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All Journal BAHASA DAN SASTRA Jurnal Pendidikan Teknologi dan Kejuruan JTEV (Jurnal Teknik Elektro dan Vokasional Medula Jurnal Diskursus Islam AGRIVITA, Journal of Agricultural Science Englisia Journal Jurnal Pendidikan Biologi Indonesia JPS Unimus Jurnal Al-Ijtimaiyyah Jurnal Tadris Kimiya Lantanida Journal Jurnal Ilmiah Peuradeun SYAMIL: Jurnal Pendidikan Agama Islam (Journal of Islamic Education) Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) JURNAL EDUCATION AND DEVELOPMENT JURNAL PENDIDIKAN TAMBUSAI Sunan Kalijaga: International Journal of Islamic Civilization Turast: Jurnal Penelitian dan Pengabdian Jurnal Teknologi Informasi dan Pendidikan Jurnal Pemberdayaan Masyarakat Universitas Al Azhar Indonesia Jurnal Pengabdian Masyarakat Borneo Jurnal Sosial Humaniora Sigli Jurnal Pendidikan Teknologi Informasi dan Vokasional Community Development Journal: Jurnal Pengabdian Masyarakat Kreatif: Jurnal Pemikiran Pendidikan Agama Islam Jurnal Kependidikan: Jurnal Hasil Penelitian dan Kajian Kepustakaan di Bidang Pendidikan, Pengajaran dan Pembelajaran Instal : Jurnal Komputer Jurnal Teknisi Andalasian International Journal of Applied Science, Engineering, and Technology Borneo Journal of Biology Education (BJBE) International Journal of Islamic Education, Research and Multiculturalism (IJIERM) Malikussaleh Social and Political Reviews TECHSI - Jurnal Teknik Informatika Sisfo: Jurnal Ilmiah Sistem Informasi Jurnal Ilmiah Pendidikan Dasar (JIPDAS) Jurnal ADAM : Jurnal Pengabdian Masyarakat SYAMIL: JURNAL PENDIDIKAN AGAMA ISLAM (JOURNAL OF ISLAMIC EDUCATION) Technologica Jurnal Pemberdayaan Masyarakat Jurnal Studi Ilmu Politik Jurnal Komunikasi Pemberdayaan Chimica Didactica Acta : Journal of Chemistry and Chemistry Education Journal of Entrepreneur, Business and Management International Journal of Islamic Studies Higher Education Jurnal Malikussaleh Mengabdi Jurnal Solusi Masyarakat Dikara Jurnal Akuntansi Hukum dan Edukasi ALSYSTECH Journal of Education Technology Multidisciplinary Indonesian Center Journal Jurnal Sosiologi USK (Media Pemikiran & Aplikasi) Samara: Journal of Islamic Law and Family Studies
Zulfadli Zulfadli
Faculty of Medicine University ofSriwijayaj Dr. Mohammad Hoesin Hospital Palembang
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Wanita Usia 32 Tahun, Hamil 34 Minggu dengan Plasenta Previa Totalis dan Janin Letak Lintang Ilham, Arifin; Zulfadli, Zulfadli
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1201

Abstract

Complaints of vaginal bleeding since 5 hours before admission to hospital. In this case, a physical examination and supporting examination in the form of ultrasonography were carried out so that it could be concluded that the cause of vaginal bleeding was placenta previa totalis with a single live fetus in the latitude. Placenta previa is a placenta that implants in the lower segment of the uterus so that it covers all or part of the internal uterine ostium. The frequency of antepartum bleeding is around 3% to 4% of all deliveries. The incidence of placenta previa varies between 0.3-0.5% of all births. Placenta previa is the most common cause of all cases of antepartum hemorrhage. This study is a case report of a pregnant woman, 32 years old, G2P1A0 34 weeks, who came with complaints of vaginal bleeding without pain and abnormalities in the position of the fetus. During the obstetric physical examination, it was found that the results of the inspection showed vaginal bleeding, the results of the palpation showed that the fetus was in a horizontal position, the results of the inspection showed that there was flux coming out of the external uterine ostium. Supporting examinations revealed an Hb level of 8.2 g/dl. Therefore, the patient was diagnosed with placenta previa totalis and the fetus was transversely located. The management of this patient was expected to be discharged in good condition and scheduled for a cesarean section cesarean.
Preeklampsia Berat dan Infeksi HIV pada Primigravida Usia Kehamilan 37 Minggu: Sebuah Laporan Kasus Daraz, Fadila Gustiani; Zulfadli, Zulfadli
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1197

Abstract

The three main causes of maternal death in obstetric fields are: bleeding, hypertension in pregnancy, and infection. Severe preeclampsia is hypertension that appears at 20 weeks of pregnancy with accompanying organ disorders. HIV infection during pregnancy can cause vertical transmission from mother to child both during pregnancy and during labor. This case report discusses a primigravida woman in 37 weeks' gestation, with the chief complaints of about to give birth with HIV positive, there is no history of hypertension before pregnancy. Patient's physical examination showed fully conscious, blood pressure 161/112 mmHg, pulse frequency 112 x/minute, breathing frequency 20 x/minute, temperature 36.5ºC. Generalized status is obtained within normal limits. On obstetric examination, TFU is 39 cm, the uterus contracts with a frequency of 3 times in 10 minutes and a duration of 30 seconds, fetal heart rate 131 x/minute and 135 x/minute. Ultrasound examination is obtained by a double fetus. Patients undergo blood tests and obtained hemoglobin value 11.7 gr/dl, leukocytes 6,800/μl, hematocrit 33%, platelets 285,000/μl, AST 18 U/L, ALT 7 U/L, Ureum 18 mg/dl, creatinine 0 , 68 mg/DL and LDH 326 U/L. On urinalysis 150 protein (++). On immunological and serological examinations, HIV positive results were obtained. Management for this patient is observation of vital signs, uterine contractions, fetal heart rate, 1-3 hours stabilization, catheter installation permits with input/output recording. Medications were given to the patient including RL 20 drops/minute, 4 grams MgSO4 40% then drip 6 gram MgSO4 40% in RL 500 cc 10 drops/minutes, nifedipine orally 3x10mg, and injection of dexamethasone 10mg/12 hours, ARV medicine and performed termination of pregnancy by caesaria section. Childbirth through caesaria section surgery is at a less risk for transmission to infants, but adds other risks to the mother. Good, intraoperative, and postoperative preoperative management will make this caesaria section successful without obstacles.
Ketuban Pecah Dini pada Primigravida Usia Kehamilan 37 Minggu: Sebuah Laporan Kasus Ikram, Lucky; Zulfadli, Zulfadli
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1198

Abstract

Premature rupture of membranes (PROM) is the rupture of the amniotic membranes before delivery which is characterized by painless discharge and the patient being unable to hold it in. Preterm premature rupture of membranes can occur at or after 37 weeks of gestation and is called term PROM or prelabor rupture of membranes (PROM) and before 37 weeks of gestation or preterm PROM or preterm prelabor rupture of membranes (PPROM) PROM affects 3–15% of all pregnancies. global. PROM is associated with causes of perinatal mortality and morbidity with percentages of 18%–20% and 21.4% respectively. This study is a case report. A 24 year old female patient complained of a full term pregnancy accompanied by watery discharge. The patient complained that water was coming out, the patient realized that his trousers were suddenly wet, and suddenly this complaint was felt since 7 o'clock before administred. According to the patient's statement, the air is clear and has no smell. On physical examination, the level of consciousness was compos mentis, blood pressure 113/83 mmHg, pulse 80x/m, RR 20x/m, temperature 36.5oC, SpO2 98%. On obstetric examination, the height of the uterine fundus was 34 cm, the second part of the fetus was the buttock impression. It is located along the right back. The lowest part of the fetus's head. Convergent with the impression that the head has not yet entered the PAP. Decreased 5/5 The uterus contracts regularly, 3 times in 10 minutes, duration 30 – 40 seconds. Fetal DJJ was 141x/m and EFW was 3410. And an internal examination was carried out, on inspection a Pooling sign was obtained (+) and a nitrazine test was carried out with positive results. The patient was diagnosed as G1P0A0, 37 weeks pregnant in the 1st stage of late stage pregnancy with a history of PROM, a single live fetus in cephalic presentation. The patient's treatment consisted of giving broad spectrum antibiotics as prophylaxis and planned vaginal delivery. The treatment given was appropriate.
Gagal Jatung Kongestif Pada Primigravida Hamil 31 Minggu Dengan Penyakit Jantung Bawaan: Sebuah Laporan Kasus Nurmayeni; Zulfadli, Zulfadli
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1203

Abstract

Congenital Heart Disease (CHD) is a congenital heart disease where this disease has been present since a person was born. In pregnancy there are significant physiological changes in the cardiovascular system. These hemodynamic changes pose problems for mothers with congenital heart disease. This study is a case report. Data was obtained from a 31 year old woman who came with complaints of preterm pregnancy with complaints of severe shortness of breath since 2 weeks before entering the hospital with CHD. On physical examination, it was found that the general condition was seriously ill, compost mentis, blood pressure 107/84 mmHg, pulse 130x/minute, respiration 39x/minute, temperature 36.6°C, SpO2 70% NRM 15 lpm. On chest examination, a continuous murmur and wet rhonchi were found. Hematological examination showed an increase in ESR, urea, creatinine, SGOT and SGPT. Chest X-ray showed suspicion of pulmonary edema, bronchopneumonia and cardiomegaly. The results of the echocardiography examination showed PDA balanced shunt, PH, Severe TR, Moderate PR, Mild MR, RV mass 0.5 x 0.9 cm susp Infective Endocarditis. The patient was diagnosed with G1P0A0 26 weeks pregnant, not yet in labor with Dyspenu ec CHF with Congenital Heart Disease (PDA), Intrauterine JTH. Management of this patient is observation of general condition and vital signs, IVFD RL 500 cc 20 tpm, injection of furosemide 2 ampoules, ISDN 3 x 5 mg. Then transferred to the intensive care unit (ICU) and then terminated the pregnancy abdominally. The patient was declared dead on the 2nd day of treatment due to cardiogenic shock.
Co-Authors Afdhal Ilahi Aidilof, Hafizh Al Kautsar Akyuni, Qurrata Al Adawiyah, Roji’ah Algifari, Muhammad Zaidan Amliansyah, Amliansyah An, Rusydi Anda, Asri Andriana, Risa Anismar Anismar AR, Baharuddin Arifah, Mardhiyah Noor Arnita Arnita Asmara, Sartika Rati Asmaul Husna Asrianda Asrianda Aulia Rahmat Awaludin Arifin Aziz, Muchlis Baehaqi Biswadi, Biswadi Budi Sunaryo, Budi Catherine, Agatha Chairun Nisa Daraz, Fadila Gustiani Darmoyo, Suryo Sumantri Darwin, Widya Dasrizal Dasrizal Datres, Datres Deddy Satria M Deswina, Melri Eddy Purnama Ediz, M Hidayat Edy Kusnadi Erwan Erwan, Erwan Fahmi, Asrul Febria, Thomas Febriansyah, Anca Rizki Fernandes, Erik Ferryansyah, Ferryansyah Fikrinda Fikrinda Fitri, Desi Ely Fitri, Dwi Gani*, Abdul Ganti, Mara Gusmarni, Gusmarni Habibati Habibati Hanafi, Revo Hapzi Ali Harahap, Siti Hawa Hasnah, Deliza Nur Herman Fithra Hidayanthi, Rahma Hifnalisa Hifnalisa Husni Husni Ibnu Khaldun Ikram, Lucky ilham yuliady Ilham, Arifin Indradewa, Rhian Istiqomah, Dinni Jafaruddin Jafaruddin, Jafaruddin Jange, Beno Junaiddin, Junaiddin Jusmardi Jusuf, Ardi M. Juwita, Raski Kamaruddin Hasan Kamelia Kamelia Khairan Khairan Khairat, Annisaul Khairat, Hanivatul Kurniaji, Inna Kurniawan, Yoga Noval Kurniawaty Fitri Lalu Nasrulloh, Lalu Latifah Hanum Lidya Rosnita Lim, Kelly lubis, ilham sahdi Lubis, Zulfahmi M, Faisal Abdul Aziz M, Gusmarni M. Hasan M. Hidayat Ediz M.Ali, M.Ali Maisura, Cahya malia, sherly Maloga, Abdi Mantang, Resti Marhamah, Aisyah Maulana Idham Lutfi Mentari Mentari, Mentari Mohtar, Lilia Ellany Muazzah, Muazzah Muchlis Muchlis Muhaimin, Rizky Akbar Muhammad Basri Muhammad Husaini Muhammad Nazar Nababan, Elsa Romaida Nabila, Suci Nabilah, Putri Nadila, Nadila Nanda, Iffarial Nasrul ZA Nasrul ZA, Nasrul Nasution, Aisyah Nasution, Rizqiani Astrid Nazar, M. Ningtyas, Rani Kusuma Nugroho, Endiik Deni Nuraini Nuraini Nurainiah, Nurainiah Nurbaidah , Nina Nuri Aslami Nurmayeni Nurshakila, Nurshakila Nurul Husna Nurzanna, Nurzanna Patimah Patimah Pricilia, Gabby Maureen Pulungan, Nurmaisyah Putri Hidayat, Yessica Aulia Putri Pasaribu, Adinda Qomarius, Ibrahim Rahmadani Rahmadani Rahmadani, Nabila Yoli Rahmatullah, Muhammad Rayza Rama Dhini Permasari Johar Refli, Zulkifli Ridwan, M. Saleh Rina Sriwati Riska Amelia Rupa, Darius Safitri, Reviva Sagia, Nabilla Alsa Sahib, Rahmawansyah bin Sakdiah Sakdiah, Sakdiah Salsabila, Salsabila Samakmur, Samakmur Sandra, Randi Proska Sari Dewi, Andi Ratna Sari, Poppy Monika SARTIKA RATI ASMARA NASUTION Sawitri, Lintang Lestari Cahya Sayed Fachrurrazi Silfia Ilma Silitonga, Reisyah Dinda Syahfira Siregar, Dina Farikah Siregar, Meida Sari Siregar, Mira Yanti Siregar, Royhanun Siregar, Wanda Feranti Siti Aisyah Siti Shafira Elfreda Sitorus, Yessy Eka Chintya Situmorang, Afriani Sri Winarni Sucahyo, Eko SUDARSIH SUDARSIH Sulaimasyah, Sulaimasyah Sulastri Sulastri Sulastri, Widia Superli, Superli Suryani, Nikmah Syahputra, Ronaldo T. Lembong Misbah Tambunan, Michael Kevin turrahmi, rafika Tuti Indriyani Ulhayah, Syiva Vlorensius Vlorensius Wasistha, Nurainun Intan Wati, Puan Purnama Wibowo, Patmono Wiyanatra, Reihan Hanafi Yogi Dian Alfana Yuliady, Ilham Yunistika, Ninda Yusrial Yusrial ZA , Nasrul Zahari, Zahari Zahra, Tsurayya Fathma ZAINY, AHMAD Zetra, Aidinil Zikkrina, Zikkrina Zuhri, Al Zulaika, Latifah Zulihi, Zulihi