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Vaginal Delivery Management of Hydrocephalic Fetuses in Wonosari Hospital : Case Report Adzka Fahma Rodliya; Resa Paksi Mandariska
An-Najat Vol. 1 No. 4 (2023): NOVEMBER : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i4.438

Abstract

Fetal hydrocephalus is a congenital abnormality, which means the fetus is born with it, but babies and children can also experience it. Hydrocephalus pregnancy can trigger premature labor and can cause fetal distress. A 30 year old mother, G3P2A0, gestation age 34 weeks 4 days, was referred to Wonosari Hospital with diagnosis of Partus Prematurus Iminens (PPI), fetal hydrocephalus, and fetal distress. Based on the history of pregnancy examination at 24 weeks, the Biparietal Diameter (BPD) size of the fetal head was larger than the normal size, (5.94 cm), the fetus indicated ventriculomegaly, and on the third trimester ultrasound examination (32 weeks) the Biparietal Diameter (BPD) size is 9.49 cm so that the fetus is indicated for congenital hydrocephalus. The baby was born spontaneously, male, birth weight 2000 grams, body length 38 cm, head circumference 34 cm, chest circumference 24 cm, upper arm circumference 10 cm, born without crying, negative muscle tone, pale bluish skin color. From the results of this examination, it was confirmed that he was suffering from congenital hydrocephalus based on the physical appearance of the head, which was larger than the normal head size of premature babies in general, and dead..
Particulate matter 2.5 air pollution and low birth weight incidence: a cross-sectional analysis in Jakarta Region Adzka Fahma Rodliya; Aqila Nurhasanah Harahap; Resa Paksi Mandariska
Paediatrica Indonesiana Vol. 66 No. 1 (2026): January 2026
Publisher : Indonesian Pediatric Society

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Abstract

Background Jakarta is one of the most polluted cities in Southeast Asia, with particulate matter 2.5 (PM2.5) levels frequently exceeding international standards. Exposure to PM2.5 during pregnancy has been linked to adverse fetal outcomes, including intrauterine growth restriction and low birth weight (LBW). Objective To analyze an association between PM2.5 concentration and the incidence of LBW in Jakarta Province, Indonesia. Methods A retrospective cross-sectional study was conducted using secondary data from community health centers (Puskesmas) located within a 5-km radius of Air Quality Monitoring Stations (AQMS) in five regions of Jakarta: Bundaran Hotel Indonesia (HI), Kelapa Gading, Jagakarsa, Lubang Buaya, and Kebon Jeruk. Results A total of 648 LBW cases and 11,498 normal birth weight (NBW) cases recorded in 2020–2021 were included through total sampling. PM2.5 concentration data were obtained from the Jakarta Environmental Agency. Data were analyzed using univariate, bivariate (Pearson’s correlation), and simple linear regression tests. A significant positive correlation was found between PM2.5 concentration and LBW incidence (r=0.885; P=0.049) in 2020, whereas the 2021 data showed no significant correlation (r=0.871; P=0.055). Regression analysis revealed that every one-µg/m³ increase in PM2.5 concentration was associated with a 0.091% rise in LBW cases. Areas with higher pollution levels, particularly Lubang Buaya and Kebon Jeruk, showed the highest prevalence of LBW. Conclusion There was a significant positive correlation between PM2.5 air pollution and the incidence of LBW in Jakarta, particularly in areas with high levels of pollution, based on 2020 data. These findings underscore the importance of implementing public health interventions and enhancing air quality management to safeguard maternal and neonatal health.