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All Journal Jurnal Kesehatan Reproduksi Jurnal Kesehatan Masyarakat Nusantara Medical Science Journal Indonesian Journal of Obstetrics & Gynecology Science Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Kesehatan Manarang Journal of Nursing Care and Biomolecular
Irwan Taufiqur Rachman
Departemen Obstetri Dan Ginekologi, FKKMK Universitas Gadjah Mada
Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health

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PENDIDIKAN SEKSUAL DAN PERILAKU PEMENUHAN KEBUTUHAN SEKSUAL PASANGAN MASA KEHAMILAN Purwati, Yuni; Rachman, Irwan Taufiqur; Akhmadi, Akhmadi
Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015): JURNAL KESEHATAN MASYARAKAT (KEMAS) JANUARY 2015
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3379

Abstract

Sebanyak 30–50% pasangan khawatir hubungan seksual akan membahayakan janinnya. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual pasangan masa kehamilan di Puskesmas Kasihan II  Bantul. Penelitian menggunakan rancangan quasi-eksperimental metode non-equivalent control group design. Sampel terdiri 26 subyek kelompok eksperimen dan 26 subyek kelompok kontrol, dengan metode purposive sampling. Instrumen berupa kuesioner yang telah diuji validitas korelasi product moment dan uji reliabilitas alpha cronbach. Analisis data menggunakan paired samples t-test dan independent samples t-test. Hasil uji normalitas data menggunakan kolmogorov-sminorv p>α=0,05, sehingga data terdistribusi normal. Hasil analisis paired t-test kelompok eksperimen adalah p<0,05, hasil kelompok kontrol p>0,05 dan hasil independent samples t-test kelompok eksperimen dan kelompok kontrol yaitu p<0,05. Disimpulkan terdapat pengaruh signifikan pemberian pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual masa kehamilan di Puskesmas Kasihan II Bantul.  Both physical and psychological changes during pregnancy could influence sexuality 30-50% of couples concerned that intercourse will injure the fetus. The purpose of the study was to determine the effect of sexuality education on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta. The quasi-experimental method with a non-equivalent control group was used in this study. The sample consisted of 26 subjects as an experimental group and as control of 26 subjects group with sampling technique using purposive sampling. Data collection instrument was a questionnaire that tested the validity of using the product moment correlation and cronbach alpha reliability test. Pretest and posttest control group performed at the same time as the experimental group. Statistical analysis of paired t-test and independent samples t-test. There was no significant differences in background characteristic between intervention and control group. Results of statistical analysis of paired t-tests on the sexual behavior experimental group p <0.05, resulting in the control group p> 0.05. The results of independent samples t-test in the experimental group and the control group p <0.05. Conclusions there was significant difference sexuality education using group discussions on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta.
SEKSUALITAS PADA WANITA SETELAH TOTAL ABDOMINAL HISTEREKTOMI (TAH) (The Sexuality of Women After Total Abdominal Histerektomy (TAH) Wulandari, Barkah; Rachman, Irwan Taufiqur; Nisman, Wenny Artanty
Journal Nursing Care and Biomolecular Vol 1, No 1 (2016)
Publisher : STIKes Maharani Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (71.016 KB) | DOI: 10.32700/jnc.v1i1.9

Abstract

Total Abdominal Histerektomi merupakan tindakan pengangkatan uterus dan serviks, hal tersebut secara tidak langsung mempengaruhi seksualitas wanita setelah TAH, Keluhan yang sering dirasakan pada wanita setelah TAH adalah keringnya vagina, berkurangnya hasrat seksual, anorgasmia dan berkurangnya kepuasan seksual. Tujuan dari penelitian ini adalah untuk mengetahui gambaran seksualitas pada wanita setelah menjalani tindakan TAH. Hal ini termasuk untuk mengetahui fungsi seksual dan kepuasan seksual setelah TAH. Penelitian ini menggunakan pendekatan kuantitatif dan kualitatif. Tahap 1 menggunakan kuantitatif deskriptif. Tahap kedua metode kualitatif dengan pendekatan fenomenologi. Sampel penelitian berjumlah 14 responden dari pasien post TAH atas indikasi benign dari RSUP Dr Sardjito Yogyakarta dan wawancara mendalam dilakukan terhadap 5 responden yang merupakan sampel kualitatif. Terdapat gambaran peningkatan seksualitas pada wanita setelah TAH. Hal ini dikarenakan sebelum TAH merasakan gangguan aktivitas seksual. Mayoritas fungsi seksual wanita setelah TAH dikategorikan dalam fungsi seksual baik. Terdapat gambaran peningkatan kepuasan seksual pada wanita setelah  menjalani TAH. Hal tersebut berhubungan dengan hilangnya keluhan utama, hilangnya kecemasan terhadap penyakit dan sikap serta perhatian pasangan
Pengetahuan dan Sikap Residen Obstetri dan Ginekologi tentang Keselamatan Pasien di Kamar Bersalin RSUP Dr. Sardjito Yogyakarta Armaijn, Fadhilah; Emilia, Ova; Rachman, Irwan Taufiqur
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.617 KB) | DOI: 10.22146/jkr.13877

Abstract

Background: The traditional medical Oath of ‘first do no harm’ is something that is very rarely breached either intentionally by a doctor, nurse or other health practitioner. Resident is health workers who perform services directly to patients that’s why their knowledge and attitudes towards patient safety are very usefulObjective: To determine the relationship of the level of knowledge with the attitudes about patient safety in obstetrics and gynecology resident while services in delivery room at Dr DR Sardjito hospital.Method: Descriptive methods with cross sectional approach, accompanied by a qualitative research The study involved 90 residents of Obstetrics and Gynecology at Sardjito Hospital Yogyakarta , by filling out a questionnaire. Knowledge assessed based on the number of correct answers and categorized into good and bad. Attitudes toward patient safety was assessed using a Safety Attitude Questionnaire (SAQ) labor and delivery version. Reliability was measured using Cronbach’s alpha. The qualitative data collection (interviews) conducted to support the descriptive data.Result and Discussion: Cronbach’s Alpha value for SAQ= 0.862, and the question of knowledge = 0.702. Between 77 responden who had good level of knowlage, only 53,2% had a good level of attitudes, and between 13 who has bad level of knowlage, there were 10 responden with good level of attitudes (76,9%) (RP 0,69;95%CI 0,44-1,04; p= 0,11). Elements of stress recognition on the attitude were getting the lowest average value (3.50 ± 0.56). From the qualitative data were known that the resident had desire for a reduction in working hours as well as improved communication and collaboration between teams. Althogh most of resident had a good level of knowledge and attitudes about patient safety, there were no meaning because of p value was >0,05 (OR 2,69;95%CI 0,66-10,9; p= 0,17).Conclusion: Clinically, a good level of knowledge about patien safety improving a good level of attitude towards patient safety.Keywords: Knowledge- attitude- patient safety- resident obstetrics
Peran Penambahan Misoprostol pada Penatalaksanaan Aktif Kala Tiga dalam Menurunkan Perdarahan Pasca Persalinan Geni, Puti Lenggo; Rachman, Irwan Taufiqur; Pradjatmo, Heru
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.609 KB) | DOI: 10.22146/jkr.35422

Abstract

Background: Postpartum haemorrhage is the leading cause of maternal mortality in both developed and developing countries, which is almost 80 % due to the failure of the uterus to contract. Misoprostol is a powerful uterotonic agent used as an alternative in preventing postpartum haemorrhage.Objective: The purpose of this study was to determine whether administration of misoprostol adjunctive therapy in active management of the third stage of labor influenced postpartum blood loss.Method: This study was a non-blinding randomized controlled trial that divided subjects into two groups. The treatment group was the group who received misoprostol 600 mcg orally for adjunctive treatment in active management of the third stage of labor and the control group did not receive misoprostol, each group also got routine oxytocin 10 IU intramuscularly. Both group were assessed of the number of blood loss in the fourth stage of labor, decreased levels of hemoglobin and hematocrit within 24 hours after delivery. Chi square test was conducted to determine the strength of the relationship between the two groups.Result and Discussion: The study recruited 104 subjects, there were significant difference for the mean number of blood loss in the fourth stage of labor and the decrease in hemoglobin levels within 24 hours of postpartum between treatment and control group (OR 2.45; 95% CI 1.05-5.71, p=0.04), (OR 2.99; 95% CI 1.26-7.11, p=0.01). The mean of the decreasing hematocrit levels was statistically not significant between the two groups (OR 0.87; 95% CI 0.38-1.99, p=0.75).Conclusion: The addition of misoprostol to the routine active management of the third stage of labor was statistically significant to decrease amount of postpartum blood loss.Keywords: misoprostol, active management of the third stage of labor, postpartum blood loss, postpartum hemorrhage.
Perbandingan Kualitas Hidup Penderita Kanker Ovarium Epitelial yang Diberikan Kemoterapi Regimen Paclitaxel dan Carboplatin dengan Regimen Cyclophospamide, Adriamicyn dan Cisplatin di RSUP Dr. Sardjito Ahyar, Ibnu; Taufiqurrachman, Irwan; Kusumanto, Ardhanu
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.793 KB) | DOI: 10.22146/jkr.35428

Abstract

Background: Epithelial ovarian cancer is the dominant type of ovarian cancer. Platinum and Taxane regiment has been proved to increase the survival rate of ovarian cancer patientsObjective: To compare the quality of life of ovarian cancer patients who got Paclitaxel and Carboplatin regiments with Cyclophosphamide, Adriamycin and Cisplatin regiments and risk factors which influence themMethod: The design of the study was retrospective cohort. The total subjects were 156 ovarian cancer patients who consisted of 79 patients with paclitaxel and carboplatin regiments and dan 77 patients who got cyclophospamide, adriamicyn dan cisplatin regiments in DR. Sardjito hospital, Yogyakarta. The quality of life was measured with EORTC QLQ-C30. The data distribution were tested with KolmogorovSmirnov and analysed with D Chi-Squaretest for categorical data and Mann-Whitney for continuous data. Multivariable Analysis was done with logistic regression.Result and Discussion: The bivariable analysis of ovarian cancer stage and the quality of life showed that early stage of ovarian cancer patients had quality of life 19,068 times higher than advance stage of ovarian cancer patients (RR 19,068; 95% CI 2,590-140,362). There were signicant differences in quality of life in ovarian cancer patients with low body mass index <18,5 compared to normal body mass index as well as the titer of tumor marker Ca125. Multivariable analysis showed that there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin.Conclusion: there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin in DR. Sardjito Hospital, Yogyakarta.Keywords: Quality of life, ovarian cancer, paclitaxel plus carboplatin regiment, cyclophospamide, adriamicyn plus cisplatin regiment.
The Accuracy of Risanto's Formula and Ultrasound Measurement in Estimating Fetal Weight Pietersz, Elsina Krisnawati; Rachman, Irwan Taufiqur; Siswosudarmo, Risanto
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.38 KB) | DOI: 10.22146/jkr.37942

Abstract

Background: Accurate estimated fetal weight (EFW) is crucial in determining delivery management. Several methods to estimate fetal weight were used such as abdominal palpation, measurement of symphisis fundal height (SFH), and ultrasound examination. Risanto’s formula based on Indonesian population had been already proven to be more accurate than Johnson’s formula. The formula was as follows: Y = 125 X - 880 where Y was EFW in grams, X was SFH in cm, and 125 was the constanta.Objective: To compare the accuracy of Risanto’s formula and ultrasound examination in estimating fetal weight.Method: A cross sectional study was carried out in Sardjito hospital, Faculty of Medicine Universitas Gadjah Mada, from March 2013 to March 2014. A total of 400 pregnant women meeting the inclusion criteria at 37 – 42 weeks of gestation were recruited. The estimated fetal weight using Risanto’s formula (R_EFW) was compared to the estimated fetal weight using ultrasound measurement (U_EFW). The U_EFW was done by obstetricians on duty or senior residents using Hadlock’s formula. Actual birth weight (ABW) was measured using the same calibrated baby scale. Accuracy was determined by comparing the mean difference between the R_EFW minus ABW (ΔR_EFW) and the U_EFW minus ABW (ΔU_EFW). Paired t-test was used for statistical analysis.Result and Discussion: The mean ABW was 3025.3 ± 414.6 gram and the mean R_EFW was 2972.7 ± 365.4 grams, while the mean U_EFW was 3058.7 ± 423.2 grams. The mean ΔR_EFW was lower than the mean ΔU_EFW (178.2 ± 147.6 grams vs 197.5 ± 155.4 grams; 95% CI 1.24 – 36.68; p = 0.04).Conclusion: Risanto’s formula was more accurate than ultrasound measurement in estimating fetal weight.Keywords: Estimated fetal weight, Risanto’s formula, Ultrasonography, Fundal height
PENDIDIKAN SEKSUAL DAN PERILAKU PEMENUHAN KEBUTUHAN SEKSUAL PASANGAN MASA KEHAMILAN Purwati, Yuni; Rachman, Irwan Taufiqur; Akhmadi, Akhmadi
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3379

Abstract

Sebanyak 30–50% pasangan khawatir hubungan seksual akan membahayakan janinnya. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual pasangan masa kehamilan di Puskesmas Kasihan II  Bantul. Penelitian menggunakan rancangan quasi-eksperimental metode non-equivalent control group design. Sampel terdiri 26 subyek kelompok eksperimen dan 26 subyek kelompok kontrol, dengan metode purposive sampling. Instrumen berupa kuesioner yang telah diuji validitas korelasi product moment dan uji reliabilitas alpha cronbach. Analisis data menggunakan paired samples t-test dan independent samples t-test. Hasil uji normalitas data menggunakan kolmogorov-sminorv p>α=0,05, sehingga data terdistribusi normal. Hasil analisis paired t-test kelompok eksperimen adalah p<0,05, hasil kelompok kontrol p>0,05 dan hasil independent samples t-test kelompok eksperimen dan kelompok kontrol yaitu p<0,05. Disimpulkan terdapat pengaruh signifikan pemberian pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual masa kehamilan di Puskesmas Kasihan II Bantul.  Both physical and psychological changes during pregnancy could influence sexuality 30-50% of couples concerned that intercourse will injure the fetus. The purpose of the study was to determine the effect of sexuality education on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta. The quasi-experimental method with a non-equivalent control group was used in this study. The sample consisted of 26 subjects as an experimental group and as control of 26 subjects group with sampling technique using purposive sampling. Data collection instrument was a questionnaire that tested the validity of using the product moment correlation and cronbach alpha reliability test. Pretest and posttest control group performed at the same time as the experimental group. Statistical analysis of paired t-test and independent samples t-test. There was no significant differences in background characteristic between intervention and control group. Results of statistical analysis of paired t-tests on the sexual behavior experimental group p <0.05, resulting in the control group p> 0.05. The results of independent samples t-test in the experimental group and the control group p <0.05. Conclusions there was significant difference sexuality education using group discussions on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta.
Hubungan antara Preeklampsia Berat Awitan Dini dengan Pertumbuhan Janina Terhambat pada Pasien Preeklamsia Beratdi RSUP Dr. Sardjito Yogyakarta Muslichah, Miftakhul; Prawitasari, Shinta; Taufiqur Rachman, Irwan
JURNAL KESEHATAN REPRODUKSI Vol 7, No 2 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.59812

Abstract

Latar      Belakang: Pertumbuhan Janin Terhambat (PJT) merupakan salah satu komplikasi janin yang sering terjadi pada pasien Preeklamsia Berat (PEB) dan eklamsia. Angka kejadian PEB awitan dini berkisar 5-20% dari keseluruhan kasus preeklamsia yang berhubungan dengan neonatal morbiditas dan mortalitas, dimana angka kejadian PJT sendiri berkisar 3-7%, sedangkan angka kejadian PEB awitan lanjut sebesar 75-80% dari keseluruhan kasus preeklamsia yang berhubungan dengan maternal morbiditas.Tujuan: untuk mengetahui hubungan antara PEB awitan dini dan kejadian PJT di rumah sakit Sardjito Yogyakarta.Metode: rancangan penelitian adalah cross sectional study Populasi penelitian adalah pasien preeklamsia dengan janin tunggal yang lahir di RSUP DR. Sardjito Yogyakarta tahun 2013-2015. Sampel penelitian adalah pasien PEB berjumlah 135 subyek, PEB awitan dini 105 subyek, dan awitan lanjut 30 subyek. Uji chi square digunakan untuk menghitung prevalensi PJT pada PEB awitan dini dan lanjut. Stratifikasi mantel-haneszel dilakukan untuk menilai variabel perancu. Multivariat menggunakan regresi logistik.Hasil dan Pembahasan: subyek dengan PEB awitan dini adalah 51 subyek (48,57%) yang mengalami PJT sedangkan awitan lanjut adalah 7 subyek (23,33%). Subyek dengan PEB awitan dini dan preeklamsia genuine memiliki prevalensi PJT lebih tinggi RP (CI 95%)=2,453 (1,170-5,141) dan p=0,007. Prevalensi PJT pada PEB awitan dini, OR (CI95%)=3,257 (1,244-8,530) dan p=0,016; usia OR (CI 95%)=0,488 (0,202–1,178) dan p=0,111; paritas OR (CI 95%)=1,159 (0,461–2,912) dan p=0,11; jenis PE OR (CI 95%)=0,730 (0,294–1,814) dan p=0,498; dan derajat proteinuria OR (CI 95%)=0,955 (0,464–1,968) dan p=0,901. Kesimpulan: PEB awitan dini mempunyai hubungan yang signifikan dengan PJT. Kata kunci: PEB; PEB awitan dini; PEB awitan lanjut; PJT.
Hubungan Metode Persalinan dengan Penggunaan IUD Pascasalin di RSUD Panembahan Senopati Bantul Damayanti, Eis; Taufiqurrachman, Irwan; Ganap, Eugenius Phyowai
JURNAL KESEHATAN REPRODUKSI Vol 8, No 1 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64361

Abstract

Latar Belakang: Periode pascasalin merupakan masa yang penting untuk memulai kontrasepsi, namun masih kurang dimanfaatkan, utamanya untuk penggunaan IUD pascasalin. Hal ini ditunjukkan oleh penggunaan IUD pascasalin hanya 14,06% dari keseluruhan metode kontrasepsi pascasalin. Angka seksio sesarea meningkat signifikan akhir-akhir ini, mencapai 29,6% di Indonesia. Peningkatan angka seksio caesarea (SC) tidak diikuti peningkatan penggunaan IUD pascasalin. Padahal peluang penggunaan IUD pascasalin pada persalinan abdominal/seksio sesarea lebih besar. Tujuan: Penelitian ini bertujuan untuk melihat hubungan antara metode persalinan dengan penggunaan IUD Pascasalin di RSUD Panembahan Senopati. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional atau potong lintang, sampel penelitian diambil dari pasien yang melahirkan di RSUD Panembahan Senopati, data dikumpulkan dengan metode wawancara. Uji Chi square dan prevalence ratio dipakai untuk analisis statistika. Hasil dan Pembahasan: Penelitian ini melibatkan 260 subyek, 161 (61,92%) persalinan vaginal dan 99 (38,08) SC. Total pengguna IUD pascasalin sebanyak 128 (49,23%). Persalinan SC memiliki hubungan bermakna dengan penggunaan IUD pascasalin (p 0,000; PR 1,49; CI 1,19-1,89).  Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bemakna adalah riwayat penggunaan metode kontrasepsi jangka panjang (MKJP) sebelumnya (p 0,002; PR 1,68; CI 1,38-2,06), adanya asuransi Jaminan Kesehatan Nasional (JKN) (p 0,038; PR 1,71; CI 1,04-2,80), dan konseling (p 0,000; PR 2,84; CI 1,85-4,35). Alasan terbanyak subyek menolak penggunaan IUD pascasalin adalah takut efek samping (35%). Kesimpulan: Penggunaan IUD pascasalin lebih tinggi secara bermakna pada seksio sesarea dibandingkan persalinan vaginal. Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bermakna adalah riwayat penggunaan MKJP, adanya asuransi JKN dan konseling. Kata Kunci: IUD pascasalin; metode persalinan; angka pemasangan; persalinan vaginal, SC  
Antley-Bixler Syndrome: A Case Report and Literature Review Hermanto Hermanto; Irwan Taufiqur Rachman
Indonesian Journal of Obstetrics & Gynecology Science Volume 3 Nomor 1 Maret 2020
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.884 KB) | DOI: 10.24198/obgynia/v3n1.181

Abstract

Sindroma Antley-Bixler pertama kali dikemukakan oleh Ray Antley dan David Bixler tahun 1975. Sindroma ini jarang dan berhubungan dengan kelainan perkembangan tulang dan kartilago sehingga sering disebut multisynostotic osteodysgenesis syndrome. Craniosynostosis dan synostosis radiohumeral merupakan temuan yang paling konsisten. Penyebab sindroma ini belum jelas, diduga karena adanya mutasi genetik.Laporan kasus:Seorang ibu 22 tahun G2P1A0 dirujuk ke poliklinik obstetri dan ginekologi RSUP dr.Sardjito pada usia kehamilan 32-33 minggu untuk pemeriksaan antenatal dengan kecurigaan fetal craniosynostosis dan ventriculomegaly. Pada usia kehamilan 38 minggu, bayi lahir dengan craniosynostosis, ocular hypertelorism, disertai syndactily digiti II-IV pedis dextra et sinistra dengan diagnosis sementara sindroma Apert. Pemeriksaan penunjang yakni MSCT scan kranial dan foto rontgen regio artikulatio cubiti anteroposterior dan lateral menunjukan adanya craniosynostosis dan synostosis radioulna dan radiohumeral bilateral mengarahkan diagnosis sindroma Antley-Bixler. Bayi dipulangkan setelah 24 hari perawatan. Saat ini bayi masih menjalani perawatan berkala di instalasi rawat jalan ilmu kesehatan mata dan bedah saraf RSUP Dr. Sardjito  Kesimpulan: Laporan kasus ini bertujuan untuk membahas penegakan diagnosis, tatalaksana yang telah dilakukan dan rencana tatalaksana yang akan datang.  Kata kunci : Sindroma Antley-Bixler, craniosynostosis, synostosis radiohumeralAntley-Bixler Syndrome: A Case Report and Literature Review AbstractAntley-Bixler syndrome (ABS) was first described by Ray Antley and David Bixler in 1975. The syndrome is rare and characterized by abnormalities of bone and cartilage development (“syndrome of multisynostotic osteogenesis”). Craniosynostosis and radiohumeral synostosis are the most consistent findings. The cause of this syndrome is unclear, but genetic mutations are suspected.Case report: A 22-year-old female G2P1A0 was referred to the obstetrics and gynecology outpatient clinic at RSUP Dr. Sardjito at 32-33 weeks of gestation for antenatal care and further evaluation due to suspected fetal craniosynostosis and ventriculomegaly. At 38 weeks’ gestation, the baby was born with craniosynostosis, ocular hypertelorism, and syndactily digiti II-IV pedis dextra and sinistra, suspected Apert syndrome. Further investigation by using radiologic examination (cranial MSCT scan and X-ray at anteroposterior and lateral articulation cubital) revealed craniosynostosis, bilateral radioulna and radiohumeral synostosis, directed the diagnosis to Antley-Bixler syndrome. The baby was discharged after 24 days of hospitalization. Currently, the baby is still undergoing regular evaluation and treatment at the Ophthalmology and Neurosurgery outpatient departments at RSUP Dr. SardjitoConclusion: The aim of this case report is to discuss how to diagnose this syndrome and the management that had been done and further plans.
Co-Authors A.A. Ketut Agung Cahyawan W Addin Trirahmanto Ahyar, Ibnu Akhmadi Akhmadi Ardhanu Kusumanto Ardhanu Kusumanto Arista Kusuma Wardani Arista Kusuma Wardani Armaijn, Fadhilah Damayanti, Eis Detty Siti Nurdiati Eis Damayanti Elsina Krisnawati Pietersz Eugenius Phyowai Ganap Fadhilah Armaijn Ganap, Eugenius Phyowai Geni, Puti Lenggo Gita Vania Damayanti Hermanto Hermanto Heru Pradjatmo Ibnu Ahyar Kartika Wahyuningtyas Utami Kusuma, Raden Aditya Miftakhul Muslichah Muslichah, Miftakhul Ova Emilia Pietersz, Elsina Krisnawati Purwoko, Agus Puti Lenggo Geni Risanto Siswosudarmo Risanto Siswosudarmo Saputro, Christina Shinta Prawitasari Utomo, Muhammad Wahyu Wenny Artanty Nisman, Wenny Artanty Wulandari, Barkah Yanti Yanti Yuni Purwati