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All Journal Jurnal Medika Nusantara Vitamedica: Jurnal Rumpun Kesehatan Umum
Iskandar Albin
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Health Professions Nursing Public Health

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Prolapsus Uteri pada Pasien Berusia 53 Tahun Multipara : Sebuah Laporan Kasus Syarina Syafira; Iskandar Albin
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v2i4.211

Abstract

Pelvic organ prolapse is a disease that combines a group of disorders of the ligamentous apparatus of the uterus and vagina, leading to prolapse and prolapse of the internal genital organs, manifested by displacement of the genitals to the vaginal inlet or prolapse beyond its redistribution. A case has been reported from a female patient aged 53 years with complaints of lumps coming out of the vagina. The complaint begins with discomfort and feels like there is a burden on the pelvis. The complaints felt by the patient were aggravated when squatting and lifting heavy objects that made the lump come out of the vagina, the lump decreased when sitting and lying down. On physical examination, it was found that the uterine mass came out of the vaginal introitus in a round shape of pink, the distal part of the uterine prolapse decreased by 1.6 cm from the hymen and no more than TVL (Total Vaginal Length) by 2 cm. Management in patients with operative measures is the laparotomy with total hysterectomy.
Gambaran Karakteristik Persalinan Spontan (Spontaneous Vertex Delivery) di Wilayah Kecamatan Nisam Aceh Utara Tahun 2021 Salmiah Salmiah; Nora Maulina; Iskandar Albin
Jurnal Medika Nusantara Vol. 3 No. 2 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i2.1805

Abstract

Labor is a process that requires great energy and stamina, during this process the cervix will open and become thinner, making it easier for the fetus to descend into the birth canal. During labor, additional sources of energy from outside the body are needed to conserve glycogen stores during labor. Lack of nutritional intake during labor can reduce blood glucose levels so that the mother experiences muscle fatigue, characterized by high levels of lactate in the blood and inadequate uterine contractions which results in delayed progress or delayed delivery. The research method is descriptive observational with a population of 421 deliveries in Nisam District. The sample taken is part of the population. Research variables are maternal age at delivery, education, parity, distance of residence, occupation, socio-economic and birth attendant. The results of this study were from 81 deliveries that occurred in Nisam District in 2021, the mother's age at delivery was 20-35 years (93.8%), high school education (54.3%), Primipara parity (50.6%), distance of residence <15 minutes (69.1% ), non-civil servant occupation (86.4%), socio-economic minimum wage (53.1%), birth attendant assisted by a midwife (100%). The conclusion of this study is the characteristics of spontaneous delivery in Nisam District in 2021, namely; The highest maternal age at delivery was 20-35 years, the most education was high school, the most parity was primipara, the most residence distance was <15 minutes, the most occupations were Non-PNS, most socio-economically above the minimum wage, and spontaneous birth attendants by midwives.
Co-Authors Nora Maulina Salmiah Salmiah Syarina Syafira