Claim Missing Document
Check
Articles

Found 3 Documents
Search
Journal : Science Midwifery

Case report of asymptomatic situs inversus totalis with dextrocardia in primigravida: Is cesarean section necessary? Arifia, Erina; Putra, Gagah Buana; Wahyuni, Alfaina; Rahmiati, Nurmaita
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1944

Abstract

Introduction: Situs inversus, a congenital anomaly, is defined by the transportation of thoracic and abdominal organs. A variety during pregnancy this condition has often a challenge for obstetricians, gynecologists, and midwives as there is concern about cardiovascular dysfunction, leading to recommendations for cesarean section. Case Report: A 28-year-old primigravida at 40 gestational weeks. She was admitted arrival at the emergency room. Dextrocardia was already present, as was sinus inversus totalis and antenatal assessment relevealed no abnormalities. Patient underwent a spontanous vaginal delivery of a healthy male infant with normal birth weight. Discussion: Situs inversus totalis with dextrocardia does not compromise organ function or the typical physiological changes of pregnancy including cardiovascular system. Therefore, routine cesarean section is not indicated for these patients unless other obstetric factor necessitate it, as this condition does not independently contribute to increased maternal or fetal complications. Conclusion: Delivery of a pregnancy, dextrocardia, and situs inversus totalis via vaginal delivery is feasible without any significant cardiovascular risks. Cesarean section was not necessary unless other obstetric indications.
Atherosclerosis in rat PCOS model induced by testosterone propionate combined with high fat high fructose diet Sularto, Dirwan Suryo; Wahyuni, Alfaina
Science Midwifery Vol 11 No 5 (2023): December
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i5.1384

Abstract

Atherosclerosis is closely related to the metabolic syndrome like what occurs to Polycystic Ovary Syndrome (PCOS). The recent increase in prevalence due to high calories diet and high carbohydrate, infrequent exercise, and the escalating obesity trend increased insulin resistance. PCOS is linked to many long term health problems, such as cardiovascular disease, atherosclerosis, and diabetes. How is the potential of atherosclerosis for PCOS model mice induced with testosterone propionate and high fat diet and high fructose? This research is important to conduct in order to determine the potential of atherosclerosis for PCOS through the observation on mice model of PCOS. This research employed Postest Only Control Group Design method. Twenty female Rattus norvegicus strain Wistar mice weighing between 100 and 130 grams, aged 3 months, served as the samples. After observing estrous cycle, 15 mice were randomly chosen to be made PCOS model induced with testosterone propionate 1mg/100 g BW/day intramuscularly combined with high fat diet and high fructose. The treatment was given on day 18, 21, and 24. Afterwards, the mice were sacrificed on day 19, 22, and 25. After 12 hours of fasting the mice, the mice were sacrificed and the coronary arteries attached to the heart were taken to be made histological preparations. Then, the degree of atherosclerosis potential was observed. Statistical analysis used One Way Anova test with significance level of α=0,05. Data analysis was performed using Statistical Product and Servive Solutions (SPSS) program version 24.0 for Windows.
Improving awareness and management of polycystic ovary syndrome Kusumawati, Wiwik; Wenang, Supriyatiningsih; Wahyuni, Alfaina
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2200

Abstract

The most common infertility causes among couples at AMC are oligoasthenoteratozoospermia in males (40%) and polycystic ovary syndrome (PCOS) in females (40%). This study aimed to develop an interprofessional collaboration model for the management of PCOS at the Reproductive and IVF Clinic of AMC Muhammadiyah Hospital, with the goal of improving patients’ medication adherence and therapy effectiveness. As the initial phase, a PCOS health education webinar was conducted to enhance participants’ knowledge and attitudes toward PCOS prevention and management. A pre- and post-test design was employed using an online questionnaire distributed via Google Forms to PCOS community members in Yogyakarta. The instrument assessed participants’ knowledge of PCOS, medication adherence, and perceptions of interprofessional collaborative management. Data was analyzed using SPSS software. Thirty-one women participated, of whom 14 (36%) had PCOS, with a median age of 27 years (range: 18–62). The educational webinar significantly improved participants’ understanding of PCOS (p < 0.000), particularly in terms of knowledge and attitudes regarding its prevention and management. The health education webinar effectively enhanced participants’ knowledge and attitudes toward PCOS prevention and management, highlighting the potential of interprofessional collaboration–based education to support comprehensive reproductive health care.