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Sentosa, I Gede Bagus
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Medicine & Pharmacology

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The Characteristics of Preeclampsia and Eclampsia Patients at Dr. T.C. Hillers Regional Hospital Maumere Sentosa, I Gede Bagus; Kurniawan, Rommy Andika; Conterius, Advent CT
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.4

Abstract

Preeclampsia can occur from the time the mother is pregnant until 48 hours to 6 weeks after giving birth and is associated with an increased complication rate of 2-8% during pregnancy, contributing to 9 - 26% of maternal deaths. This condition can have significant prolonged effects on both the mother and the baby. Considering the high rates of morbidity and mortality in mothers and babies due to preeclampsia, this study aims to understand the characteristics of patients with preeclampsia at T.C. Hillers Regional Hospital of Maumere within the period of January 1st to December 31st, 2022. This study is a retrospective descriptive study using secondary data. The data collection was performed on patients diagnosed with preeclampsia and eclampsia during the study period. The results showed that most participants were between 20-34 years old, had a body mass index (BMI) of ≥ 25, multigravida (had multiple pregnancies), housewives, High School graduates, and had a history of chronic hypertension. Based on risk factors, 35.5% of the subjects were ≥ 35 years old, 31% were primigravida (first-time pregnant), 26% were obese, 21% had a history of hypertension in previous pregnancies, 10,5% had chronic hypertension, 3% had multiple gestations, 1% of the subjects had a pregnancy interval >10 years, and 0.5% had diabetes mellitus. This study provides an overview of the characteristics and risk factors of pregnant women with preeclampsia in Maumere.
Imperforata Hymen: Secondary Urinary Retention due to Hematocolpos Compression in a 13-Year-Old Woman Sentosa, I Gede Bagus; Kurniawan, Rommy Andika
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.18

Abstract

Imperforate hymen is a rare congenital anomaly in which the hymen completely covers the vaginal opening, caused by the failure of vaginal plate canalization during the embryonic period. This article reported a 13-year-old girl with a chief complaint of cyclic monthly lower abdominal pain, suprapubic pain, and inability to urinate. She denied prior menstruation. Cystic mass was palpated in the suprapubic area, and the hymen was seen covering the entire vaginal introitus. Hematometra and hematocolpos were found on abdominal ultrasonography and the patient was diagnosed with imperforate hymen. Hymenectomy was performed and she had regular menstruation afterwards. If left untreated, it can lead to morbidities such as infection, endometriosis, subfertility, and kidney failure. It is essential for clinicians to consider imperforate hymen as the differential diagnosis and examine the external genitalia, especially in adolescents with cyclic monthly lower abdominal pain and amenorrhea.
The Characteristics of Preeclampsia and Eclampsia Patients at Dr. T.C. Hillers Regional Hospital Maumere Sentosa, I Gede Bagus; Kurniawan, Rommy Andika; Conterius, Advent CT
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.4

Abstract

Preeclampsia can occur from the time the mother is pregnant until 48 hours to 6 weeks after giving birth and is associated with an increased complication rate of 2-8% during pregnancy, contributing to 9 - 26% of maternal deaths. This condition can have significant prolonged effects on both the mother and the baby. Considering the high rates of morbidity and mortality in mothers and babies due to preeclampsia, this study aims to understand the characteristics of patients with preeclampsia at T.C. Hillers Regional Hospital of Maumere within the period of January 1st to December 31st, 2022. This study is a retrospective descriptive study using secondary data. The data collection was performed on patients diagnosed with preeclampsia and eclampsia during the study period. The results showed that most participants were between 20-34 years old, had a body mass index (BMI) of ≥ 25, multigravida (had multiple pregnancies), housewives, High School graduates, and had a history of chronic hypertension. Based on risk factors, 35.5% of the subjects were ≥ 35 years old, 31% were primigravida (first-time pregnant), 26% were obese, 21% had a history of hypertension in previous pregnancies, 10,5% had chronic hypertension, 3% had multiple gestations, 1% of the subjects had a pregnancy interval >10 years, and 0.5% had diabetes mellitus. This study provides an overview of the characteristics and risk factors of pregnant women with preeclampsia in Maumere.
Imperforata Hymen: Secondary Urinary Retention due to Hematocolpos Compression in a 13-Year-Old Woman Sentosa, I Gede Bagus; Kurniawan, Rommy Andika
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.18

Abstract

Imperforate hymen is a rare congenital anomaly in which the hymen completely covers the vaginal opening, caused by the failure of vaginal plate canalization during the embryonic period. This article reported a 13-year-old girl with a chief complaint of cyclic monthly lower abdominal pain, suprapubic pain, and inability to urinate. She denied prior menstruation. Cystic mass was palpated in the suprapubic area, and the hymen was seen covering the entire vaginal introitus. Hematometra and hematocolpos were found on abdominal ultrasonography and the patient was diagnosed with imperforate hymen. Hymenectomy was performed and she had regular menstruation afterwards. If left untreated, it can lead to morbidities such as infection, endometriosis, subfertility, and kidney failure. It is essential for clinicians to consider imperforate hymen as the differential diagnosis and examine the external genitalia, especially in adolescents with cyclic monthly lower abdominal pain and amenorrhea.
Co-Authors Conterius, Advent CT Kurniawan, Rommy Andika