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Correlations between Parity and Marriage Age with Incidence of Cervical Cancer at Gunung Jati Hospital, Cirebon, Indonesia Oktaviani, Maya; Permata, Yukke Nilla; Sutrisno, Wildan Arismunandar
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741133

Abstract

Background: Cervical cancer is one of the leading causes of death among women in Indonesia, and factors such as parity and age at marriage are believed to play a significant role in increasing the risk of developing this disease. Aims: Examine the relationship among parity and age at marriage with the incidence of cancer of cervix by describing the age distribution, parity, age at marriage, and histopathological features of cancer of cervix patients at Gunung Jati Hospital in Cirebon, Indonesia. Methods: This study utilized an analytical observational approach with a cross-sectional design. It analyzed secondary data, specifically the medical records of cancer of cervix patients at Gunung Jati Hospital in Cirebon from 2022 to 2023. A total of 47 patients were selected through total sampling. The Spearman correlation test was employed for statistical analysis to determine the correlation between the variables. Results: The majority of cervical cancer patients were multiparous (70.2%), had a marriage age of < 20 years, and exhibited histological findings of Squamous Cell Carcinoma Keratinizing (48.9%). No correlation was found among parity and the occurrence of cancer of cervix (p = 0.450; p > 0.05). However, a significant association was observed among age at marriage and cancer of the cervix occurrence (p = 0.010; p < 0.05). Conclusion: The results of the study are expected to provide insight into the importance of reproductive factors in the prevention of cervical cancer, as well as recommendations for more effective reproductive health policies.   Received: 02 October 2024  |  Reviewed: 15 October 2024  |  Revised: 09 November 2024  |  Accepted: 30 November 2024.
Hubungan antara kekurangan energi kronis (KEK) ibu hamil dan kejadian bayi berat lahir rendah (BBLR) di PUSKESMAS SITOPENG Nuraeni, Neni; Bela, Tatan Tandu; Sutrisno, Wildan Arismunandar; Ahmad, Ali Mafaluthi; Ruhyana, Nanang
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 4 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i4.9647

Abstract

Latar belakang : Kekurangan energi kronik (KEK) adalah kondisi kekurangan gizi pada ibu hamil yang menyebabkan masalah kesehatan dan komplikasi pada ibu dan bayi. Pengukuran lingkar lengan atas (LILA) menunjukkan KEK yang tidak lebih dari 23,5 cm. Hasil Riskesdas 2018 menunjukkan bahwa proporsi ibu hamil dengan KEK di Indonesia adalah 17,3%. Ibu hamil yang menderita KEK lebih cenderung melahirkan bayi dengan berat lahir rendah (BBLR). Tujuan Menentukan hubungan antara kekurangan energi kronik pada ibu hamil dan kasus berat badan lahir rendah di Puskesmas Sitopeng Kota Cirebon Metode : Studi analitik observasional ini dilakukan dengan rancangan cross-sectional di Puskesmas Sitopeng dari Juni hingga Juli 2023. Sampel total berjumlah 217 orang, dan data sekunder digunakan dari rekam medis ibu hamil di Puskesmas Sitopeng Kota Cirebon dari September hingga Desember 2022. uji spearman untuk menganalisis data Hasil: menunjukkan bahwa 53 orang (24,4%) ibu hamil KEK dan 164 orang (75,6%) ibu hamil yang tidak memiliki KEK. Sebanyak 191 bayi (88%) tidak memiliki BBLR, dan 26 bayi (12%) dengan kondisi ini. Ibu hamil KEK memiliki 18 bayi (34 persen), sedangkan ibu tidak memiliki KEK memiliki 8 bayi (4,9%). Hubungan signifikan ditemukan antara kekurangan energi kronik pada ibu hamil dengan bayi berat lahir rendah, yaitu didapatkan hasil (p = 0,000, p < 0,05). Tidak BBLR ditemukan pada 35 (66%) dari ibu hamil yang didiagnosis KEK dan 191 (88%) dari ibu hamil yang tidak didiagnosis KEK. Kesimpulan : Ada hubungan yang signifikan antara kekurangan energi kronik (KEK) pada ibu hamil dengan kejadian berat badan lahir rendah (BBLR) di Puskeasmas Sitopeng Kota Cirebon, dengan kekuatan korelasi lemah dan arah penelitian positif. Ini menunjukkan bahwa semakin tinggi risiko KEK semakin tinggi risiko BBLR. Kata Kunci : Kekurangan Energi Kronik (KEK), Berat Badan Lahir Rendah (BBLR), Ibu hamil. ABSTRACT Background: Chronic energy deficiency (CED) is a condition of malnutrition in pregnant women that leads to health problems and complications for both the mother and the baby. The measurement of upper arm circumference (LILA) indicates that the acute malnutrition is no more than 23.5 cm. The results of the 2018 Riskesdas show that the proportion of pregnant women with chronic energy deficiency (KEK) in Indonesia is 17.3%. Pregnant women suffering from KEK are more likely to give birth to babies with low birth weight. (BBLR). Objective: To determine the relationship between chronic energy deficiency in pregnant women and cases of low birth weight at the Sitopeng Health Center in Cirebon City. Method: This observational analytical study was conducted with a cross-sectional design at the Sitopeng Community Health Center from June to July 2023. The total sample consisted of 217 individuals, and secondary data were used from the medical records of pregnant women at the Sitopeng Community Health Center in Cirebon City from September to December 2022. Spearman's test was used to analyze the data. The results show that 53 pregnant women (24.4%) have chronic energy deficiency (CED) and 164 pregnant women (75.6%) do not have CED. A total of 191 babies (88%) do not have low birth weight, while 26 babies (12%) are in this condition. Pregnant women with CED had 18 babies (34 percent), whereas those without CED had 8 babies (4.9%). A significant relationship was found between chronic energy deficiency in pregnant women and low birth weight infants, with results indicating (p = 0.000, p < 0.05). No low birth weight infants were found in 35 (66%) of pregnant women diagnosed with chronic energy deficiency (CED) and 191 (88%) of pregnant women not diagnosed with CED. Conclusion: There is a significant relationship between chronic energy deficiency (CED) in pregnant women and the incidence of low birth weight (LBW) at the Sitopeng Community Health Center in Cirebon City, with a weak correlation strength and a positive research direction. This indicates that the higher the risk of KEK, the higher the risk of BBLR. Keywords : Chronic Energy Deficiency (CED), Low Birth Weight (LBW), Pregnant Women
ANALISIS KARAKTERISTIK PROFIL LABORATORIUM IBU HAMIL TERINFEKSI COVID-19 DENGAN KEJADIAN KOMORBID DAN LUARAN PERSALINANNYA DI RSUD WALED PERIODE MARET 2020 - DESEMBER 2021 Arifah, Ajeng Siti; Primanagara, Risnandya; Surjono, Deni Wirhana; Sutrisno, Wildan Arismunandar; Amanah, Amanah; Khairunisa, Afifah
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 12 No 1 (2026): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

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

Abstract

Latar Belakang 13,7% ibu hamil lebih rentan terkena infeksi COVID-19 dan dikhawatirkan terjadi komplikasiyang tidak menguntungkan seperti kelahiran preterm, kelahiran dengan sectio caesarea hingga kematian perinatal.Nilai laboratorium dapat dijadikan suatu acuan untuk menilai prognosis pasien. Tujuan Mengetahuikarakteristik profil laboratorium ibu hamil terinfeksi COVID-19 dan luaran persalinannya di RSUD WaledMetode Penelitian ini merupakan penelitian deskriptif analitik dengan studi retrospektif. Data yang digunakandidapatkan dari rekam medis. Sampel adalah 20 pasien ibu hamil terinfeksi COVID-19 yang melahirkan di RSUDWaled pada periode Maret 2020 hingga Desember 2021. Hasil Dari 20 pasien ibu hamil terinfeksiCOVID-19, 70% penurunan kadar hemoglobin, 50% penurunan kadar hematokrit, 70% leukositosis, 85% kadartrombosit dalam batas normal, 55% neutrositosis, 80% kadar eritrosit normal, 95% limfositopenia, 100% monositnormal, 65% CRP meningkat, 100% d-dimer meningkat, 65% PT dalam batas normal dan 95% aPTT dalam batasnormal. Terdapat 9 pasien dengan kejadian komorbid. Diantaranya berupa preeklamsia berat, hepatitis b,hemoroid derajat IV, peripartum cardiomyopathy dan congestive heart failure. Pada uji statistik didapatkan pvalue >0,05 dengan demikian tidak terdapat perbedaan yang signifikan pada profil laboratorium ibu hamilterinfeksi COVID-19 dengan dan tanpa kejadian komorbid. Terdapat 55% menggunakan metode persalinansecara pervaginam. 3 dari 20 bayi yang dilahirkan mengalami IUFD. 70% bayi lahir dengan berat badan lahirnormal dan 75% bayi mengalami asfiksia ringan. Kesimpulan Tidak terdapat perbedaan profil laboratoriumantara ibu hamil terinfeksi COVID-19 yang disertai komorbid maupun tanpa komorbid.Kata Kunci: Ibu hamil, COVID-19, laboratorium, persalinan.ABSTRACTBackground 13.7% of pregnant women are more susceptible to COVID-19 infection and it is feared that therewill be unfavorable complications such as preterm birth, birth by cesarean section to perinatal death. Laboratoryvalues can be used as a reference to assess the patient's prognosis. Objective To determine the characteristics ofthe laboratory profile of pregnant women infected with COVID-19 and their delivery outcomes at the WaledHospital Methods This research is a descriptive analytic study with a retrospective study. The data used wereobtained from medical records. The sample was 20 pregnant women infected with COVID-19 who gave birth atthe Waled Hospital in the period March 2020 to December 2021 Results From 20 pregnant women infected withCOVID-19, 70% decreased hemoglobin levels, 50% decreased hematocrit levels, 70% leukocytosis, 85% plateletlevels within normal limits, 55% neutrocytosis, 80% normal erythrocyte levels, 95% lymphocytopenia, 100 %monocytes were normal, 65% CRP was increased, 100% d-dimer was increased, 65% PT was within normallimits and 95% aPTT was within normal limits. There were 9 patients with comorbid events. Among them aresevere preeclampsia, hepatitis b, grade IV hemorrhoids, peripartum cardiomyopathy and congestive heart failure.In the statistical test, the p-value was > 0.05, thus there was no significant difference in the laboratory profile ofpregnant women infected with COVID-19 with and without comorbid events. There are 55% using the vaginaldelivery method. 3 out of 20 babies born have IUFD. Conclusion There is no difference in the laboratory profilebetween pregnant women infected with COVID-19 with or without comorbidities.Keywords: Pregnant women, COVID-19, laboratory, childbirth.