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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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A Rare Case of Conjoined Pygopagus Twins: Case Report Saputro, Christina; Siti Nurdiati, Detty; Taufiqur Rachman, Irwan
Nusantara Medical Science Journal Volume 8 Issue 1, January - June 2023
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v8i1.19690

Abstract

Introduction and importance: Conjoined twins are a complication of monozygotic pregnancies with an incidence of 1:50,000-200,000 of life births. Pygopagus is found around 17% of all types of conjoined twins and has a mortality rate of 23%. Proper diagnosis and management in this case is important. Presentation of case: A 25-year-old primigravida woman presented at 22 weeks of gestation with a Pygopagus ultrasound result at 17 weeks of gestation. MRI was performed at 25 weeks of gestation, showed conjoined pygopagus twins with lumbosacral spina bifida, without visualized bone union, separated bladder, rectum and anus were difficult to evaluate. Caesarean section (CS) is planned at 36 weeks of gestation and postpartum MRI will be performed in preparation for the separation surgery. The patient was admitted to the hospital at 35 weeks of gestation in the active phase of the first stage of labor, then an urgent caesarean section was performed. Both babies were born with an APGAR score of 2/4/7. The second baby died a few hours after delivery. The separation surgery was performed as an emergency, but the first baby died during the procedure. Conclusions: Pygopagus requires holistic management, starting from diagnosis, preparation for delivery, to postpartum complications. The proper holistic management is expected to reduce infant and maternal morbidity and mortality.
Comparison of Pulsatility Index and Notching of Uterine Artery Doppler on Normotensive Pregnancy and Established Pre-eclampsia Utomo, Muhammad Wahyu; Nurdiati, Detty Siti; Rachman, Irwan Taufiqur; Kusuma, Raden Aditya
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2579

Abstract

Objective: The aim was to assess pulsatility index of uterine artery (Ut-A PI) of normotensive pregnancy and preeclampsia between 28-40 weeks of gestation. Methods: This cross-sectional study was conducted at Dr. Sardjito Hospital and Harapan Kita Maternal Children Hospital as a tertiary referral hospital. The study included 220 women high risk pregnancies. Result: There were 188 pregnant women normotensive pregnancy (85.5%) and 32 preeclampsia cases (14.5%). Weight, Body Mass Index, blood pressure, Mean Arterial Pressure, chronic hypertension, history of preeclampsia, and baby weight showed an significant association with preeclampsia. Pulsatility index of uterine artery had a sensitivity of 87.50% and a specificity of 98.94% whereas the notching had a sensitivity of 46.88% and a specificity of 87.23%. Conclusion: The UtA PI is a complementary tool with good performance for the diagnosis of overall and severe preeclampsia with high sensitivity and specificity. UtA PI has better performance the notching. Keywords: Pulsatility index, notching, normotensive, preeclampsia
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 of Nursing Care and Biomolecular Vol 1 No 1 (2016)
Publisher : STIKes Maharani Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | 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
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