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All Journal Sriwijaya Journal of Obstetrics and Gynecology
Liwanto, Michael Adriel
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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Fournier's Gangrene in 21 Years Old Female: A Case Report Liwanto, Michael Adriel
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 2 (2024): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v2i1.108

Abstract

Introduction: Fournier's gangrene, also known as gangrene of the genital region, is an uncommon and rapidly advancing form of necrotizing fasciitis that affects the genitals. The severity and mortality of the disease are dependent upon the overall health status of the patient at the time of diagnosis and the speed at which the infection spreads. Case presentation: An unmarried 21-year-old woman presented with a persistent discharge of abscesses in the perineal area. The patient came in ambulatory and showed no indicators of heart or lung discomfort. A pelvic examination was performed, and the following observations were made: A visual examination revealed swelling in the vulvar area on both sides, along with an open wound within the swelling measuring 3×3 cm. The wound was discharging reddish, thick, and foul-smelling fluid. A glucose level of +4 was observed in the urine, and a random blood sugar test yielded a value of 324 mg/dl. The patient received wound debridement, excision, and electrocauterization of genital warts, blood sugar monitoring with insulin administration, and a 14-day course of antibiotics. The patient's condition improved, and they were discharged after receiving 14 days of intravenous antibiotic treatment. Conclusion: The treatment of Fournier gangrene requires a comprehensive approach that includes intensive systematic management, broad-spectrum antibiotic therapy, and early surgical debridement. This involves removing the necrotic tissues and surgically draining the peritoneum, scrotum, penis, and inguinal regions.
Analysis of Sociodemographic and Psychosocial Risk Factors for Teenage Pregnancy: A Cross-Sectional Study at The Teen Mom’s Clinic of Mariano Marcos Memorial Hospital and Medical Center Philippines Liwanto, Michael Adriel; Kristina Vicente Martin; Marriane Grace R. Remolacio
Sriwijaya Journal of Obstetrics and Gynecology Vol. 2 No. 2 (2024): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v2i1.109

Abstract

Introduction: Teenage pregnancy is a serious public health problem in the Philippines. This study aims to analyze sociodemographic and psychosocial risk factors associated with teenage pregnancy at the Teen Mom's Clinic of Mariano Marcos Memorial Hospital and Medical Center in the Philippines. Methods: A cross-sectional study was conducted on 152 adolescents who consulted at the clinic. Data were collected through a questionnaire that asked about sociodemographic and psychosocial characteristics. Univariate and bivariate statistical analyzes were used to identify risk factors associated with teenage pregnancy. Results: The prevalence of teenage pregnancy among consultation subjects at the clinic was 89%. Bivariate analysis showed that age, place of residence, education level, household income, source of income, parental relationship, sexual relationship, relationship status, source of information about sex, sexual experience, number of sexual partners, contraceptive use, STI information, sexual harassment, physical abuse, and verbal abuse were not significantly associated with teenage pregnancy. Conclusion: Sociodemographic and psychosocial risk factors do not play a significant role in teenage pregnancy in the Philippines.
Co-Authors Kristina Vicente Martin Marriane Grace R. Remolacio