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All Journal Jurnal Medika Hutama Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Sibuea, Rony
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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KORELASI ANTARA PARITAS DENGAN KEJADIAN PERDARAHAN POSTPARTUM PRIMER Sibuea, Rony
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 2 (2022): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.513 KB) | DOI: 10.55606/klinik.v1i2.646

Abstract

This study aims to determine the correlation between parity and the incidence of primary postpartum hemorrhage. The research design used is a cross-sectional correlation design. This study was conducted at the Public Health Center (Puskesmas) in Pulau Untung Jawa Village, Kepulauan Seribu Selatan District, DKI Jakarta in 2021. The population in this study was mothers who experienced postpartum hemorrhage (500 ml/more) at gestational age ≥ 20 weeks in the first 24 hours after delivery. The sampling technique used in this study was saturated sampling. The data were analyzed using the Chi-squared test. From the results of the study, it was found that 29 cases of primary postpartum hemorrhage occurred. Most incidences of primary postpartum hemorrhage occurred at a high parity level (more than 1) as many as 20 cases (68.97%). After analyzing the data using the Chi-squared test based on dk = 1 and α = 0.05, the Chi-square table = 3.48 while the calculated Chi-square count = 4.16. The conclusion is obtained by comparing X² count with X² table, it is found that X² count is > X² table, which means that there is a correlation between parity and the incidence of primary postpartum hemorrhage. It means that women with high parity have a greater risk of experiencing primary postpartum hemorrhage. With the high incidence of primary postpartum hemorrhage at high parity, it is hoped that healthcare facilities can provide more intensive services. Preventive measures should be started since women are pregnant by doing good antenatal care, providing information about the occurrence of primary postpartum hemorrhage and paying attention to predisposing factors or history of primary postpartum hemorrhage.
POTENSI PROBIOTIK VAGINA SEBAGAI PROFILAKSIS KETUBAN PECAH DINI PREMATUR: SEBUAH TINJAUAN SISTEMATIS Mukhamad, Nooryanto; Sibuea, Rony
Jurnal Medika Hutama Vol. 7 No. 2 Januari (2026): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Preterm Premature Rupture of Membranes (PPROM), defined as the rupture of membranes before 37 weeks of gestation, can lead to serious complications such as infection. Vaginal probiotics have the potential to serve as a solution by restoring a healthy microbiome balance while reducing the risk of antibiotic resistance when used as adjunctive therapy. This study aims to investigate the effects of vaginal probiotics in normalizing the vaginal microbiota of pregnant women as prophylaxis for PPROM. A review of four Randomized Controlled Trial (RCT) articles from databases such as Google Scholar, PubMed, and ScienceDirect up to January 2025 evaluated the effectiveness of probiotics. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) checklist. Three studies showed that probiotics were effective in improving pregnancy outcomes. One study reported that oral probiotics in healthy pregnant women may reduce the incidence of PPROM. Consistently, probiotic administration was associated with significant improvements, including an increase in gestational age at delivery (ranging from 30.18±2.49 to 34.0±2.0 weeks) and an increase in infant birth weight (from 1,562±450 g to 2,800±440 g). The length of stay in the neonatal intensive care unit (NICU) was also shorter in the probiotic group. It can be concluded that vaginal probiotics, especially when used in conjunction with antibiotics, provide significant benefits as prophylaxis for PPROM and contribute to improved maternal and neonatal health.
Co-Authors Mukhamad, Nooryanto