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Improving General Practitioners’ Competence in Basic Obstetric and Gynecologic Ultrasound for Early Fetal Abnormality Detection Donel, Donel; Febriani, Febriani; Hidayatullah, Amiruddin; Ardiani, Vani; Frymonalitza, Ninda; Homaira, Kesuma Anggreini; Nugraha, Iriandanu; Hernita, Nisa Faradisa
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.478

Abstract

In order to reduce maternal and infant mortality rates, interventions must focus on improving the quality of antenatal care, particularly at primary care level. One key competency that general practitioners must possess is the ability to perform basic obstetric ultrasound examinations to detect intrauterine foetal abnormalities early on. This community service activity aims to enhance general practitioners' skills in this area using a six-step approach. Implementation involves theoretical education, hands-on training and pre- and post-test evaluations of participants' knowledge and skills. The activity involved 30 general practitioners from the Kampar Regency area. Training results showed an average increase in post-test scores of 31.67% compared to pre-test scores, indicating significant improvements in participants' competencies. The activity also facilitated the distribution of practice- based teaching modules and strengthened collaboration with local community health centres to support maternal and child health services. Basic obstetric ultrasound training has proven to be an effective way of strengthening primary healthcare services and reducing maternal and perinatal mortality and morbidity rates.
Early gestational diagnosis of alobar holoprosencephaly with omphalocele: A case report Frymonalitza, Ninda; Febriani, Febriani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1241

Abstract

Background: Holoprosencephaly (HPE) is the most frequent congenital brain malformation, with alobar HPE representing the most severe form. It is often accompanied by other structural anomalies such as omphalocele, significantly complicating fetal prognosis and perinatal management. Purpose: To present the early gestational diagnosis of alobar holoprosencephaly with omphalocele. Method: A descriptive case report of a 40-year-old gravida 2 para 1 woman whose fetus was diagnosed via ultrasound at 17–18 weeks' gestation with alobar HPE and omphalocele. The case was managed through routine antenatal care and serial ultrasound monitoring. Results: Serial imaging revealed progressive ventriculomegaly and worsening abdominal wall defect. Despite the fatal nature of the anomalies, legal constraints in Indonesia prevented pregnancy termination. The fetus survived until intrauterine demise at 37–38 weeks, after which labor was induced and a stillborn delivered vaginally. Conclusion: This case underscores the importance of early gestational diagnosis and highlights the ethical and legal challenges in managing lethal fetal anomalies in restrictive settings. Comprehensive parental counseling and genetic evaluation are crucial components in delivering informed care.