Article Per Year (5 Year)
p-Index From 2021 - 2026
19.183
P-Index
This Author published in this journals
All Journal International Journal of Public Health Science (IJPHS) Jurnal Gizi dan Pangan JURNAL PROMOSI KESEHATAN INDONESIA Media Kesehatan Masyarakat Indonesia Jurnal Kedokteran Diponegoro Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Marwah: Jurnal Perempuan, Agama dan Jender Jurnal Kesehatan Andalas The Indonesian Biomedical Journal Sari Pediatri Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) KELUARGA: Jurnal Ilmiah Pendidikan Kesejahteraan Keluarga Jurnal Ilmiah Universitas Batanghari Jambi UNM Geographic Journal Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Gizi Klinik Indonesia JURNAL SERAMBI ILMU Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) International Journal of Supply Chain Management Buletin Ilmiah Nagari Membangun Journal of Midwifery Aptisi Transactions on Technopreneurship (ATT) PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Majalah Kedokteran Andalas Jurnal Bidan Cerdas Contagion: Scientific Periodical Journal of Public Health and Coastal Health Andalas obstetrics and gynecology journal Community Engagement and Emergence Journal (CEEJ) Jurnal Ners Journal of Telenursing (JOTING) Science Midwifery Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Journal of Pharmaceutical and Health Research LIBRIA: Library of UIN Ar-Raniry Jurnal Kependidikan: Jurnal Hasil Penelitian dan Kajian Kepustakaan di Bidang Pendidikan, Pengajaran dan Pembelajaran JOURNAL LA MEDIHEALTICO Jurnal Kesehatan Saintika Meditory Jurnal Pengabdian kepada Masyarakat Jurnal Ekonomi KIAT Bioscientia Medicina : Journal of Biomedicine and Translational Research International Journal of Science and Society (IJSOC) Jurnal Bilqolam Pendidikan Islam Jurnal Pengabdian Inovasi dan Teknologi Kepada Masyarakat Jurnal Ilmu Kesehatan Indonesia (JIKSI) Journal of Innovation Research and Knowledge Berita Kedokteran Masyarakat SWARNA Media Bina Ilmiah International Journal of Medicine and Health JUBIDA-Jurnal Kebidanan Aceh Journal of Community Engagement (AJCE) Indonesian Journal of Advanced Research (IJAR) Lentera JOURNAL OF Mother and Child Health Concerns Proceeding of International Conference on Special Education in South East Asia Region Jurnal Pengabdian Kepada Masyarakat Itekes Bali Jurnal Riset Ilmiah The 1st Alifah Health Science College Symposium Proceeding Al-Marsus : Jurnal Manajemen Pendidikan Islam Proceeding of International Conference on Multidisciplinary Research Seroja Husada: Jurnal Kesehatan Masyarakat Journal of Islamic Finance and Accounting Research Indonesian Journal of Library and Information Science (IJLIS) Indonesian Trust Health Journal Kajian Ilmiah Mahasiswa Administrasi Publik (KIMAP) Jurnal Cakrawala: Media Pendidikan dan Humaniora JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Kesehatan
Yusrawati Yusrawati
Universitas Andalas
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Transportation Veterinary Other

Published : 207 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 207 Documents
Search

 17   18   19   20   21 
Effect of Peer Education on Knowledge and Attitudes Toward Menstrual Hygiene Management Among Boarding School Students Besty Berliana; Defrin Defrin; Adrial Adrial; Yusrawati Yusrawati; Rozi Sastra Purna; Ennesta Asri
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.35-47

Abstract

Background: More than half of adolescents in low- and middle-income countries feel unprepared for menarche due to a lack of menstrual knowledge, which leads to poor menstrual hygiene practices that increase reproductive health risks. This problem worsens in boarding schools, where restrictions like bans on mobile phones, limited contact with parents, and the absence of formal health programs severely limit access to accurate menstrual health information. Peer education leverages adolescents' natural dependence on peers for sensitive issues and is especially vital in environments with limited information, such as boarding schools. This study aimed to evaluate the effectiveness of peer education in enhancing Menstrual Hygiene Management (MHM) knowledge and attitudes among female students in a boarding school and to explore their experiences with this intervention.Method: An explanatory sequential mixed-methods design was employed. The quantitative phase involved a One Group Pre-test Post-test design with 31 purposively selected students to assess changes in knowledge and attitude following the peer education intervention. Five trained peer educators conducted 120-minute sessions using standardized modules. Quantitative data were analyzed using paired t-tests and N-gain scores. The qualitative phase adopted a phenomenological approach with in-depth interviews involving six primary informants (students) and five supporting informants (peer educators) to explore the intervention experiences and the mechanisms behind observed changes. Qualitative data were analyzed thematically with source triangulation to enhance credibility.Result: Mean knowledge scores increased significantly from 30.10 to 72.04 (p<0.001, N-gain=0.612, moderate effectiveness), with the largest improvement in pad disposal knowledge (90.3 percentage points). Mean attitude scores rose from 54.41 to 80.72 (p<0.001, N-gain=0.586, moderate effectiveness). Qualitative findings showed that students gained evidence-based knowledge, corrected menstrual myths, and expressed readiness to adopt proper hygiene practices. However, deeply rooted cultural beliefs remained resistant after a single session. The findings confirmed that knowledge improvements do not automatically lead to uniform behavioral change. Boarding schools should implement multiple-session peer education programs with spaced repetition, invest in peer educator training, establish student-led health clubs, and incorporate a formal MHM curriculum before menarche. 
Factors Associated with Pregnancy Hypertension Risk Sinambela, Megawati; Hardisman, Hardisman; Yusrawati, Yusrawati; Bachtiar, Adang; Masrul, Masrul; Mudjiran, Mudjiran; Malini, Hema; Defrin, Defrin
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.938

Abstract

Background: Hypertension in pregnancy needs to beware out because it can progress to more severe conditions, namely preeclampsia and eclampsia, thereby endangering the mother and the unborn baby. Risk factors in Hypertension in pregnancy are as age, education, occupation, parity, gestational age, economic factors, personal and family history of hypertension, obesity and activity/exercise.Objective: This study aims to determine the risk factors for Hypertension in pregnancy in Deli Serdang Regency, North Sumatra.Method: This study method used analytic observational with a cross sectional design. The study subjects were pregnant women at Public Health Center of Deli Serdang Regency who were considered the inclusion criteria and were selected as study subjects. The sampling technique by means of random sampling amounted to 164. Univariate analysis used to get an overview of the frequency distribution and percentage of the variables to be studied. Bivariate analysis used to determine the relationship between the independent variable and the dependent variable. The statistical test was Chi-Square with CI 95%.  If p < 0.05. Multivariate analysis with logistic regression statistical tests to determine the influence of the independent variables on the dependent variable. Independent variables with p value <0.25 were included in the multiple logistic regression test model and selected using the enter method. The strength of the influence of the independent variable on the dependent variable is the Exp value (ß).Result: The results of the study proved the results of Multivariate analysis, can be synthesized that the risk factors for pregnancy hypertension were influenced by factors: education (p=0.045), parity (p=0.047), gestational age (0p=0.040), personal history of hypertension (p=0.013), history family (p=0.049), and obesity (p=0.016). While the factors of age, occupation, economy and activity/exercise have no effect on risk factors for hypertension in pregnancy. Based on Exp value (B), the most influential factor was personal history of hypertension (p=0.013). This is indicated by the Exp value (B) = 2.710 which is in the interval 1.234 – 5.953, followed by obesity (p=0.016) with the Exp value (= 2.612) which is in the interval 1.192 – 5.725.
Stunting Prevention in the Preconception Period Wizia, Lady; Yusrawati, Yusrawati; Meinapuri, Malinda; masrul, masrul; Yetti, Husna; Afdal, Afdal
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v15i2.1149

Abstract

Background: The stunting rate in Indonesia in 2022 was 21.6%. I was reduced when compared to the SSGI data in 2021 of 24.4%. The stunting rate appears to be decreasing from year to year, but a joint commitment is still needed to achieve the target of reducing stunting to 14% by 2024. Stunting prevention is a much more effective step than stunting treatment itself. Prevention of stunting can be done by optimizing the role of mothers in the golden phase of child development. stunting prevention in Indonesia still focuses on pregnancy and toddlers, while prevention during the preconception period is still limited.Purpose:To synthesize and critically effective steps that can be taken to prevent stunting in the preconception periodMethods:The research method employed was a literature review, conducted by using primary studies from PubMed, google scholar, and ScienceDirect with the keywords “stunting; prevention; praconception” published between 2017-2023, in English, open access, and relevant to the topicResults:A total of 397 research articles were screened for eligibility, and 15 articles met the inclusion criteria. Based on the 15reviewed articles, devide into three themes: Nutritional status during preconception, Supplementation during preconception and Lifestyle during preconceptionConclusion: This review found that there are several efforts made in preventing stunting in the preconception period. it is recommended that health workers can optimize the prevention of stunting in the preconception period.
Association between sugary beverage and unhealthy food consumption and stunting among children under five Maharani Permata Sari; Yusrawati Yusrawati; Afdal Afdal; Desmawati Desmawati; Arni Amir; Finny Fitry Yani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 11 (2026): February Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i11.2429

Abstract

Background: Stunting is a condition of growth failure in children under five caused by chronic malnutrition, resulting in children being too short for their age. Malnutrition occurs during the first one thousand (1000) days of life, starting from conception until the child reaches two years of age; however, the condition of stunting becomes visible after the child was two years old. The risk factors contributing to stunting are consumption of sweetendebeverage and unhealthy foods, such as snacks high in sugar, salt, and fat, as well as sweetened and carbonated drinks that are low in nutrients. Such dietary patterns can lead to an imbalance in the intake of macro- and micronutrients that play an important role in a child’s growth. Purpose: To analyze the relationship between the consumption of unhealthy foods and beverages and the incidence of stunting. Method: This study was an analytic observational with a retrospective case control design. The sample in this study were mothers who had toddlers aged 24-48 months with case and control groups. The total sample in this study was 138 with an unpaired categorical comparative formula. The sampling method in the case group was directly carried out by consecutive sampling, while in the control group it was carried out by proportional sampling first and then taken by consecutive sampling. Results: The results of this study show that there were no relationship between the consumption of sweetened beverage (p = 0.232) and the consumption of unhealthy foods (p = 0.086) with the incidence of stunting in the working area of Pagambiran Public Health Center, Padang City (p-value < 0.05). Conslusion: The conclusion of this study are that there are no relationship between the consumption of sweetened beverage consumption and the incidence of stunting in the working area of Pagambiran Public Health Center, as well as no relationship between the consumption of unhealthy foods and the incidence of stunting in the same area
Analysis of Determinants of Maternal Mortality due to Obstetric Complications at Dr. M. Djamil Padang Hospital in 2017 - 2020 Farah Tri Ulfa; Yusrawati Yusrawati; Dedy Kurnia
International Journal of Medicine and Health Vol. 3 No. 3 (2024): September : International Journal of Medicine and Health (IJMH)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i3.3828

Abstract

Maternal mortality is one of the unresolved health problems in the world. Obstetric complications directly in maternal mortality (pregnancy complications, childbirth, and the puerperium). This study aims to analyze the relationship between the determinants of maternal mortality due to obstetric complications. This type of research is an observational analytic study with a case-control design. In this study, there were 48 case samples and 144 control samples with a ratio of 1:3. The data obtained in the form of patient medical record data. Data analysised by univariate, bivariate and multivariate. The results showed that the most common cause of maternal death was preeclampsia/eclampsia. Risk factors that have a significant relationship with maternal mortality due to obstetric complications are anemia status (OR: 2.111; CI: 1.053-4.233; p: 0.035), history of maternal disease (OR: 2.514; CI: 1.260-5.015; p: 0.009) and HR (OR: 2.121; CI: 1.062-4.237; p: 0,033). In the multivariate results, the dominant risk factor was a history of maternal disease followed by anemia status and HR. The tendency of mothers who have a history of disease will increase the risk of maternal death compared to mothers who do not have a history of the disease.
Correlation Between Maternal TNF-α Levels and Neonatal Outcomes in Obese Pregnant Women with Term Pregnancy Azzahra Azzahra; Yusrawati Yusrawati; Husnil Kadri; Aladin Aladin; Almurdi Almurdi
Molecular and Cellular Biomedical Sciences Vol 10, No 2 (2026)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v10i2.766

Abstract

Background: Maternal obesity causes chronic low-grade inflammation with elevated TNF-α, potentially disrupting the intrauterine environment and fetal development. Previous studies have primarily focused on preterm inflammation or cytokine levels earlier in pregnancy. However, data on the relationship between maternal TNF-α levels at term pregnancy and immediate neonatal outcomes in obese women remains limited, especially in the Indonesian population. This study evaluates their correlation in term obese pregnancies.Materials and methods: Maternal serum TNF-α levels were assessed in obese pregnant women with gestational age ≥37 weeks. Blood samples were collected during the third trimester of pregnancy and analyzed using ELISA. Neonatal outcome data were extracted from medical records and evaluated within the first 24 hours of life. Pearson correlation was applied to parametric variables, including maternal TNF-α levels and birth length, while Spearman correlation was used for non-parametric neonatal outcome variables. This cross-sectional study analyzed secondary data from a parent cohort.Results: Maternal TNF-α levels were not significantly associated with neonatal outcomes (all p>0.05). Pearson correlation analysis showed a weak association with birth length (r = 0.214). In contrast, Spearman correlation analyses demonstrated weak or negligible associations with birth weight (ρ = 0.227), head circumference (ρ = 0.043), APGAR score at 1 minute (ρ = −0.100), and at 5 minutes (ρ = −0.014).Conclusion: Maternal TNF-α levels were not significantly associated with neonatal outcomes among obese women with term pregnancies. Assessment of inflammatory status limited to the late third trimester may be inadequate to fully evaluate this relationship, indicating the need for future studies with inflammatory measurements initiated earlier in pregnancy. Keywords: TNF-α, maternal obesity, neonatal outcomes, APGAR score, term pregnancy
PENGARUH SISTEM PENGENDALIAN INTERNAL, KETAATAN ATURAN AKUNTANSI, MORALITAS INDIVIDU DAN ASIMETRI INFORMASI TERHADAP KECURANGAN AKUNTANSI Aulia, Sarah; Yusrawati
Jurnal Ekonomi KIAT Vol. 35 No. 2 (2024): Desember
Publisher : UIR Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25299/kiat.2024.vol35(2).21032

Abstract

Penelitian ini bertujuan untuk menganalisis pengaruh dari Sistem Pengendalian Internal, Ketaatan Aturan Akuntansi, Moralitas Individu Dan Asimetri Informasi Terhadap Kecurangan Akuntansi pada OPD Pemerintah Kota Pekanbaru. Jenis penelitian yang dilakukan adalah kuantitatif. Pengumpulan data dilakukan dengan menyebarkan sebanyak 129 Kuesioner, yang diisi dan dikembalikan 129 pada 43 OPD di Pemerintah Kota Pekanbaru. Data yang diperoleh kemudian dianalisis menggunakan teknik analisis data yang terdiri dari analisis regresi linear berganda, uji statistic deskriptif, uji koefisien determinasi, uji asumsi klasik dan uji t. Hasil dari penelitian ini menunjukkan bahwa secara simultan, Sistem Pengendalian Internal.
Analisis Perbedaan Kadar Kolesterol Total dan LDL pada Perempuan Obesitas Premenopause dan Pascamenopause Yesi Anggriani; Yusrawati Yusrawati; Arni Amir
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59895

Abstract

Abstrak Obesitas merupakan faktor risiko utama gangguan metabolisme lipid dan penyakit kardiovaskular. Pada perempuan, perubahan hormonal yang terjadi selama transisi menopause, terutama penurunan kadar estrogen, dapat memengaruhi metabolisme lipid dan meningkatkan risiko dislipidemia. Kondisi ini diduga menyebabkan perbedaan kadar kolesterol total dan low-density lipoprotein (LDL) antara perempuan obesitas premenopause dan pascamenopause. Penelitian ini menggunakan desain cross-sectional komparatif yang dilakukan di wilayah kerja Puskesmas Koto Panjang Ikua Koto. Sebanyak 80 perempuan obesitas yang terdiri atas 40 premenopause dan 40 pascamenopause diikutsertakan dalam penelitian. Pemeriksaan kadar lipid dilakukan di Laboratorium Biokimia Fakultas Kedokteran Universitas Andalas menggunakan metode enzimatik kolorimetri (GPO-PAP). Analisis statistik meliputi uji normalitas Shapiro–Wilk dan uji t independen dengan tingkat kemaknaan p < 0,05 Hasil analisis menunjukkan bahwa rerata kadar kolesterol total pada kelompok perempuan obesitas pascamenopause sebesar 235,76 ± 28,78 mg/dL, lebih tinggi dibandingkan kelompok premenopause yang memiliki rerata 204,94 ± 46,99 mg/dL. Perbedaan tersebut bermakna secara statistik (p = 0,001). Rerata kadar LDL pada kelompok pascamenopause juga lebih tinggi, yaitu 131,61 ± 43,20 mg/dL, dibandingkan kelompok premenopause sebesar 107,35 ± 25,37 mg/dL, dengan perbedaan yang signifikan secara statistik (p = 0,003). Analisis statistik menunjukkan bahwa terdapat perbedaan signifikan pada kadar kolesterol total dan LDL antara kelompok perempuan obesitas pascamenopause dan premenopause Kata Kunci: Obesitas, Premenopause dan Pascamenopause, Kolesterol Toral dan LDL
Edukasi Interaktif untuk Meningkatkan Pengetahuan Ibu Hamil tentang Komplikasi Kehamilan dan Pencegahan Stunting di Puskesmas Pauh Padang: Improving Pregnant Women’s Knowledge of Pregnancy Complications and Stunting Prevention through Interactive Education at Pauh Primary Health Center, Padang Yusrawati Yusrawati; Bobby Indra Utama; Vaulinne Basyir; Dovy Djanas; Rina Gustuti; Defrin; Nelvianti Nelson; Syamel Muhammad; Puja Agung Antonius; Sukri Rahman; Mela Aryati; Ardiles; Danil Armand; Zeino Fridsto; Subhan Arif Rahman; Aswin Boy Pratama; Dian Noviyanti; Edward Hariyadi; Irfan Kurnia; Rena Afri Ningsih; Rezi Liawati; Yesi Anggriani; Sakina Munira; Sara Uzlifah
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 9 No. 1 (2026)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v9i1.841

Abstract

Maternal mortality and stunting remain major public health challenges in Indonesia, largely due to limited early detection of pregnancy complications and low maternal health literacy during the First 1000 Days of Life. Strengthening maternal knowledge through structured education is essential to improve pregnancy outcomes. This community service program aimed to enhance pregnant women’s knowledge of pregnancy danger signs, completion of six antenatal care (ANC) visits, anemia prevention, balanced nutrition, and early stunting prevention. A community-based participatory approach using a service-learning model was implemented among 39 pregnant women at Pauh Primary Health Center, Padang. Educational activities were conducted through interactive lectures, group discussions, and question-and-answer sessions. Knowledge was assessed using pre-test and post-test instruments and analyzed with a paired t-test. The results showed a significant increase in mean knowledge scores from 77.98 ± 16.26 to 86.60 ± 11.18 (p = 0.0002). The proportion of participants with “good” knowledge increased from 66.6% to 76.6%, while those with “poor” knowledge decreased substantially. These findings indicate that interactive and structured maternal health education effectively improves understanding of pregnancy complications and stunting prevention. Continuous implementation through routine maternal classes and stronger family involvement is recommended to sustain behavioral changes and improve maternal and child health outcomes.
When Bleeding Stops but Organs Fail: Fatal Multiple Organ Dysfunction Syndrome Following Massive Atonic Postpartum Haemorrhage in a Young Primipara — A Case Report Rina Gustuti; Arianti Arifin; Yusrawati
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 9 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i9.1648

Abstract

Background: Postpartum haemorrhage from uterine atony can precipitate profound haemorrhagic shock within minutes, and in resource-constrained referral systems the interval between the onset of bleeding and definitive source control is frequently the decisive determinant of survival. Case presentation: We describe a 28-year-old primipara referred four hours after a vacuum-assisted vaginal delivery of twins complicated by severe pre-eclampsia. On arrival she was stuporous, hypotensive (70/68 mmHg), tachycardic (142 beats/min) and oliguric, with active vaginal bleeding and a haemoglobin of 2.4 g/dL. Resuscitation and haemorrhage control proceeded in parallel: high-flow oxygen, dual large-bore access, crystalloid and colloid loading, tranexamic acid, balanced blood-component transfusion, bimanual compression, intubation and emergency laparotomy. A flaccid, bluish, atonic uterus and a fourth-degree perineal tear were identified; subtotal hysterectomy with sphincteroplasty and perineorrhaphy achieved haemostasis. Despite massive transfusion and intensive care, prolonged hypoperfusion evolved into ischaemic hepatitis, severe coagulopathy, stage III acute kidney injury requiring haemodialysis, hospital-acquired pneumonia with drug-resistant sepsis, acute pulmonary oedema and upper gastrointestinal bleeding. Progressive multiple organ dysfunction syndrome culminated in asystolic cardiac arrest on postoperative day 15. Conclusion: This case illustrates a principle easily overlooked: definitive surgical haemostasis does not reverse organ injury already committed during the pre-operative shock interval. Objective cumulative blood-loss measurement, immediate haemorrhage-bundle and massive-transfusion protocol activation, explicitly documented uterotonic therapy, rapid balanced resuscitation and structured post-haemostasis organ surveillance are the interventions most likely to interrupt the lethal trajectory.
Co-Authors Adang Bachtiar Adang Bachtiar Ade Helmi Adela Resa Putri Adora, Hadikagusti Adrial Adrial Afdal Afdal Afdal Afdal Afdal, Afdal Afdal, Afdal Afriwardi Afriwardi Agustin, Hamdi Aida Fitriani, Aida Aisah Djumadisstsaniah Akbar Shiddiq Aladin Aladin Alfina, Nabila Almurdi Almurdi Alvin, Alfannya Amani, Risca Amel Yanis Amilia, Fenni Amir, Arni Ananda, Yovan Allif Andi Friadi Andini, Nurul Andio Rahman Anggun Hatika Riska Annisa Defani Annisa Defani Annisa Namirah Nasution Annisa Namirah Nasution Annissa Qatrunnada Antonius, Puja Agung Ardiles Ariadi Ariadi Ariadi Ariadi Ariadi, Ariadi Arianti Arifin Ariescha, Putri Ayu Yessy Arif Sabta Aji Arni Amir Arni Amir Ashal, Taufik Asnah, Megaiswari Biran Aswin Boy Pratama Aulia Echi Ramadhani Aulia Echi Ramadhani Aulia, Sarah Ayu Anissa Bahri Azhar, Al- Azwarni, Azwarni Azzahra Azzahra Bangun T. Purwaka, Bangun T. Basyir, Vaulinne Berliani, Hasvia Besty Berliana Bobby I. Utama Bobby Indra Utama Bustamam, Nawarti Chepi Ali Firman Zakaria Damar Prasmusinto Danil Armand Darmawati Darmawati Darmayanti Siregar Daulat Azhari Dedy Kurnia Defrin Defrin Defrin Defrin, Defrin Delmi Sulastri Dennis Haruna Desmawati Desmawati Desmawati Desriati Sinaga Dewi Susanti Dewi Susanti Dewi, Fitriana Dia Rofinda, Zelly Dia Dian Isti Angraini Dian Isti Angraini Dian Noviyanti Dini F. Omari Dira Desfi Rahmayani Dona Mirsa Putri Dona Mirsa Putri Dona Mirsa Putri, Dona Mirsa Dovy Djanas Dwiana Ocviyanti Dwita , Beauty Deannisa Yondra Dyka Aidina Edward Hariyadi Efrida Efrida Eka Kurniawan Elfira Yusri Elmatris Sy Emeraldy Chatra Emi Safrina Emilzon Taslim Emilzon Taslim Ennesta Asri Eny Yantri Eny Yantri Erda Mutiara Halida Erkadius Erkadius Erry Gumilar Erwani, Erwani Eryati Darwin Eti Yerizel Eva Chundrayetti Eva Decroli Evi Hasnita Fadila, Tara Fadli, Irfan Fadri, Rince Alfia Fajria Khalida Farah Mutiara Farah Tri Ulfa Feby Andammori Feni Andriani Feni Andriani Feny Wartisa Fika Tri Anggraini Finny Fitry Yani Firdawati Firdawati Fitrayeni Fitrayeni Fitri Khoiriyah Fitri Khoiriyah Fitri Khoiriyah Fitriana dewi Fitriani agustina Fonny Kurnia Putri Fonny Kurnia Putri Gistin Husnul Khatimah Gustina Lubis Gustina Lubis Hadi Susiarno Hadikagusti Adora Hadyan Imal Fathoni Hafni Bachtiar Hafni Hafni Halida Halida halifah, elka Halim, Fauziatul Halimahtussakdiah, Halimahtussakdiah Hamidah, Waldatul Hardisman Hastuti, Irena Puspi Hauda El Rasyid Hayati, Mawar Helen Evelina Siringoringo Helmizar Helti Lestari Sitinjak Hema Malini, Hema Herman Kristanto Hirowati Ali Hirowati Ali, Hirowati Hudila Rifa Karmia Hudila Rifa Karmila Hudila Rifa Karmila Hudila Rifa Karmila Hudilla Rifa Karmia Hudilla Rifa Karmia Hudilla Rifa Karmia Humaira, Noni Husna Yetti Husnil Kadri Idwar, Idwar Iffah, Uliy Ilhami Fadhila Ilvira Ulpa Ismail Ilvira Ulpa Ismail Imelda Yunitra Indah Fitriani Indah Lisfi Indah Ridhoila Indradewa, Rhian Indri Juliyarsi Insani, Aldina Ayunda Intan Julianingsih Irfan Kurnia Iria Ningsih Busri Iria Ningsih Busri Irza Wahi Izmi Fadhillah Nasution Izmi Fadhillah Nasution Jamsari Jamsari Januar, Januar Johanes C Mose Johanes C. Mose Johanes C. Mose Joserizal Serudji Juan Habli Soufal Junaidi Junaidi Juneke J. Kaeng Karmia, Hudila Rifa Karmia, Hudilla Rifa Karmila, Hudila Rifa Kartika, Yudha M Khairul Hasni Khatimah, Gistin Husnul Laila Isrona Laila Rahmi Lailaturrahmi Lailaturrahmi Lili Irawati Lisma Evareny Lita Nafratilova Lova, Oke Adinda Lukman Hakim Lusiana El Sinta Bustami Lydia Aswati, Lydia Made K. Karkata, Made K. Maharani Permata Sari Maharani, Cut Rika Mahata, Liganda Endo Maihani, Syarifah Maisuri T. Chalid, Maisuri T. Makmur Sitepu, Makmur Malinda Meinapuri Mardiana, Rosa Mardoni Efrijon Maryam Syifaurrahmah Masrul Djalal Masrul Masrul Masyudi Masyudi Masyudi Masyudi Mauyah, Nizan Mawar Hayati Mayetti Mayetti Mayuliani Mayuliani Mayuliani, Mayuliani Megawati Sinambela Meilinda Agus, Meilinda Meilinda, Agus Mela Aryati Melda Amalia Meldafia Idaman Miranie Safaringga Mone, Ansyari Mudjiran Mudjiran Mudjiran Mudjiran Muhammad Alhardi Nurdin Muhammad Brahmana Putra Muhammad Iqbal Muhammad Iqbal Muhammad Johar Nafis Muhardi Muhardi Muhardi Muhardi Mukhlis Mukhlis Mukhlis Mukhlisa, Ida Muliari Muliari Munasiroh, Hidayatul Muranda, Annisa Restu Musrizal Musrizal, Musrizal Nadya Khaira Nurdi Nadya Khaira Nurdi Nafis, Muhammad Johar Nanan Sekarwana Nanda Tri Wahdini Nasution, Annio Indah Lestari Nega Olavia Nelmi Silvia Nelvianti Nelson Nelvianti Nelson Netti Meilani Simanjuntak Nina Cahyanti Ningsih, Rena Afri Ningsih, Widiya Nita Afriani Nofalia, Pina Nora Hayani Noroyono Wibowo Nova Nova Novita, Lenny Novy Ratnasari Sinulingga Novy Ratnasari Sinulingga Novysa Basri Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nur, T.M. Nurhastuti, Nurhastuti Nurhayati Nurhayati Nuri Hayati, Nuri Nurrizma, Delsy Nurul Fitriyah Nurulia Muthi Karima Nurwijayanti Nuswil Bernolian Nuzulia Irawati Ocktifiana, Melian Ori John Permatasari, Ressy Puja Agung Antonius Putri Mentari Faisal PUTRI WULANDARI Putri Zelfitri Zen Putri, Mira Eka Putri, Ratih Elsa Rafika Oktova Rahma Afifah Rahmahtrisilvia Rahmahtrisilvia Rahman, Andio Rahmat Syawqi Rahmatina B Herman Rahmi Andrita Yuda Rahmi, Ulva Ramya Sausan Rani Ashari Rani Ashari Rani Ashari Rasyid, Hauda El Ratna Lestari Habibah Rauza Sukma Rauza Sukma Rita Rena Afri Ningsih Rena Afri Ningsih Rena Afri Ningsih Reno Muhatiah Reno Muhatiah Ressy Permatasari Reyhan Julio Azwan Reyhan Julio Azwan Reyhan Julio azwan Reyhan Julio Azwan Reyhan Julio Azwan Rezi Liawati Rezi Liawati Ria, Desyan Riendra, Muhammad Rika Effendy Rima Irwinda Rimbun Wahyu Gumilar Rina Gustuti Rina Oktaviana Rina Rina Rina Rina Rinal Effendi Rinang Mariko, Rinang Rionitara W ikarya Riri Karnain Ririn Ririn Riska Riska Rizanda Machmud Rizka Fadhillah Yusra Rizka Fadhillah Yusra Rizki Meizikri Rizkia, Mira Rozi Sastra Purna Ryskina Fatimah Siregar Safarina G Malik Safrina, Emi Sakina Munira Sakina Munira Salma Afriliza Salma Afriliza Saputra, Rudy Juli Sara Uzlifah Sari Surahmi Satrio B. Purnomo Satya W. Yenny Selfi Renita Rusjdi Septiani, Nanda Shylvia Helmanda Simanjuntak, Netti Meilani Sinaga, Desriati Sinambela, Megawati Siska Anggraini Siska Siska Sonny Muhammad Ikhsan Mangkuwinata Soufal, Juan Habli Sri Wahyuni Subhan Arif Rahman SUBKI Suci Padma Risanti Suci Padma Risanti Suhaeb, Firdaus W Sukri Rahman Sundari, Eva Suryani, Susie Syamel Muhammad Syandrez Prima Putra Tara Fadhillah Tara Fadila Tatik Mariyanti, Tatik Taufik, Said Tia Reza Titik Respati Titin Sumarni Tiyan Febriyani Lestari Tsaputra, Antoni Ulfa Farah Lisa Ulvi Mariati Ulvi Mariati Valdi, Fitra Vauline Basyir Vaulinne Basyir Vaulinne Basyir Wahdini, Nanda Tri Wijaya, Caesar Muhammad Wildayani, Desi Wilfa Muslimah Sihaloho Win Konadi Wiwie Putri Adila Wiwie Putri Adila Wizia, Lady Yantri Maputra Yaumil Fuziah Yaumil Fuziah Yenita . Yesi Anggriani Yesi Anggriani Yessi Pertiwi Yessi Pertiwi Yolanda Pratami Yolanda Syahdia Yolanda Syahdia Yudha M Kartika Yulia Fauziah Amizuar Yulika, Marzatia Yulistini Yulizawati . Yulizawati, Yulizawati Yuniar Lestari Yusmalia Hidayati Yusmalia Hidayati Yusra, Ainil Yusra, Rizka Fadhillah Yustini Alioes Z, Martias Zakaria Yahya Zaki, Sayed Ahmad Zeino Fridsto Zen, Putri Zelfitri Zen, Putri Zelfitri Zulkarnain Edward Zulkarnaini Zulkarnaini