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Rahmatullah, Muhammad Rayza
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Epidemiologi Dan Diagnosis Preeklamsia Rahmatullah, Muhammad Rayza; Sutarto, Sutarto; Sari, Ratna Dewi Puspita; Romulya, Ari Irawan
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.964

Abstract

Preeclampsia is a serious pregnancy complication characterized by high blood pressure and organ damage. This condition poses a health risk for both the mother and the fetus. This article reviews the epidemiology and diagnosis of preeclampsia. Its epidemiology is complex with varying global prevalence. Risk factors include maternal age, history of preeclampsia and family, multiple pregnancies, obesity, diabetes, and kidney disease. Common diagnostic methods include blood pressure measurement, urine analysis, laboratory tests, and Doppler ultrasonography to assess the placenta and fetus. Prevention and early detection are the major priorities to reduce maternal and infant mortality rates. Further research is needed to develop better diagnostic and prevention strategies. Increasing understanding of the epidemiology and diagnostic methods of preeclampsia, more mothers and babies can be protected from the risks of this condition in the future.
Laporan Kasus: Pendekatan Multidisiplin dalam Manajemen Ketuban Pecah Dini pada Kehamilan Kembar Rahmatullah, Muhammad Rayza; Sagia, Nabilla Alsa; Zahra, Tsurayya Fathma; Zulfadli, Zulfadli
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1136

Abstract

Twin pregnancies are high-risk conditions often accompanied by various complications, one of which is premature rupture of membranes (PROM). PROM is the rupture of the amniotic membrane before the onset of labor, occurring either before 37 weeks of gestation (preterm) or after (term). PROM significantly contributes to preterm births, a leading cause of global neonatal mortality. In Indonesia, the incidence of PROM increased from 13.1% in 2020 to 14.6% in 2021. This case study reports on a 36-week pregnant woman with twins who experienced PROM and successfully delivered vaginally with favorable outcomes for both the mother and neonates. The diagnosis of PROM was confirmed through anamnesis, physical examination, and supporting tests. Management included intensive observation, intravenous fluid administration, antibiotics, and antenatal steroids for fetal lung maturation. Previous research indicates that twin pregnancies significantly increase the risk of PROM. Key risk factors for PROM include a history of PROM, short cervical length, and low socio-economic status. Management of PROM in twin pregnancies involves the administration of antenatal steroids, latency antibiotics, magnesium sulfate for neuroprotection, and rigorous clinical and ultrasonographic monitoring. Diagnosis is performed via speculum examination and immunochromatographic tests. In conclusion, appropriate and effective management of PROM in twin pregnancies is crucial for improving pregnancy outcomes and reducing the risk of complications for both mother and infants.