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All Journal Majalah Obstetri dan Ginekologi Indonesian Journal for Health Sciences (IJHS) eJournal Kedokteran Indonesia
Alfa Putri Meutia
Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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KANDIDIASIS VULVOVAGINALIS PADA PASIEN SLE Risya mawahdah; Pangisti Dwi Ananingsih; Sri Wahdini; Robiatul Adawiyah; Alfa Putri Meutia
Indonesian Journal for Health Sciences Vol 6, No 2 (2022): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v6i2.4934

Abstract

Pendahuluan: Kandidiasis vulvovaginalis merupakan peradangan di daerah vagina dan melibatkan vulva yang disebabkan oleh infeksi jamur Candida. Sekitar 75% wanita, setidaknya memiliki satu episode kandidiasis vulvovaginalis ketika usia reproduktif dan setengahnya memiliki dua atau lebih episode. Faktor risiko terjadinya kandidiasis vulvovaginalis, yaitu kehamilan, penggunaan kontrasepsi, terapi estrogen, diabetes mellitus, penggunaan imunosupresi, dan antibiotik sistemik.  Laporan Kasus: Dilaporkan kasus seorang perempuan, usia 33 tahun dengan keluhan keputihan sejak 2 bulan yang lalu. Pasien dilakukan swab vagina dan dilakukan pemeriksaan laboratorium cairan swab vagina secara lengkap untuk mencari penyebab keputihan. Pasien merupakan penderita Sistemik Lupus Eritomatosus (SLE) sejak 4 tahun yang lalu dan mengkonsumsi obat Hydroxychloroquine 400 mg/ hari selama 1 tahun, Methylprednisolone 4 mg/hari dan antihistamin untuk atasi keluhan gatal dimukosa badan pasien. Pasien pernah mengalami keputihan tiga tahun yang lalu. Dari hasil pemeriksaan langsung swab vagina didapatkan sel ragi dan pseudohifa, dilanjutkan dengan kultur yang memberikan  hasil pertumbuhan koloni ragi. Dari hasil uji resitensi terhadap obat jamur didapatkan hasil sensitif terhadap antifungal Itrakonazol, Ketokonazol, Flukonazol, dan Nystatin.
Characteristics and Management Outcome of Vaginismus Hidayah, Gita Nurul; Meutia, Alfa Putri; Chan, Muhammad Syah Nadir; Moegni, Fernandi; Sebastian, Kevin; Djafar, Lubna; Santoso, Budi Iman
eJournal Kedokteran Indonesia Vol. 12 No. 2 (2024): Vol. 12 No. 2 - Agustus 2024
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Vaginismus, a common pelvic floor dysfunction characterized by involuntary vaginal muscle spasms, often impedes sexual intercourse and is exacerbated by cultural barriers in Indonesia, where sexual issues are taboo. Healthcare providers' lack of knowledge contributes to patient dissatisfaction with treatments. This study aimed to evaluate risk factors and management outcomes in 36 Indonesian women with vaginismus. Primary data, including demographic details, vaginismus history, severity, and FSFI-6 scores, were collected through interviews and medical records. Results showed that 94.4% of participants were under 40 years old, 66.7% had been married for over two years, and 94.5% were university graduates. Most had normal BMI and no significant illness history. Among them, 77.8% had no history of penetration, with the majority having no medical, social, or psychological risk factor yet reporting good sexual satisfaction. Self-dilation was the primary treatment, with a 29.41% success rate in achieving penetration. Younger age and higher education were notable characteristics among cases, suggesting a need for increased disease awareness. The study highlights that while traditional risk factors were not predominant, self-dilation therapy yielded moderate success, and patient satisfaction with sexual and interpersonal relationships remained high.
Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia Djusad, Suskhan; Meutia, Alfa Putri; Hakim, Surahman
Majalah Obstetri & Ginekologi Vol. 32 No. 3 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V32I32024.156-160

Abstract

HIGHLIGHTS Maternal age and fetal birth weight are key risk factors for PPUR. Among 300 subjects, 63.7% experienced PPUR, identified using the Suskhan score, with catheterization as a useful tool for prevention and management planning.   ABSTRACT Objective: Postpartum urinary retention (PPUR) is a common voiding disorder, defined as the inability to void spontaneously within 6 hours after delivery with a residual bladder volume exceeding 200 mL. High rates of PPUR in Indonesia indicate a need for greater awareness and intervention. This study aimed to assess the incidence and potential contributing factors of PPUR among postpartum patients at Koja Regional Hospital in Jakarta, Indonesia. Materials and Methods: A descriptive case-control study was conducted, involving women who experienced urinary retention following vaginal delivery at Koja Hospital, Jakarta, Indonesia between September and December 2022. Residual urine volume was measured by catheterization 6 hours after delivery. Data analysis, performed using SPSS version 22, included patient demographics and clinical factors such as maternal age, parity, gestational age, neonatal birth weight, and postvoid residual urine volume. These factors were analyzed to determine their association with PPUR. Results: Out of 300 subjects selected through consecutive random sampling, 63.7% experienced PPUR, while 36.3% had normal urinary function. Patients with a mean age of 26.91 ± 5.02 years (p = 0.000), primiparous status (first-time mothers) (p < 0.001), and a mean neonatal birth weight of 2980.95 ± 450.52 grams (p = 0.000) showed a higher risk of developing PPUR compared to other postpartum patients. Conclusion: The study indicated a significant association between postpartum urinary retention and maternal factors, including younger age, primiparity, and higher neonatal birth weight. Identifying these high-risk factors can enhance PPUR management, allowing healthcare providers to implement targeted monitoring and preventive measures, potentially improving postpartum outcomes in this patient population. This underscores the importance of monitoring these risk factors to better manage and potentially mitigate the incidence of PPUR.
Co-Authors Budi Iman Santoso Chan, Muhammad Syah Nadir Djafar, Lubna Djusad, Suskhan Fernandi Moegni Hidayah, Gita Nurul Pangisti Dwi Ananingsih Risya mawahdah Robiatul Adawiyah Sebastian, Kevin Sri Wahdini Surahman Hakim