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All Journal Manuju : Malahayati Nursing Journal Jurnal Empathy Pengabdian Kepada Masyarakat
Alfaina Wahyuni
Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta
Education Health Professions Medicine & Pharmacology Nursing Public Health

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Peningkatan Keterampilan Deteksi Dini Dan Manajemen Awal Kegawatdaruratan Ibu Hamil Alfaina Wahyuni; Sri Nabawiyati Nurul Makiyah; Sri Sumaryani
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 3 Nomor 1 Tahun 2022
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v0i0.105

Abstract

Background: The mortality rate in Indonesia, particularly in Bantul, remains quite high. Recognizing signs and symptoms of emergency cases in pregnant women and their families and midwives' preparedness as the community's spearhead of health services is essential in dealing with emergency cases of pregnant women. Methods: The lecture method, question and answer, and practical skills for midwives are used. The achievement of the activity is evaluated by analyzing the knowledge of pregnant women and midwives both before and after the activity. The T-test was used to analyze the data. Results: The results obtained are quite satisfactory. It was demonstrated by the high level of interest displayed by the participants during the question and answer session. Quantitative results from statistical tests revealed a significant increase in knowledge in pregnant women (53.90 21.97 vs. 89.47 9.7; P 0.000) and local health centre midwives (72.60 7.04 vs. 79.46 7.21; P 0.001). Conclusion: There was an increase in pregnant women's knowledge of recognizing the signs and dangers of pregnancy and midwives' knowledge and skills in terms of early detection and emergency treatment of pregnant women at community health centres.
Seksio Sesarea Pada Kehamilan Mioma Uteri:Studi Kasus Alfaina Wahyuni; Nusaibah Binti El-Riza
Malahayati Nursing Journal Vol 8, No 6 (2026): Volume 8 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i6.25544

Abstract

ABSTRACT Uterine myomas are the most common benign tumors of the uterus in women of reproductive age. Fibroids that develop during pregnancy can cause complications during pregnancy and delivery. Myomectomy during cesarean section is generally avoided because increased vascularity of the uterus during pregnancy can lead to uncontrollable heavy bleeding and may require hysterectomy during cesarean delivery.  A 38-year-old woman with a history of 3 pregnancies, 1 live birth, and 1 abortion, at 37 weeks of pregnancy, with a fetus in breech presentation and an ultrasound showing giant uterine fibroids in the lower uterine segment. An elective cesarean section was planned. Intraoperative findings included large, multiple uterine fibroids in the lower segment, requiring myomectomy. The patient received a postoperative transfusion and recovered well without other complications. Multiple giant uterine fibroids located in the lower uterine segment can be treated with a myomectomy during a cesarean section. This procedure is relatively safe for experienced obstetricians, provided they anticipate bleeding during and after the operation. Keywords: Cesarean Section, Pregnancy, Uterine Myoma.  ABSTRAK Mioma uteri adalah tumor jinak paling umum pada uterus wanita usia reproduksi. Fibroid yang berkembang selama kehamilan dapat menyebabkan komplikasi selama kehamilan dan persalinan. Myomektomi saat operasi caesar umumnya dihindari karena peningkatan risiko perdarahan pasca melahirkan dan kemungkinan  histerektomi saat persalinan caesar. Seorang wanita berusia 38 tahun dengan riwayat 3 kehamilan, 1 kelahiran hidup, dan 1 keguguran, pada usia kehamilan 37 minggu, dengan janin dalam presentasi sungsang dan hasil USG menunjukkan mioma uteri besar di segmen bawah uterus. Persalinan caesar elektif direncanakan. Temuan intraoperatif meliputi mioma uteri besar dan multiple di segmen bawah, yang memerlukan miomektomi sebelum melahirkan bayi. Pasien menerima transfusi pascaoperasi dan pulih dengan baik tanpa komplikasi lain. Multipel mioma uteri besar yang berlokasi di segmen bawah rahim dapat dilakukan myomektomi pada saat operasi caesar. Tindakan ini relatif aman  dilakukan oleh dokter kandungan berpengalaman dengan tetap mengantisipasi terjadinya perdarahan selama dan sesudah operasi Kata Kunci: Seksio Sesarea, Kehamilan, Mioma Uteri.
Co-Authors Nusaibah Binti El-Riza Sri Nabawiyati Nurul Makiyah Sumaryani, Sri