Cipta Pramana
Stikes Guna Bangsa Yogyakarta

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Kehamilan Intraabdominal Usia 38 Minggu dengan Lahir Bayi Hidup Cipta Pramana; Kartika Budi Peranawengrum; Renata Ekanindya Anggadewi
Nan Tongga Health And Nursing Vol. 20 No. 1 (2025): Nan Tongga Healt And Nursing
Publisher : Universitas Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59963/nthn.v20i1.477

Abstract

Abdominal pregnancy is a very rare form of ectopic pregnancy that carries life-threatening complications, in which the product of conception implants within the peritoneal cavity. The incidence is estimated to be approximately 1 in 10,000 to 30,000 live births, with high rates of maternal and perinatal morbidity and mortality. Because the clinical symptoms are nonspecific, diagnosis is often delayed, and ultrasonographic examination may fail to detect the abnormal implantation site. The aim of this study is to describe in detail the management of a case of intra-abdominal pregnancy. This research employs a descriptive method with a case report design, providing a detailed account of the diagnostic process, management, and clinical outcomes of a patient. The results report a rare case of a 28-year-old woman, gravida 2, with term intra-abdominal pregnancy who was treated at RSD K.R.M.T. Wongsonegoro Hospital, Semarang, Indonesia. The patient presented at 38 weeks of gestation with complaints of abdominal pain and transverse fetal lie. During laparotomy, an extrauterine pregnancy was discovered with an intact amniotic sac and a live male infant weighing 2980 grams with an excellent Apgar score. The placenta was attached to the abdominal wall, omentum, and the superior surface of the uterus, and was left in situ to prevent massive hemorrhage. The uterus and adnexa appeared normal. The postoperative course was uneventful, and follow-up examinations showed regression of the placental mass. The infant developed normally without any congenital abnormalities. This case provides an important lesson on the need for comprehensive clinical suspicion and early diagnosis through imaging to reduce maternal morbidity and mortality. Timely surgical intervention and a conservative approach to placental management are crucial for achieving favorable outcomes in cases of term abdominal pregnancy.
SOSIALISASI SADARI SEBAGAI PENCEGAHAN DINI KANKER PAYUDARA DI PESANTREN MODERN REMAJA Dewi Ancut; Cipta Pramana; Fatya Nurul Hanifa
HIKMAYO: JURNAL PENGABDIAN MASYARAKAT AMAYO Vol. 5 No. 1 (2026): HIKMAYO : Jurnal Pengabdian Masyarakat
Publisher : LPPM Akademi Manajemen Administrasi Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56606/hikmayo.v5i1.383

Abstract

Kanker payudara merupakan salah satu penyebab utama kesakitan pada perempuan dan semakin banyak ditemukan pada usia muda, sementara praktik Pemeriksaan Payudara Sendiri (SADARI) pada remaja masih rendah akibat keterbatasan pengetahuan dan stigma. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan remaja putri tentang SADARI melalui edukasi menggunakan leaflet SALIMA (SADARI Aman untuk Remaja Putri). Metode yang digunakan adalah penyuluhan dengan ceramah, diskusi, dan tanya jawab, disertai evaluasi pre-test dan post-test pada 20 siswi Pesantren Modern Misbahul Ulum. Hasil menunjukkan peningkatan rerata skor pengetahuan dari 67,67 pada pre-test menjadi 86,33 pada post-test, serta peningkatan kategori pengetahuan baik dari 30% menjadi 70% dan tidak ditemukannya lagi kategori kurang. Temuan ini menunjukkan bahwa edukasi menggunakan leaflet SALIMA efektif meningkatkan pengetahuan remaja putri tentang SADARI sebagai upaya deteksi dini kanker payudara.