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Pengaruh Mobilisasi Dini terhadap Berkemih Spontan Pasca Bedah Sesar dengan Anestesi Spinal di Rumah Sakit TK. IV IM 07.01 Lhokseumawe Afifah Nur; Anna Millizia; Teuku Yudhi Iqbal
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 1 No. 12 (2022): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v1i12.178

Abstract

Cesarean section requires anesthetic efforts to relieve pain in the patient. The type of anesthesia commonly used is spinal anesthesia. Urinary retention is one of the side effect on using spinal anesthetic drugs caused by blockade of spinal cord conduction as high as the S2-S4 segment which innervates the urinary bladder which can lead to UTI. One of the actions that can accelerate spontaneous voiding is early mobilization step by step after cesarean section. This study aims to determine the effect of early mobilization on spontaneous voiding after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe. Method that used in this research is quasi-experimental design with one-group posttest-only design, a population of 53 mothers after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe in October - November 2021. Data analysis used univariate and bivariate with Fisher Exact Test with 95% confidence level, = 5%. The result showed there was an effect of early mobilization on spontaneous voiding after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe with p value = 0.037 and OR = 6.346 (95% CI = 1.091-36.921). The conclusion of the study that there is an effect of early mobilization on spontaneous voiding after cesarean section with spinal anesthesia at Level IV IM 07.01 Hospital Lhokseumawe in 2021 and early mobilization had an effect 6 times on the initial time of voiding.
HUBUNGAN ANEMIA PADA IBU HAMIL TERHADAP KEJADIAN BERAT BADAN LAHIR RENDAH DI 2 RUMAH SAKIT SWASTA KOTA LHOKSEUMAWE TAHUN 2020 Muhammad Iqbal Maulana; Mauliza Mauliza; Mardiati Mardiati; Noviana Zara; Teuku Yudhi Iqbal
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol.8 : No.1 (Mei 2022)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v8i1.7172

Abstract

Low birth weight (LBW) is a infant whose weight is less than 2500 grams. Internationally, LBW is still seen as a health problem that is quite prominent because it has a high enough risk to experience death in the neonatal period, which is 40 times greater than babies born with normal weight. Data from the WHO in 2018, the prevalence of babies with LBW in the world is 15.5% or about 20 million babies born every year, of which about 96.5% of them occur in developing countries. Based on the results of Riskesdas in 2018, one of the most common causes of infant mortality in Indonesia is LBW, which is 34%. The birth rate of babies with LBW in Indonesia reaches 350,000 every year where the prevalence of LBW in Indonesia is 6.2%. One of the causes of LBW is the poor nutritional status of the mother, one of which is anemia. The purpose of this study was to determine the relationship between anemia in pregnant women and the incidence of low birth weight (LBW) in 2 private hospitals in Lhokseumawe. This research is an analytic observational study with a cross sectional study approach. The sampling technique used is total sampling with a total of 154 respondents. The data used is secondary data derived from medical records. Data analysis was performed using Chi-square’s test. The results showed is no relationship between maternal anemia and the incidence of LBW.
Perbedaan Sensitivitas Spesifisitas Skor Apfel Dan Skor Koivuranta Sebagai Prediktor Kejadian PONV Dengan Anestesi Umum Anna Millizia; Teuku Yudhi Iqbal; Putra Futtaqi
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 2 No. 6 (2022): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v2i6.417

Abstract

Post Operative Nausea and Vomiting (PONV) is a state of nausea and vomiting that occurs during the first 24 hours after surgery. The Apfel score and Koivuranta score are predictor scores used to predict PONV, currently there is no research that shows which score is more accurate in predicting PONV at RSU Cut Meutia Aceh Utara and to reduce the time of anamnese it is necessary to obtain one of the scores which has the higher accuracy between the two scores. This study aims to determine the difference between Apfel scores and Koivuranta scores as predictors of PONV at RSU Cut Meutia Aceh Utara and to find out which scores are more accurate in predicting PONV. This research is an analytic observational study through a cross sectional approach. The analysis in this study uses a diagnostic test. Sampling in this study used the accidental sampling method, as many as 54 patients who met the inclusion and exclusion requirements. The results of the diagnostic test, the sensitivity and specificity of the Apfel score were 84.6% and 78.0% with an ROC value of 0.829. The Koivuranta score has a sensitivity and specificity value of 76.9% and 78.0% with an ROC value of 0.811. The Apfel score is more accurate and has a simpler scoring variable than the Koivuranta score in predicting PONV.
USE OF PROPHYLACTIC ANTIBIOTICS IN PATIENTS UNDERGOING CAESAREAN SECTION AT CUT MEUTIA GENERAL HOSPITAL, NORTH ACEH 2021-2022 Yuziani; Virna Amelia Putri; Teuku Yudhi Iqbal
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 11 No. 3 (2024): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v11i3.429

Abstract

Caesarean section is a surgical procedure to remove the fetus through an incision in the lining of the abdomen and uterus. Cesarean delivery is performed by considering clinical signs of the mother and fetus, such as placenta previa, abnormal location of the fetus, as well as different signs that may endanger the existence of the mother or embryo. According to the World Health Organization (WHO), the number of cesarean deliveries has increased, which is directly relative to the increase in the contamination rate of surgical wound infection (ILO). Prophylactic antibiotics are one of the prevention of surgical wound infection. The research method used is retrospective descriptive. The sampling technique in this research uses non-probability sampling, namely total sampling. The aftereffects of this review show that the use of prophylactic antibiotics in caesarean section patients, namely ceftriaxone 51.2% and cefotaxime 48.8%, the use of prophylactic antibiotics at the Cut Meutia Aceh General Hospital based on ASHP, the use of antibiotics ceftriaxone, cefotaxime, and reponem is 100% inappropriate and based on PPRA RSU Cut Meutia which is 100% compliant. The aftereffects of this study presumed that the utilization of anti-toxins based on ASHP is not appropriate and based on PPRA Cut Meutia Hospital is appropriate.
Krisis Tiroid dalam Kehamilan Fadira Rinella Wihandi; Teuku Yudhi Iqbal
Inovasi Kesehatan Global Vol. 2 No. 2 (2025): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i2.1597

Abstract

Thyroid crisis is an acute, life-threatening form of thyrotoxicosis and represents one of the severe complications of hyperthyroidism. During pregnancy, thyroid disorders have unique characteristics due to structural and functional changes in the thyroid gland that occur throughout gestation. Pregnancy can influence the course of thyroid disease, and conversely, thyroid disorders may also impact pregnancy outcomes. In this case report, we present a 30-year-old patient, Mrs. F, gravida 5, abortus 4, para 0, who presented with palpitations, fever, restlessness, and a history of uncontrolled hyperthyroidism. The diagnosis of thyroid crisis was made clinically using the Burch & Wartofsky score instrument. Management of thyroid crisis in pregnant women requires a multidisciplinary approach, close monitoring, administration of antithyroid drugs, β-blockers, and other supportive therapies, while also considering fetal safety.
Jenis KB Virna Putri Amelia; Teuku Yudhi Iqbal
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5618

Abstract

Family Planning (FP) is a government program designed to balance the relationship between population needs and numbers. The purpose and benefits of family planning are to slow population growth, regulate spacing and delay pregnancy, and reduce birth rates. Based on a 2020 report from BKKBN (National Population and Family Planning Board), the coverage of active family planning participants among couples of reproductive age (PUS) was 67.6%, an increase from 63.31% in 2019. Contraceptive services provided include condoms, pills, injections, insertion or removal of implants, insertion or removal of intrauterine devices (IUDs), tubectomy services, and vasectomy services. Most family planning participants prefer short-term contraceptive methods compared to long-term contraceptive methods (LTCM). This pattern occurs every year; however, in terms of effectiveness, short-term contraceptive methods have a lower success rate in preventing pregnancy compared to long-term methods. LTCMs are contraceptives that can be used for a long period (more than two years), and are effective and efficient for spacing births by more than three years or for ending childbearing among couples who no longer wish to have children.. Contraception refers to efforts to prevent pregnancy, which can be temporary or permanent, and is generally divided into traditional methods and modern methods (hormonal and non-hormonal). This program aims to improve the welfare of mothers and children, promote small family structures according to economic conditions, and reduce maternal and infant mortality rates. In addition, the family planning program encourages the use of contraceptive methods to regulate the spacing and number of desired children.
Missed Abortion Triana Puti Nendes; Teuku Yudhi Iqbal
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 2 No. 1 (2024): Februari : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v2i1.3136

Abstract

Missed abortion is a condition where the fetus dies before the 20th week, but remains in the uterus for several weeks after the fetus dies. The cause of missed abortion is still not known with certainty, but it is thought to be due to the influence of the hormone progesterone. This case report was carried out against Mrs. E is 34 years old in Bebesen Village, Central Aceh in 2022. The diagnosis is made based on anamnesis, physical examination and supporting examination in the form of ultrasound. After the diagnosis is confirmed, the patient undergoes operative treatment in the form of curettage.
Kehamilan dengan Epilepsi Teuku Yudhi Iqbal; Ariq Murfid
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i3.6704

Abstract

Epilepsy is one of the most common chronic neurological disorders and can affect women of reproductive age, including during pregnancy. Pregnancy in women with epilepsy (WWE) presents various clinical challenges due to the complex interaction between physiological changes in pregnancy, fluctuations in antiepileptic drug (AED) levels, and the increased risk of seizures. Seizures during pregnancy not only pose a threat to maternal safety but also carry potential complications for the fetus, such as hypoxia, trauma, and impaired uteroplacental blood flow. Therefore, the management of epilepsy during pregnancy requires a careful and comprehensive approach. This report presents the case of a 41-year-old woman, G4P2A1, at 37–38 weeks of gestation, who presented to the emergency obstetric unit at Cut Meutia General Hospital with complaints of contractions following three episodes of seizures within the previous 24 hours. The patient had a 16-year history of epilepsy and was on regular neurologist follow-up, but she had discontinued her AEDs three weeks prior due to medication unavailability. She underwent an elective cesarean section with concurrent fimbriectomy as a permanent contraceptive method. Postoperatively, the patient experienced status epilepticus and decreased consciousness for approximately 24 hours. A multidisciplinary approach involving neurologists was implemented, including AED administration, enteral nutrition, close monitoring of vital signs and urine output. The patient's condition gradually improved, and she was discharged on the seventh day in a stable condition with well-healed surgical wounds. This case highlights the importance of optimal seizure control during pregnancy. Preconception counseling, appropriate AED selection, and regular drug level monitoring are essential in minimizing maternal and fetal complications. A multidisciplinary collaboration between obstetricians and neurologists plays a crucial role in achieving favorable outcomes.
Age-Related to Breast Cancer Incidence in Cut Meutia General Hospital, Northern Aceh Adi Rizka; Teuku Yudhi Iqbal; M, Arfini Mertia
Open Access Indonesian Journal of Medical Reviews Vol. 2 No. 3 (2022): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v2i3.190

Abstract

The risk of breast cancer increases with age, due to the progressive accumulation of genetic and epigenetic changes in breast epithelial cells as well as epigenetic changes in the microenvironment that lead to changes in gene expression. This study aims to determine the relationship between age risk factors and the incidence of breast cancer in Cut Meutia General Hospital, Northern Aceh. The research method used a cross sectional design which was carried out from June 2021 to January 2022. A total sample of 52 breast cancer patients were taken by total sampling that met the inclusion criteria. We found that patients with the most age characteristics are in the 41-50 age group with elementary education level, living in Aceh Utara and housewives. Based on the stage, it is known that the most dominant stage of the patient experiencing the incidence of breast cancer is stage III, which consist of 25 patients. Also, there is a significant relationship between age risk factors and the incidence of breast cancer in breast cancer patients in Cut Meutia General Hospital, Northern Aceh.