eric Edwin Yuliantara
Plexus Medical Journal Vol. 3 No. 5 (2024): Oktober
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/z7k0fw48

Pendahuluan: Preeklampsia merupakan salah satu penyebab tingginya angka kematian ibu, terutama di negara berkembang. Pemeriksaan hematokrit dan hemoglobin adalah salah satu pemeriksaan yang mudah dilakukan di hampir semua fasilitas kesehatan. Banyak penelitian menunjukkan bahwa early onset preeclampsia (EO-PE) dikaitkan dengan kondisi kehamilan yang lebih buruk dibandingkan late onset preeclampsia (LO-PE). Penelitian ini bertujuan untuk mengetahui perbandingan hematokrit dan hemoglobin pada early onset dan late onset preeclampsia sehingga diharapkan dapat menjadi sarana deteksi dini sederhana dan mudah dilakukan, serta berpotensi untuk dikembangkan. Metode: Penelitian ini merupakan studi cross sectional dengan metode analisis uji T Independen dan regresi logistik. Sampel diambil dari data sekunder berupa rekam medis di RSUD Dr. Moewardi sejak Januari 2021 — Mei 2023. Hasil: Sampel yang memenuhi kriteria didapatkan 50 wanita dengan EO-PE dan 50 wanita dengan LO-PE. Hasil penelitian ini didapatkan nilai rerata hemoglobin pada EO-PE yaitu 12,852g/dL dan pada LO-PE 11,030 g/dL, dengan perbandingan rerata yang signifikan (p-value 0,000). Sedangkan pada hematokrit didapatkan nilai rerata pada EO-PE yaitu 37,138% dan pada LO-PE didapatkan mean 32,148% dan hasil perbandingan reratanya signifikan (p-value 0,000). Perbandingan hubungan hemoglobin dan hematokrit terhadap onset preeklampsia didapatkan hemoglobin (OR 2,003) lebih berhubungan dengan EO-PE dibandingkan hematokrit (OR 1,219). Kesimpulan: Mean hemoglobin serta hematokrit pada early onset preeclampsia lebih tinggi secara signifikan dibandingkan dengan late onset preeclampsia. Hemoglobin lebih berhubungan dengan early onset preeclampsia dibandingkan hematokrit.

Syphilis in Pregnancy: Education to Increase Knowledge in Reproductive Couples Sulistyowati, Sri; Bachnas, Muhammad Adrianes; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Nuur, Aliffudin; Pradana, Muhammad Denny Gagah; Khoeronisa, Siti; Rahmawati, Oktantia Dyah
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.01

Background: Syphilis is believed to be one of the oldest diseases, first discovered in the late 15th century. Indonesian Ministry of Health reported a total of 76,923 new cases in 2020. WHO has set an ambitious target to reduce the incidence by 90% before 2030, in spite of slow global response. This number is lower than the number obtained in 2019, which was 4,169 people. Syphilis can be transmitted through sexual contact, blood transfusion, and vertical mother-to-child transmission (MTCT). It is estimated that the risk of transplacental infection ranges from 20-80%, depending on various factors, such as the stage of infection in the mother. This study aimed to assess the effect of counseling in increasing patient knowledge of syphilis cases in pregnancy. Subjects and Method: This was a quasi experiment conducted at obstetrics and gynecology department in Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia, in June 2025. A sample of 84 pregnant women was selected for this study. The independent variable was counselling. The dependent variable was knowledge about Syphilis in pregnancy. Knowledge was tested before and after counselling. The data were examined using independent t test. Results: The knowledge score of pregnant women about syphilis after the intervention (Mean= 77.14; SD= 13.85) was higher than before (Mean= 56.43; SD= 15.88), and it was statistically significant (p <0.001). Conclusion: The results of this study indicate that this recovery is effective in improving understanding of syphilis cases in pregnancy in obgyn polyclinic patients at Dr. Moewardi Hospital.

Multidisciplinary Approach of Placenta Accreta Spectrum Management to Reduce Blood Loss and Prevent Organ Injury in Referral Center Nugraha, Gagah Baskara Adi; Yuliantara, Eric Edwin
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 3 Jully 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i3.2098

Objective: To investigate the differences in blood loss and organ injury at our PAS referral center over the past six years.Methods: This retrospective analytical study included 150 subjects diagnosed with PAS based on histopathological findings from 2018 to 2023 at the PAS Center of Dr. Moewardi Regional Hospital, Surakarta, Indonesia. Subjects were divided into two groups: before 2020 and after 2021, based on multidisciplinary team appointments.Results: The highest number of Placenta Accreta Spectrum (PAS) cases occurred in 2020, with 36 patients. Hysterectomy was the most frequently performed procedure for managing PAS in all groups. However, differences in blood loss, organ injury, and length of hospital stay between the periods from 2018 to 2020 and 2021 to 2023 were statistically significant (p < 0.05).Conclusion: Multidisciplinary approaches involving various medical specialties and teams are essential to ensure maternal safety and effectively manage massive blood loss and organ damage during PAS surgery procedures.Keywords: Placenta accreta spectrum, Blood loss reduction, Organ injury prevention.

Transfusi Masif dan Tatalaksana Intensif Post Histerektomi pada Plasenta Akreta Trsitiarti, Alfi Marita; Yuliantara, Eric Edwin
Jurnal Biomedika dan Kesehatan Vol 7 No 2 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.145-151

Background Placenta accrete remains a problem in developing countries. The incidence rate has increased over the last 30 years accompanied by the risk of maternal death. Bleeding is still the main cause of death. This rising incidence rate has increased Sectio Caesaria (SC) operations, resulting in greater treatment costs. This is due to its cost management as it requires intensive care and massive use of blood transfusions. This study aims to describe the characteristics, management, and maternal outcomes of placenta accrete spectrum cases. Methods A Cross-sectional study was conducted at Moewardi Hospital Surakarta between January 2016 and December 2021. Sample selection was based on medical records with a suspected diagnosis of PAS. A total of 121 cases of placenta accrete spectrum had been confirmed by anatomical pathology results were analyzed Assessments were carried out on maternal characteristics, risk factors, MAP score, intraoperative management, and postoperative care. Statistical analysis was carried out with a 95% confidence interval (CI), chi-square test, and odds ratio assessment using SPSS edition 23. Results Hysterectomy has more morbidity and maternal complications than conservative management in blood loss, massive transfusion, iatrogenic incident, and a long stay in the Intensive care unit. Conclusions The high rate of morbidity in the management of the placenta accrete spectrum requires comprehensive management to reduce maternal mortality.

Co-Authors Abkar Raden Akbar, Uchti Alamsyah, Meuthia Aldi Firmansyah Aldi Firmansyah Annisa Rizki Savitri Arib Farras Wahdan Asih Anggraeni Astetri, Lini Bachnas, Muhammad Adrianes Bambang Sukilarso Bambang Sukilarso Carissa, Dinda Cut Sheira Elnita Cut Sheira Elnita Debree Septiawan Dewi Setiyawati Dhyani Rahma Sari Dhyani Rahma Sari Donny Irawan Donny Irawan, Donny Dwi Tiara Septiani Dympna Prameilita Dympna Pramelita Eriana Melinawati Fadel Muhammad S. Alim Gagah Baskara Adi Nugraha Gagah Baskara Adi Nugraha Garwita Anindya Restisa Hadi, Cahyono Hafi Nurinasari Hafi Nurinasari Hermawan Udiyanto Hikmah F. Merina Ida Nurwati John Arianto Sondakh, John Arianto Khoeronisa, Siti Kusmadewi Eka Damayanti Kusmadewi Eka Damayanti Lilik Wijayanti Lilik Wijayanti Lini Astetri Meriska Dewi Chasanah Metharisa Sujana Muhammad Adrianes Bachnas Muhammad Adrianes Bachnas Muhammad Iqbal Sugiantoro Mutiara Rizky Ananda Nugraha, Gagah Baskara Adi Nurinasari, Hafi Nutria Widya Purna Anggraini Nuur, Aliffudin Octavia, Dhamayanti Eka Pradana, Muhammad Denny Gagah Prisasanti, Dympna Prameilita Rahmawati, Oktantia Dyah Ridwan, Robert Risang Bhaskoro Robert Ridwan Soetrisno Soetrisno Soetrisno Soetrisno Soetrisno Soetrisno Sri Sulistyowati Sri Sulistyowati Sri Sulistyowati Sri Sulistyowati Sri Sulistyowati Supriyadi Hari Respati Supriyadi Hari Respati Supriyadi Hari Respati Supriyadi Hari Respati Supriyadi Hari Respati Teguh Prakosa, Teguh Totok Siswanto Trsitiarti, Alfi Marita Uki Retno Budihastuti Vidya Ismiaulia WISNU PRABOWO Wisnu Prabowo Wisnu Prabowo Yonathan Siswo Pratomo Yuliani, Saffana Oka

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