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Ruptur Ureter Sinistra Pasca Histerektomi atas indikasi Adenomiosis Uteri dan Kista Endometrium Ghania Alizar; Nabila Quinsy Chiqita; Rodiani -
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.650

Abstract

Adenomyosis is a benign gynecological disorder that invades endometrial tissue into the myometrial lining and suspected as one of the causes of subfertility in women. Adenomyosis usually diagnosed in the 4-5th decade of life, at the end of the reproductive period and perimenopause, but currently many women of reproductive age already suffer from adenomyosis, several studies suggest that this is influenced by lifestyle changes. A 45-year-old female patient was admitted to the emergency department with complaints of difficulty urinating after a hysterectomy 8 days before admission to the hospital for indications of adenomyosis and endometrial cysts. In the anamnesis, the patient complained of only a small amount of fluid coming out of the drainage and urinary catheter and 4 days before admission to the hospital there was no flow of urine coming out of the urinary catheter. This patient then underwent ureteroscopy and found signs of left 1/3 distal ureteral rupture. Operative management consists of neoimplantation and placement of a Double J stent in the left ureter. After 4 days postoperative, the patient was allowed to go home.
Hubungan Usia, Paritas, Penyakit Infeksi Dan Status Gizi Ibu Terhadap Kejadian Kelainan Kongenital Mayor pada Janin Zahra Dewi Hasna Difa; Khairun Nisa; Betta Kurniawan; Nurul Islamy; Rodiani -
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.668

Abstract

Major congenital abnormalities refer to medical and cosmetic abnormalities that require surgery and are a leading cause of mortality among children under the age of five in Indonesia. Several risk factors contribute to congenital abnormalities, including the mother’s age, parity, infectious diseases, nutritional status, environment, education, and employment. This study aims to determine the relationship between age, parity, infectious diseases, and nutritional status of mothers and the occurrence of major congenital abnormalities. Secondary data from medical records of mothers who received treatment in the delima room at RSUD Dr. H. Abdul Moeloek were analyzed using an observational analytic method and a cross-sectional approach. The chi-square test and odds ratio values were used to test the major congenital abnormalities' relationship with the risk factors. Results showed that there was a significant association between nutritional status, infectious diseases, and parity with the incidence of major congenital abnormalities (p = 0,004; OR = 0,086; 95% CI = 0,016-0,468), (p = 0,034; OR = 6,816; 95% CI = 1,288 – 36,062) and  (p = 0,005; OR = 9,567; 95% CI = 1,549 – 30,206), but not with maternal age (p = 0,724; OR = 1,333; 95% CI = 0,322 – 5,526). The incidence of major congenital abnormalities is related to nutritional status, infectious diseases, and parity, but not to maternal age. 
Co-Authors Betta Kurniawan, Betta Ghania Alizar Khairun Nisa Nabila Quinsy Chiqita Nurul Islamy Zahra Dewi Hasna Difa