Yuyun Lisnawati
Deparment Of Obstetric And Gynecology, Persahabatan Hospital Universitas Indonesia

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Karakteristik Klinik dan Analisis Faktor Risiko yang Berperan pada Derajat Keparahan Invasi Plasenta Abnormal di RSUP Persahabatan pada Tahun 2015-2018 Yuri Feharsal; Yuyun Lisnawati; Sri Pudyastuti; Oni Khonsa; Tri Apriliawan; Botefilia Botefilia; Nadia Nurfauziah; Kindy Agustin
Majalah Kedokteran Indonesia Vol 69 No 6 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.6-2019-195

Abstract

Background: Morbidly adherent placenta is a condition which placenta adheres and invades deeply into the myometrium and, in some cases, until uterine serosa, thus contribute to peri-partum hemorrhage and significant maternal mortality.Purpose: To identify prevalence, clinical characteristics and their odds ratio to increasing se-verity of morbidly adherent placenta case in RSUP Persahabatan from 2015 to 2018.Methods: Cohort retrospective study.Results: From 2015 to 2018, prevalence of morbidly adherent placenta was around 0.8%. The risk factors which contribute to increasing severity of morbidly adherent placenta were: age above 35 years (OR 1.6, 95% CI 0.41-6.24) and history of Caesarean section more than 2 times (OR 1.63, 95% CI 0.41-6.46). The presence of increasing severity of morbidly adherent placenta were related to volume of blood loss more than 1000 ml during surgery (OR 2.13, 95% CI 0.52-8.76). Conclusion: The prevalence of morbidly adherent placenta at Persahabatan General Hospital in 2015-2018 was 0.8%. Age, history of Caesarean section more than 2 times, volume of blood loss, and duration of surgery were not statistically associated with adherent placenta case.
Keberhasilan Miomektomi pada Seksio Sesarea: Sebuah Laporan Kasus Elizabeth Dian Novita; Yuyun Lisnawati
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.12-2018-208

Abstract

Abstract Background: The incidence of myoma associated with pregnancy is reported about 0.3–5%. As the maternal age increase, so the incidence of myoma. Myomectomy is the most common surgical procedure performed during cesarean section. Many obstetricians are reluctant to perform this combined procedure as they are worried about the potential morbidity and mortality rates due to uncontrollable bleeding. Objectives of this case series is to investigate the success of myomectomy in cesarean section at Persahabatan Hospital, Jakarta. Methods: Four cases of leiomyoma with pregnancy underwent myomectomy during cesarean section. The indications for cesarean, the average surgery time, the amount of blood loss, the need of transfusion and intensive care, postoperative complications and length of stay were recorded as outcome. Results: The average time taken for surgery was about 100 minutes, average blood loss was approximately 300 ml to 1000 ml, more than usual cesarean section. There were no need of transfusion and intensive care, longer of stay or postpartum hemorrhage in any of the cases. Conclusions: Myomectomy at the time of caesarean section may be a safe and feasible procedure. Caesarean myomectomy, if done in well-equipped centers by an experienced obstetrician is a definite and safe option.
Penularan COVID-19, Laporan Kasus Seorang Peserta Program Pendidikan Dokter Spesialis Obstetri dan Ginekologi Yuyun Lisnawati; Dwiana Ocviyanti; Diyah Septiti Wulan
Majalah Kedokteran Indonesia Vol 70 No 12 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.12-2020-286

Abstract

Since COVID-19 first broke out in Jakarta in early March 2020, the infection rate has been slowly but surely increasing. Health workers who work directly to serve patients, including the resident, are vulnerable to infection. The following is a story of a Obstetrics and Gynecology resident who was infected with COVID-19 and managed to recover after going through a period of independent isolation. In March 2020, the resident who at that time served in the Obstetrics polyclinic at a COVID-19 referral hospital in Jakarta, experienced myalgia, fever, headache, sore throat, cough and runny nose. Due to the condition causes PPDS to be rested. Complaints improved within a few days, after taking medication and multivitamin supplementation. One week later, the resident with the other resident and staff conducted a nasopharyngeal swab examination at the hospital, then the samples were sent to Litbangkes for reverse transcription polymerase chain reaction (RT-PCR) examinations against SARS-CoV-2. The results were obtained 20 days later and the resident was declared positive. When the results came out, PPDS who already felt healthy were undergoing rotation in another hospital. Undergo a 2-week self-isolation protocol, nutritious intake, supplementation, exercise, positive thinking and continued prayer. Transmission of COVID-19 may occur while serving patients, social distancing and wearing less awake masks when with PPDS friends, midwives, nurses and staff. The long duration of the RT-PCR swab results makes it difficult for tracing, the risk of widespread transmission and delays in efforts to break the chain of transmission of COVID-19 besides disrupting education rotation.
Prevalencies of Ovarian pregnancy confirmed by Histopathological examination: A rare case Fita Maulina; Purnawan Senoaji; Yuyun Lisnawati
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55438

Abstract

Ovarian pregnancy is a rare form of ectopic pregnancy with an estimated incidence ranging from 1 in 2,100 to 1 in 7,000 pregnancies, accounting for only 1–3% of all ectopic cases. Despite its rarity, it remains a diagnostic challenge because its clinical presentation closely resembles tubal pregnancy and ultrasound findings are often inconclusive. Therefore, definitive diagnosis is frequently established during surgery and confirmed through histopathological examination. This study aims to report the prevalence of ovarian pregnancy at Persahabatan General Hospital between January 2015 and April 2019. During the study period, 151 cases of ectopic pregnancy were recorded, of which three were confirmed as ovarian pregnancies, resulting in a prevalence of 0.01%. All patients required surgical management with unilateral salpingo-oophorectomy due to their clinical and hemodynamic conditions. The findings highlight the importance of thorough history taking, early antenatal care, and routine first-trimester transvaginal ultrasound to improve early detection. Management decisions should be individualized based on the patient’s hemodynamic stability to prevent complications and ensure optimal outcomes. Keywords: Ovarian pregnancy, Ectopic pregnancy, Viable ovarian pregnancy
Inflammatory Marker and their Association with COVID-19 Severity in Pregnant Women Yuyun Lisnawati; Akbar Purnadiputra; Lucky Savitry Widyakusuma; Sri Pudyastuti; Amanda Mustika Sari
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2686

Abstract

Abstract : Objective: To analyze the correlation between blood markers; C-Reactive Protein (CRP), D-Dimer, Neutrophil-to-Lymphocyte Ratio (NLR) and the severity of COVID-19 in pregnant women during the 2020 pandemic at Persahabatan Hospital, Jakarta. Method :This cross-sectional study was conducted at Persahabatan Hospital, a National Respiratory Referral Center in Jakarta. A total of 525 pregnant women with confirmed COVID-19 who met the inclusion criteria were included in the study. Laboratory markers, including CRP, D-Dimer, and NLR, were analyzed and categorized as normal or elevated. Data were analyzed using the Chi-square test, and correlations were evaluated using Spearman’s rank correlation coefficient. Result :The results showed that elevated biomarkers were significantly correlated with increased disease severity. CRP (>10 mg/L), D-Dimer (>3333 mg/L), and NLR (?5.8) were all associated with moderate to severe disease. All biomarkers demonstrated a significant correlation with disease severity (p < 0.005). Conclusion: Elevated CRP, D-Dimer, and NLR levels are associated with increased disease severity in pregnant women with COVID-19, suggesting their potential role as practical indicators for disease severity assessment. Keywords : Covid 19, CRP, D-Dimer, NLR, Pregnant.