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All Journal Molecular and Cellular Biomedical Sciences (MCBS) Syntax Literate: Jurnal Ilmiah Indonesia Buletin Ilmiah Nagari Membangun Journal of Midwifery Majalah Kedokteran Andalas Contagion: Scientific Periodical Journal of Public Health and Coastal Health Andalas obstetrics and gynecology journal Science Midwifery Indonesian Journal of Global Health research Jurnal Pengabdian Inovasi dan Teknologi Kepada Masyarakat
Joserizal Serudji
Departement Of Obstetrics And Gynaecology, Faculty Of Medicine, Andalas Of University, Indonesia
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Fetus Cardiovasculler Yusrawati yusrawati; Muhammad Iqbal; Reyhan Julio azwan; Bobby Indra Utama; Joserizal Serudji; Hudila rifa karmia
Journal of Midwifery Vol 7, No 1 (2022): Published on June 2022
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.7.1.24-34.2022

Abstract

Formation of the human heart involves complex biological signals, interactions, specification of myocardial progenitorcells, and heart tube looping. To facilitate survival in the hy poxemic intrauterine environment, the fetus possessesstructural, physiological, and functional cardiovascular adaptations that are fundamentally different from the neonate. The  fetal  circulation is considered to anatomical and biochemical changes in the cardiovascular system. This review article describes key cardiac progenitors involved in embryonic heart development; the cellular, physiological, and anatomical changes during the transition from fetal to neonatal circulation.
Congenital Heart Defects: Risk Stratification for Pregnancy Joserizal Serudji
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.116-121.2022

Abstract

Major advances in medicinal and operative therapy on congenital heart defects (CHD) patients have led the majority of affected women survive to childbearing age. The risk of cardiovascular complications during pregnancy and peripartum depends on the type of the underlying defect, the extent and severity of residual haemodynamic lesions and comorbidities. Thuugh pregnancy is well tolerated in patients with CHD, but for some women with particularly high-risk lesions and poor functional class, pregnancy poses significant risk for cardiovascular complications, including premature death. As a result, preconception risk stratification and counseling are mandatory and should be done in all women of childbearing age with CHD. This will enable informed decision making for pregnancy savers.
Twin to Twin Transfusion Syndrome Joserizal Serudji
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.191-197.2022

Abstract

Introduction: Collateral arterial growth is an effective adaptation process to maintain blood supply in myocardial tissue distal to a coronary stenosis and in other vascular beds where feeding arteries are obstructed (1) . The drive for outgrowth and remodelling of arterial collaterals is an increased shear stress due to an enlarged blood flow occurring after the event of stenosis in a near by conduit artery. Remodelling includes increased growth of the diameter and length of the collateral, causing the characteristic tortuous or cork screw appearance (1) .Whilst collateral growth is generally beneficial, we will present evidence that arterial collateral out growth occurred in a monochorionic twin placenta where it jeopardised the pregnancy by causing the twin to twin transfusion syndrome (TTTS).Objective: to report a case of twin-to-twin transfusionCase Report: Reporting a case experienced and taken care in our Clinic Fetomaternal RS. Dr .M. Jamil Hospital. A 34 years old woman, gravida 2, para1, at 31 weeks and 6 days amenorrhea, because her pregnant uterus was too large for gestational Referral to tertiary center followed. At 32 weeks and 2 days amenorrhea biometry indicated estimated fetal weights of 1950 and 1450 g (Hadlock), oligohydramnios and polyhydramnios (amniotic fluid index:23cm. No structural anomaly of the heart was seen. No interventions, one course of corticosteroids were administered for fetal lung maturation. At 33 weeks a slight decrease in heart rate variability of the smaller twin was observed. A Caesarean section under spinal anesthesia was performed. Two girls were delivered of 1585 g and 2135 g and in good condition (Apgar scores 8 and 9 after 1 and 5 min in both girls). The monochorionic diamniotic placenta weighed 740 g. The cord of the recipient was centrally inserted and that of the donor velamentally. Placenta was born monochorion, diamnion.Conclusion: TTTS is caused due to unidirectional deep arteriovenous (AV) anastomoses with the superficial short comings. Hypovolemia, oliguria and oligohydramnion occurs in the donor fetus. Hypervolemia, polyuria and polyhydramnios occurs in the recipient fetus
The Relationship Of Age, Education, Knowledge, And Occupation Of Mothers To The Implementation Of Exclusive Breastfeeding In The City Of Binjai In 2022 Ilvira Ulpa Ismail; Joserizal Serudji; afriwardi
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.690

Abstract

According to the Indonesian Health Profile 2021, exclusive breastfeeding coverage in North Sumatra province is only 57.88% and in Binjai city only 15.74%, while the national target in Indonesia is 80%. This study aims to look at the factors associated with the implementation of exclusive breastfeeding in the city of Binjai. The design of this research is observational analytic with cross sectional approach. The population in this study were mothers who had babies aged >6-12 months in the work area of ​​the Binjai City Health Office from May to June 2022. Sampling used proportional sampling with accidental techniques on 283 respondents. Collecting data using a questionnaire, and data analyzed using univariate test, bivariate in the form of chi-square test. The research results obtained ada the relationship between the work of breastfeeding mothers with the implementation of exclusive breastfeeding p = 0.001, there is a relationship between mother's education and the implementation of exclusive breastfeeding p = 0.022, there is a relationship between knowledge and the implementation of exclusive breastfeeding p = 0.028, there is no relationship between the age of breastfeeding mothers and the implementation of exclusive breastfeeding in the city Binjai. The conclusion of this study is that there is a relationship between mother's work, mother's education and mother's knowledge of the implementation of exclusive breastfeeding, and there is no relationship between maternal age and the implementation of exclusive breastfeeding in the city of Binjai.
Maternal characteristics in obstetric emergency cases at RSUP Dr. M. Djamil Padang Rena Afri Ningsih; Yusrawati; Aldina Ayunda Insani; Joserizal Serudji
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.898

Abstract

The causes of maternal death in West Sumatra Province in 2020 are bleeding at 2.1%, hypertension in pregnancy at 1.5%, infection at 0.9%, metabolic disorders at 0.6% and other causes at 3.5%. Cases of maternal death can be caused by obstetric emergencies. This study aims to describe the characteristics of mothers in obstetric emergencies at comprehensive emergency obstetric and newborn care (EmONC) RSUP Dr. M. Djamil Padang. This study is a descriptive study with a population of obstetric emergency cases at EmONC. hospital. Dr. M. Djamil Padang period May-June 2022. The sample is 108 respondents. The results of this study showed that from 108 respondents there were 23.1% of respondents with a diagnosis of severe preeclampsia, 79.6% of respondents aged 20-35 years, 84.3% of respondents with parity ≤ 2, the last education of respondents was senior high school 43.5%, 26.9% of respondents did not work, 81.5% of respondents did not have a history of non-communicable diseases, and 73.1% of respondents had a sufficient number of antenatal care (ANC) visits. Most patients with obstetric emergency cases at EmONC RSUP Dr. Mdjamil Padang with a diagnosis of severe preeclampsia, age 20-35 years, and the number of ANC visits is sufficient.
Differences in Levels of Vitamin D, Human Placenta Lactogen (hPL) and Estradiol in Normal Pregnancy and 1st Trimester Abortion Ismi Mulya Afti; Fika Tri Anggraini; Joserizal Serudji
Majalah Kedokteran Andalas Vol 45, No 4 (2022): Online October 2022
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v45.i4.p524-530.2022

Abstract

Vitamin D deficiency is one of the common health problems in the world, around 20-40% occurs during pregnancy (Urrutia-Pereira & Solé, 2015). Abortion or early pregnancy loss in the first trimester has a close relationship with vitamin D deficiency (Hou et al., 2016). This study aims to prove the differences in levels of vitamin D, levels of human Placenta Lactogen (hPL) and levels of estradiol in normal pregnancy and first trimester abortion.This research is a comparative analytic study with a cross sectional approach. The normality test of the data was carried out using the sapiro wilk test and data analysis using the independent T test.The results of the research variables showed that the average levels of vitamin D, Estradiol, and hPL in normal pregnant women were significantly higher than pregnant women who had an abortion in the first trimester, namely (36.577 ng/mL vs 19.120 ng/mL; 626.596 pg/mL vs 246.604 pg/mL; 12.188 g/mL vs 6.786 g/mL) with a value of p<0.05 for the three variables.
Anticonvulsant for preeclampsia: Magnesium sulfate or Diazepam ? Joserizal Serudji
Journal of Midwifery Vol 7, No 2 (2022): Published on Desember 2022
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.7.2.51-58.2022

Abstract

Preeclampsia is a multisystem disorder which is still the leading cause of maternal death today. The occurrence of seizures in preeclampsia (eclampsia) increases the risk of maternal and perinatal morbidity and mortality. Therefore, seizure in preeclampsia should be prevented and should be managed accurateely.The standard therapy for managing severe preeclampsia/eclampsia is the use of an anticonvulsant that is aimed to prevent/stop seizures, prevent the recurrence of attacks, to minimize and to manage their complications, and optimize the time for the birth of the baby. On the other hand, the selection of anticonvulsants needed is still controversial, so debates and studies on the effectiveness between each anticonvulsant are necessary.Comparative research between magnesium sulfate and diazepam is widely carried out, both retrospective and prospective. Magnesium sulfate is more effective than diazepam, especially in terms of overcoming seizures, and suppressing maternal mortality and perinatal morbidity, so the choice of magnesium sulfate over diazepam is more realistic.
Pregnancy with severe preeclampsia, acute kidney injury and nephrotic syndrome Joserizal Serudji; Haviz Yuad; Syntia Ambelina
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.330-337.2023

Abstract

Background: Preeclampsia is one of the main causes of maternal death every year. Preeclampsia can have badconsequences for both the mother and the fetus. Complications in the mother in the form of HELLP syndrome(Hemolysis, Elevated Liver Enzyme, Low Platelet), pulmonary edema, kidney disorders, bleeding, placentalabruption and even maternal death. Complications in infants can be premature birth, fetal distress, low birthweight or intra uterine fetal death (IUFD).Case Report: A 34 year old female patient was brought to the emergency room of Dr. M. Djamil Padang, sent tothe Batusangkar Private Hospital with complaints of shortness of breath which has been increasing when lyingdown. Physical examination found blood pressure 190/136. The patient was diagnosed with G2P1A0H1 gravidpreterm 25-26 weeks, PEB on maintenance dose MgSO4 regimen from outside, suspected nephrotic syndrome,CAP with hypoxemia, pleural effusion, AKI with metabolic acidosis, UTI, hyponatremia, hypoalbuminemia.Discussion: Preeclampsia, eclampsia and HELLP syndrome are serious and life-threatening conditions faced bypregnant women. Early diagnosis and prompt treatment via a multidisciplinary team in the ICU setting canprevent complications and reduce morbidity and mortality. The most common indications for intubation andmechanical ventilation are respiratory failure and hemodynamic instability. The cause of death in this patientwas multiple organ failure which was exacerbated by suspected nephrotic syndrome and suspected SLE.
Deteksi Dini Kehamilan Risiko Tinggi di Wilayah Kerja Puskesmas Pegambiran Kota Padang Tahun 2022 Yusrawati Yusrawati; Desmawati Desmawati; Arni Amir; Joserizal Serudji; Vaulinne Basyir; Defrin Defrin; Hudilla Rifa Karmia; Aldina Ayunda Insani Ayunda; Miranie Safaringga; Lisma Evareny; Meilinda Agus
JDISTIRA - Jurnal Pengabdian Inovasi dan Teknologi Kepada Masyarakat Vol. 3 No. 1 (2023)
Publisher : Yayasan Rahmatan Fidunya Wal Akhirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58794/jdt.v3i1.429

Abstract

Angka Kematian Ibu (AKI) Indonesia secara Nasional tahun 2017 dan 2019 tidak mengalami perubahan yaitu 305 per-100.000 kelahiran hidup. Menurut data Rakernas 2019, ibu hamil meninggal akibat komplikasi kebidanan yang tidak ditangani dengan baik dan tepat waktu, 15% mengalami komplikasi, dan 85% normal. Penyebab utama kematian ibu akibat hipertensi (33,07%), perdarahan obstetrik (27,03%), komplikasi non-obstetrik (15,7%), komplikasi obstetrik lainnya (12,04%), infeksi pada kehamilan (6,06%), dan penyebab lainnya (4,81%). Kelainan saat kehamilan akan berpengaruh terhadap pertumbuhan dan perkembangan janin. Akibatnya, janin mengalami gangguan hingga pertumbuhan dan perkembangan nantinya saat lahir dan masa lima tahunnya (balita). Tindakan promotif dan preventif agar masalah ini teratasi sangatlah penting. Salah satunya kolaborasi Bidan dan dokter kandungan melakukan tindakan promotif dan preventif khususnya pada deteksi dini kehamilan risiko tinggi. Kegiatan dilakukan pada ibu hamil di wilayah kerja Puskesmas Pegambiran, meliputi pemeriksaan tanda-tanda vital, penyuluhan nutrisi ibu hamil dan tanda bahaya pada kehamilan serta Pemeriksaan USG. Didapatkan hasil 3,8% ibu hamil dengan plasenta previa, 3,8% ibu hamil dengan fetal distress, dan terdapat peningkatan pengetahuan ibu hamil terkait nutrisi dan tanda bahaya pada kehamilan. Ibu hamil dengan risiko tinggi pada kehamilan dilakukan rujukan ke fasilitas lebih lengkap. Diharapkan adanya pendampingan dan selalu menggalakkan kebiasaan untuk nutrisi seimbang dan selalu melakukan pemeriksaan (antenatal care).
Differences In Platelet and Thrombin Levels In Preeclampsia and Normal Pregnancy Gistin Husnul; Joserizal Serudji; Vaulinne Basyir
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.587 KB) | DOI: 10.36418/syntax-literate.v7i5.6950

Abstract

Background; Preeclampsia is a pregnancy-specific syndrome that can affect any organ system. The incidence of preeclampsia and eclampsia is different for each country. Changes in endothelial function are considered to be the main cause of symptoms of preeclampsia such as hypertension, proteinuria, and activation of the hemostatic system. Changes in endothelial function that occur in preeclampsia will lead to increased coagulation, fibrin deposition in the microvasculature which results in disruption of placental perfusion. Platelets and thrombin are part of the coagulant factors. Extensive endothelial injury in severe preeclampsia causes a large use of platelets resulting in a decrease in the number of platelets. Thrombin is a serine protease that plays an important role in the coagulation cascade, thrombosis, and hemostasis. Coagulation markers such as platelets and thrombin will affect the coagulation cascade so that they can be used as markers of the progression of preeclampsia. Therefore, it is important to know the extent to which coagulation markers such as platelets and thrombin have an effect in patients with preeclampsia and normal pregnancy. This study to determine the difference in levels of platelet and thrombin in preeclampsia and normal pregnancy Methods: This study is observational with a cross-sectional comparative study design. Sampling was conducted from March 2020 to March 2021. A total of 66 patients were investigated, with 33 samples of preeclampsia and 33 samples of normal pregnancy. The independent sample T-test was used for statistical analysis. Results: The mean levels of Platelet in the preeclampsia group were lower at 214030.3 ± 111128.44 /mm3 while normal pregnancy was 274151.52 ± 88857.02/mm3. The results of statistical tests showed that there was a significant difference in levels of Platelet between the preeclampsia and normal pregnancy groups (p <0,05). The mean thrombin level in the preeclampsia group was higher at 72.23 ± 7.99 ng/mL, while in normal pregnancy it was 63.70 ± 8.92 ng/mL. The difference in thrombin levels between the preeclampsia and normal pregnancy groups was statistically significant (p<0.05) Conclusion: Preeclampsia was associated with Lower levels of Platelet and higher level of thrombin than normal pregnancy. There was a significant difference in the mean levels of Platelet and thrombin between preeclampsia and normal pregnancy.
Co-Authors Adang Bachtiar Afriwardi Afriwardi Amir, Arni Arni Amir Arni Amir Bobby Indra Utama Boby Hartanto Defrin Defrin Denas Symond Desmawati Desmawati Fika Tri Anggraini Finny Fitry Yani Fuji Rahayu Henafi Gistin Husnul Gistin Khusnul Khatimah Hardisman Haviz Yuad Hirowati Ali Hudila Rifa Karmia Hudila Rifa Karmila Hudila Rifa Karmila Hudilla Rifa Karmia Hudilla Rifa Karmia Hudilla Rifa Karmia Hudilla Rifa Karmia Ilvira Ulpa Ismail Insani, Aldina Ayunda Iria Ningsih Busri Iria Ningsih Busri ismi mulya afti Ismul Sadly Putra Izmi Fadhillah Nasution Izmi Fadhillah Nasution Johanes C Mose Lisma Evareny Lisma Evareny Meilinda, Agus Miranie Safaringga Muhammad Iqbal Muhammad Iqbal Nabila Alfina Nelwati Nelwati Novita Br Ginting Munthe Novy Ratnasari Sinulingga Novy Ratnasari Sinulingga Nuzulia Irawati Rani Ashari Rani Ashari Rena Afri Ningsih Reyhan Julio azwan Reyhan Julio Azwan Rima Semiarty Rina Rina Rizanda Machmud Salma Afriliza Salma Afriliza Syntia Ambelina Vaulinne Basyir Vaulinne Basyir Vaulinne Basyir Vaulinne Basyir Vaulinne Basyir Yolanda Syahdia Yolanda Syahdia Yusmalia Hidayati Yusmalia Hidayati Yusrawati Yusrawati