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Knowledge Level towards Cervical Cancer Among Students of Baabul Kamil Vocational High School Windi Nurdiawan; Chrestella Odillia; Monica Risnadena Priyas; Yosefa Resti Radinda; Nabila Alifia Ahmad; Nur Agustina Ningsih; Qhonita Anif Febian; Andri Rezano
Global Medical & Health Communication (GMHC) Vol 8, No 3 (2020)
Publisher : Universitas Islam Bandung

Cervical cancer is one of the most common causes of cancer-related death in women worldwide that is mostly preventable and treatable. Knowledge and awareness of cervical cancer screening programs allow the implementation of the prevention of cervical cancer. The community service program is aimed to increase the knowledge of adolescents about cervical cancer and its screening. It was a one-group pretest-posttest quasi-experimental study to measure the level of knowledge of 45 female students of Baabul Kamil Vocational High School, Jatinangor, Sumedang. The study was conducted in May–June 2018. The participants were asked 15 questions, which was an adaptation of previous questionnaires. The program was managed by a mini-lecture that focuses on cervical cancer risk factors and early detection. Furthermore, pretest and posttest were conducted to analyze the level of knowledge on the aforementioned aspects before and after the dissemination descriptively. The participants included in this study were mostly 16 years old (67%). The average recognition of cervical cancer and its early detection was not high. The knowledge of cervical cancer among students of Baabul Kamil Vocational High School was found to be moderate. There is a significant improvement in knowledge level after dissemination. The efficacy of dissemination among female students at Baabul Kamil Vocational High School was apparent in knowledge change. However, good cancer awareness, especially cervical cancer, needs to be established and integrated through effective cancer educational programs in the school curriculum. Key intervention strategies are required to raise cancer awareness in support of taking precautions and early detection measures. TINGKAT PENGETAHUAN SISWI SMK BAABUL KAMIL TENTANG KANKER SERVIKSKanker serviks merupakan salah satu penyebab paling umum kematian terkait kanker pada wanita di seluruh dunia yang sebagian besar dapat dicegah dan diobati. Pengetahuan dan kesadaran tentang program deteksi dini kanker serviks merupakan upaya pencegahan kanker serviks. Program pengabdian pada masyakat ini bertujuan meningkatkan pengetahuan remaja mengenai kanker serviks dan deteksi dininya. Penelitian ini merupakan penelitian one-group pretest-posttest quasi-experimental untuk mengukur tingkat pengetahuan 45 siswi SMK Baabul Kamil, Jatinangor, Sumedang. Penelitian ini dilaksanakan pada bulan Mei–Juni 2018. Responden diberikan 15 pertanyaan yang merupakan adaptasi dari kuesioner sebelumnya. Program ini dilakukan melalui penyuluhan tentang faktor risiko kanker serviks dan deteksi dininya. Selanjutnya, dilakukan pretest dan posttest untuk menganalisis tingkat pengetahuan aspek-aspek tersebut sebelum dan sesudah penyuluhan secara deskriptif. Responden yang terlibat dalam penelitian ini sebagian besar berusia 16 tahun (67%). Identifikasi pengetahuan tentang kanker serviks dan deteksi dininya rerata tidak tinggi. Pengetahuan tentang kanker serviks di kalangan siswa SMKBaabul Kamil tergolong sedang. Terdapat peningkatan yang bermakna tingkat pengetahuan responden setelah diberikan penyuluhan Efektivitas sosialisasi di kalangan siswa perempuan di SMK Baabul Kamil terlihat dari perubahan pengetahuan. Namun, kesadaran kanker yang baik, khususnya deteksi dini kanker serviks perlu diatur dan diintegrasikan melalui program pendidikan kanker yang efektif dalam kurikulum sekolah. Langkah strategis diperlukan untuk meningkatkan kesadaran tentang kanker demi mendukung tindakan pencegahan dan deteksi dini.

The Development of Germicidal Air Purifier by Employing Ultraviolet System in Controlling Airborne Bacteria Nur Atik; Siska Widya Dewi Kusumah; Fitria Mahrunnisa; Winni Maharani; Windi Nurdiawan; Putu Indra Cyntia Dewi; Erda Avriyanti; Dede Suhendi
Global Medical & Health Communication (GMHC) Vol 8, No 3 (2020)
Publisher : Universitas Islam Bandung

The nosocomial infection could be acquired through airborne disease in the hospital. However, only a particular health center in Indonesia carried out a complete, cautious prevention procedure by utilizing air purifiers due to cost problems. Thus, to minimize the number of nosocomial infections related to bacterial air pollutants, excellent tools with low cost are required to address this problem. We developed an ultraviolet light system within the air purifier at a low cost and the best way to eradicate pathogenic microorganisms in the healthcare center. The study was conducted at the Faculty of Medicine, Universitas Padjadjaran, Bandung in 2009–2010. The room prototype was built from a transparent glass material with two holes at the upper corner as an inlet and outlet pipeline canal. In the middle of the pipeline circulation, a vacuum pump, ultraviolet system, and a cooler were installed so the air will initially flow through those devices before being re-circulated into the room through the pipeline's inlet hole. A fan was set on the room floor, and several ten-centimeter apart, Petri dishes containing microbial growth medium were placed. The microbial colonies from the room with and without the installed ultraviolet system in the air purifier were then compared for analysis. The result showed that an air purifier equipped with an ultraviolet system killed microorganisms 73% more effective than the air purifier without an ultraviolet system (p<0.05). In conclusion, employing an ultraviolet system within the air purifier might be effectively killed microorganisms and ultimately reduce nosocomial infection. PENGEMBANGAN AIR PURIFIER RUANGAN DENGAN PEMANFAATAN SINAR ULTRAVIOLET UNTUK MEMBUNUH MIKROB BAWAAN UDARAInfeksi nosokomial dapat ditularkan melalui penyakit yang ditularkan melalui udara di rumah sakit. Namun, hanya rumah sakit atau pelayanan kesehatan tertentu di Indonesia yang melakukan prosedur pencegahan infeksi nosokomial secara optimal dengan memanfaatkan air purifier karena kendala biaya. Oleh sebab itu, untuk meminimalkan jumlah infeksi nosokomial yang terkait dengan bakteri pencemar udara diperlukan pengembangan air purifier yang baik dengan biaya yang murah. Kami telah mengembangkan sistem pembersih udara yang terintegrasi sinar ultraviolet dengan biaya rendah untuk mengurangi mikroorganisme patogen di ruang pelayanan kesehatan. Penelitian dilaksanakan di Fakultas Kedokteran, Universitas Padjadjaran, Bandung pada tahun 2009–2010. Prototipe ruangan dibuat dari bahan kaca transparan dengan dua lubang di sudut atas sebagai ruang instalasi pipa saluran masuk dan keluar. Pada bagian tengah sirkulasi pipa dipasang pompa vakum, sistem ultraviolet, dan pendingin sehingga udara akan mengalir melewati alat-alat tersebut sebelum disirkulasikan kembali ke dalam ruangan melalui lubang masuk pipa. Sebuah kipas dipasang pada prototipe ruangan dan setiap jarak sepuluh sentimeter ditempatkan cawan Petri yang berisi media pertumbuhan mikrob. Koloni mikrob dari ruangan model dengan dan tanpa sistem ultraviolet yang terpasang di air purifier, kemudian dibandingkan untuk dianalisis. Hasil penelitian menunjukkan bahwa air purifier yang dilengkapi sistem ultraviolet membunuh mikroorganisme 73% lebih efektif daripada air purifier tanpa sistem ultraviolet (p<0,05). Simpulan, penggunaan sistem ultraviolet dalam air purifier efektif membunuh mikroorganisme dan pada akhirnya dapat mengurangi infeksi nosokomial.

Karakteristik Ibu Hamil dengan HIV/AIDS di RSUP Dr. Hasan Sadikin Bandung Periode 2014 ̶ 2016 Romy Ade Putra; Hadi Susiarno; Anita Rachmawati; Windi Nurdiawan
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 2 September 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

AbstrakTujuan: Untuk mengetahui karakter HIV/AIDS selama kehamilan di Rumah Sakit Dr. Hasan Sadikin Bandung sejak Januari 2014 sampai Desember 2016.Metode: Studi retrospektif terhadap HIV/AIDS selama kehamilan di Klinik Rawat Jalan Teratai di Rumah Sakit Dr. Hasan Sadikin Bandung, dengan mengumpulkan data dari rekam medis pasien baru mulai bulan Januari 2014 sampai Desember 2016. Ciri khasnya adalah usia, pekerjaan, tingkat pendidikan, cara transmisi, tempat tinggal, status perkawinan dan sejarah pengobatan anti retroviral.Hasil: Terdapat 102 kasus wanita hamil dengan HIV/AIDS sejak Januari 2014 sampai Desember 2016. Sebagian besar kasus ditemukan pada usia 30-39 tahun, 63 kasus (61,8%). 69 (67,6%) pasien adalah ibu rumah tangga. Sebanyak 55 (53,9%) pasien telah menyelesaikan sekolah menengah atas. Sebagian besar kasus adalah transmisi heteroseksual 95 (93,13%) dan 96 (94,1%) pasien sudah menikah.Kesimpulan: Terdapat perubahan karakteristik wanita hamil dengan infeksi HIV / AIDS di Rumah Sakit Dr.Hasan Sadikin Bandung.The Characteristics of Pregnant Women with HIV/AIDS Infection in Dr. Hasan Sadikin General Hospital Bandung in 2014−2016AbstractObjective: To find the characterics of HIV/AIDS during pregnancy in Dr. Hasan Sadikin Hospital Bandung since January 2014 to December 2016.Method: Retrospective study of HIV/AIDS during pregnancy in Teratai Outpatient Clinic of Dr.HasanSadikin Hospital Bandung, by collecting data from the medical record of new patients from January 2014 to December 2016. The characteristics are age, occupation, education level, mode of transmission, residence, marital status and history of anti retroviral treatment.Result: there are 102 cases of pregnant women with HIV/AIDS since January 2014 to December 2016. The most cases are found in 30-39 years old, 63 cases (61.8%). 69 (67.6%) patients are housewife. 55 (53.9%) patients had completed senior high school. The most cases are heterosexual transmission 95 (93.13%). 96 (94.1%) patients are married.Conclusion: There are changes in characteristics of pregnant women with HIV infection /AIDS in Dr.Hasan Sadikin Hospital Bandung.Key words: HIV/AIDS, pregnancy

Knowledge Level of Midwives before and after an Online Training Participation Windi Nurdiawan; Setyorini Irianti; Dyah Ayu Puspita; Alfonsus Zeus; Billy Nusa Anggara; Vebri Anita Sinaga; Wulan Ardhana Iswari; Will Hans; Eduward Yacub Prasangka; Fadhilah Zulfa
Global Medical & Health Communication (GMHC) Vol 10, No 3 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v10i3.9602

Fetal growth restriction is a prevalent pregnancy issue linked to numerous unfavorable postnatal outcomes. Suboptimal uterine-placental perfusion and inadequate fetal feeding are the vital pathophysiologic causes. Midwives play a crucial role in informing pregnant women about vitamin D inadequacy. This paper aims to determine the difference between midwives' prior and post-webinar knowledge levels. It was a cross-sectional study of individuals who participated in a webinar on November 21, 2021. Subjects were selected using a total population sampling approach from all midwives who participated in the webinar and completed pre-and post-tests. The difference between knowledge levels was evaluated using the difference between the pre-test and post-test scores in the general category. There was an increase in the number of participants who successfully answered the five-question component, a decrease in the number of participants who correctly answered the two-question section, and no change in the number of subjects who correctly answered question number one. The average score on the post-test was higher (67.28) than the pre-test (63.10), while the median score was the same at both time points. After attending a webinar, there was an increase in the proportion of subjects with a high level of knowledge (11.4% to 24%) and a drop in the proportion of subjects with a poor level of knowledge (32.3% to 27.1%). In conclusion, there was an improvement in the knowledge level of midwives before and after the webinar participation.

Relationship between age, occupation, education, and parity with the chronic energy deficiency among pregnant women Auranissa, Aliefia; Zuhairini, Yenni; Nurdiawan, Windi
International Journal of Public Health Science (IJPHS) Vol 13, No 3: September 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i3.23525

Maternal and child health quality depends on maternal nutrition during pregnancy. Chronic energy deficiency (CED), a malnutrition condition common in pregnant women, increases the risk of the mother experiencing postpartum hemorrhage and the fetus experiencing intrauterine growth restriction (IUGR). The prevalence of CED risk among pregnant women in Sukabumi City, West Java, Indonesia is unstable and has not significantly decreased. This study aimed to determine the relationship between age, occupation, education, and parity with the risk of CED among pregnant women in Sukabumi City. An analytical observational study with a case-control approach using cluster sampling was conducted on 126 pregnant women with and without CED risk, respectively. The population for this study was pregnant women who checked at the primary health center in Sukabumi City in 2021. Data were collected from maternity health record and analyzed using Chi-square. The results showed that age had a significant relationship (p=0.000). In contrast, occupation (p=0.162), education (p=0.127), and parity (p=0.313) did not have a significant relationship with the risk of CED among pregnant women in Sukabumi City. Age was associated with the risk of CED among pregnant women in Sukabumi City.

Neonatal Outcome in Relation to Cardiotocography Interpretation During Pregnancy Megantoro, Izzati Faustina; Pribadi, Adhi; Nurdiawan, Windi; Hidayat, Dini; Ritonga, Mulyanusa
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 2 Juli 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i2.718

Introduction: The aim of this study is to evaluate the interrelation between neonatal outcome (neonatal asphyxia status) and cardiotocography interpretation during pregnancy.Methods: This is an observational analytical study employing a cross-sectional approach involving patients delivering at Hasan Sadikin General Hospital in 2023. The inclusion criteria were patients who gave birth with cardiotocography interpretation and neonatal outcome recording at 32-37 weeks of gestation. The exclusion criteria were fetal with congenital anomalies and multiple pregnancy. This study utilized secondary data from patient case notes. This study employed non-probability consecutive sampling. Descriptive and analytical statistics were performed.Result: The result of this study indicates abnormal cardiotocography patterns are significantly associated with higher incidences of asphyxia (p=0.0001). No significant difference was found between incidence of asphyxia with the type of delivery and birth weight. There was also no significant difference between Cardiotocography category II and III based on the maternal and neonatal factors.Conclusion: This study concluded that the significant relationship between CTG results, and neonatal asphyxia underscores the importance of CTG monitoring in predicting and managing fetal distress.Luaran Neonatus berdasarkan Pemeriksaan Kardiotokografi pada KehamilanAbstrakPendahuluan: Tujuan penelitian ini adalah untuk mengevaluasi hubungan antara hasil neonatal (status asfiksia neonatal) dan interpretasi kardiotokografi selama kehamilan.Metode: Metode penelitian ini adalah analitik observasional dengan pendekatan cross-sectional yang melibatkan pasien yang melahirkan di Rumah Sakit Umum Hasan Sadikin pada tahun 2023. Kriteria inklusi adalah pasien yang melahirkan dengan interpretasi kardiotokografi dan pencatatan hasil neonatal pada usia kehamilan 32 – 37 minggu. Kriteria eksklusi adalah janin dengan anomali kongenital dan kehamilan ganda. Penelitian ini menggunakan data sekunder dari catatan kasus pasien. Penelitian ini menggunakan metode sampling konsekutif non-probabilitas. Statistik deskriptif dan analitik dilakukan.Hasil: Hasil penelitian ini menunjukkan bahwa pola kardiotokografi abnormal secara signifikan terkait dengan insiden asfiksia yang lebih tinggi (p=0.0001). Tidak ditemukan perbedaan signifikan antara insiden asfiksia dengan jenis persalinan dan berat lahir. Tidak ada perbedaan signifikan antara kategori Kardiotokografi II dan III berdasarkan faktor maternal dan neonatal.Kesimpulan: Penelitian ini menyimpulkan bahwa hubungan signifikan antara hasil CTG dan asfiksia neonatal menekankan pentingnya pemantauan CTG dalam memprediksi dan mengelola distress janin.Kata kunci: Kardiotokografi, Neonatal, Distress janin, APGAR

The Influence of COVID-19 Severity on Maternal and Perinatal Outcomes: Evidence from a Cohort Study in Indonesia Aziz, Muhammad Alamsyah; Nurdiawan, Windi; Avivi, Safiya Fathina; Wahyudi, Kurnia; Irianti, Setyorini; Fauzi, Ali Amali; Lillah, Alfarisi Syukron; Mariana, Ana; Nugrahani, Annisa Dewi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.883

Objective: This study aimed to assess the association between COVID-19 severity and maternal and neonatal outcomes at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.Methods: A retrospective cohort study was conducted among pregnant women with confirmed COVID-19 who delivered between March 1, 2020, and March 31, 2022. Patients were categorized by disease severity (asymptomatic, mild, moderate, severe, or critical). Demographic, clinical, maternal, and neonatal data were collected. Statistical analyses included Fisher’s exact and Kruskal-Wallis tests for bivariate analysis and Poisson regression for multivariate analysis (significance level α = 0.05).Results: Among 199 pregnant women, most were asymptomatic (42.7%) or had mild symptoms (37.2%). Higher COVID-19 severity was significantly associated with increased ICU/semi-ICU admission and oxygen therapy, as well as neonatal complications. After adjustment, moderate to critical cases showed significantly increased risks for ICU/semi-ICU care (p = 0.012, aRR 14.6; 95% CI: 1.8–118.2) and oxygen therapy (p = 0.001, aRR 12.2; 95% CI: 2.7–55.3). Mild cases were not linked to adverse outcomes.Conclusion: Moderate to critical COVID-19 during pregnancy is associated with higher risks of adverse maternal and neonatal outcomes, emphasizing the importance of early detection and close monitoring.Dampak Keparahan COVID- 19 pada Luaran Kehamilan: Studi Kohort di IndonesiaAbstrakTujuan: Penelitian ini bertujuan mengevaluasi hubungan antara tingkat keparahan COVID-19 dan luaran kehamilan serta neonatal di RSUP Dr. Hasan Sadikin, Bandung.Metode: Metode yang digunakan pada penelitian ini adalah kohort retrospektif pada ibu hamil dengan konfirmasi COVID-19 yang melahirkan antara 1 Maret 2020 hingga 31 Maret 2022. Pasien dikelompokkan berdasarkan tingkat keparahan (asimtomatik, ringan, sedang, berat, kritis). Data demografi, klinis, serta luaran ibu dan bayi dikumpulkan. Analisis statistik dilakukan menggunakan SPSS, dengan uji Fisher’s exact dan Kruskal-Wallis untuk bivariat, serta regresi Poisson untuk multivariat (α=5%).Hasil: Hasil penelitian menunjukkan dari 199 ibu hamil yang dianalisis, mayoritas bersifat asimtomatik (42,7%) atau ringan (37,2%). Keparahan penyakit yang lebih tinggi secara signifikan berhubungan dengan peningkatan kebutuhan perawatan ICU/semi-ICU dan terapi oksigen, serta komplikasi neonatal. Setelah penyesuaian, COVID-19 sedang–kritis berkorelasi dengan peningkatan risiko ICU/semi-ICU (p=0,012, aRR 14,6; 95% CI 1,8–118,2) dan terapi oksigen (p=0,001, aRR 12,2; 95% CI 2,7–55,3). Kasus ringan tidak menunjukkan hubungan dengan luaran buruk.Kesimpulan: Keparahan COVID-19 sedang hingga kritis pada kehamilan meningkatkan risiko luaran buruk sehingga diperlukan identifikasi dini dan pemantauan ketat.

One-Rod Contraceptive Implant as a Postpartum Contraceptive Option Nurdiawan, Windi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.960

In an effort to increase family planning coverage, reduce high-risk pregnancies, reduce the incidence of unwanted pregnancies, and reduce maternal mortality, long-acting reversible contraceptives (LARC) in the form of IUDs and implants are routinely used as postpartum contraception. Postpartum contraception use supports the reduction of maternal and infant morbidity and mortality rates.The use of implant contraception has undergone several developments from six-rods, two-rods to one-rod. A one-rod contraceptive refers to a type of LARC implant, typically containing a progestin hormone, that is inserted under the skin of a woman’s upper arm. Included among the contraceptive techniques thought safe for immediate postpartum usage, it offers efficient, reversible contraception for several years (generally 3-5 years depending on the brand). A postpartum contraceptive helps to avoid unplanned and closely spaced pregnancies, allows a woman’s body enough time to recover from birth, therefore lowering the risk of maternal anemia and other complications, also progestin-only contraceptives and non-hormonal strategies are usually preferred for breastfeeding women as estrogen-containing methods may lower milk production.

A Five-Year Study of Maternal and Neonatal Risk Factors Contributing to Early Neonatal Death at a Tertiary Referral Hospital Syahidah, Putri Nadya; Irianti, Setyorini; Nurdiawan, Windi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.921

Objective: This study aims to explore maternal and neonatal risk factors associated with early neonatal death at a central referral hospital in West Java.Methods: A cross-sectional study was conducted. Over five years, 310 early newborn mortality samples were collected from 9,240 births. Key characteristics associated with early infant death were identified using univariate and multivariate analysis.Results: Among the mothers, 63.9% were from outside Bandung and aged 15–46. 64.5% (n=200) of neonates died within two days. Primiparous mothers accounted for 33.2% (103). Common maternal conditions included premature contractions (27.1%), premature rupture of membranes (22.9%), hypertension (14.2%), placenta previa (6.5%), and eclampsia (3.5%). 84.8% of neonates were premature, and 59.4% experienced early death. Bivariate analysis showed significant relationships with parity, maternal diseases, mode of delivery, and newborn hypoxia. Death after 48 hours was notably associated with mode of delivery (p=0.009; OR 1.54).Conclusion: END is associated with parity, maternal conditions, delivery mode, and asphyxia. Improved prenatal care and stronger referral systems can reduce mortality rates.Analisis Faktor Risiko Ibu dan Neonatus terhadap Kematian Neonatal Dini di RS Rujukan Tersier: Studi Lima TahunAbstrakTujuan: Penelitian bertujuan untuk mengidentifikasi faktor risiko maternal dan neonatal yang terkait dengan kematian neonatal dini pusat rujukan di Jawa Barat.Metode: Metode penelitian dilakukan dengan studi potong lintang selama lima tahun. 310 sampel kematian neonatal dini diambil dari 9,240 kelahiran. Analisis multivariate dan univariate dilakukan untuk melihat hubungan faktor-faktor penting yang berhubungan dengan kematian neonatal diniHasil: Hasil penelitian menunjukan sebanyak 63,9% berasal dari luar Bandung dan berusia antara 15 dan 46 tahun. 64,5% (n=200) bayi meninggal dalam dua hari. 33,2% persalinan prematur (103). Kondisi patologis ibu yang ditemukan kontraksi prematur (27,1%), ketuban pecah dini (22,9%), hipertensi (14,2%), plasenta previa (6,5%) dan eklampsia (3,5%). 84,8% lahir prematur, dan 59,4% meninggal dini. Menurut analisis bivariat, ada hubungan yang signifikan antara cara persalinan, penyakit ibu, hipoksia bayi baru lahir, dan paritas (p=0.009; OR 1.54). Kematian bayi setelah 48 jam memiliki korelasi yang signifikan dengan metode persalinan.Kesimpulan: KND dikaitkan dengan paritas, penyakit ibu, cara persalinan, dan asphyxia. Memperkuat sistem referral dan meningkatkan perawatan antenatal dapat mengurangi angka kematian.Kata kunci: faktor risiko maternal; kematian neonatal dini; komplikasi maternal; metode persalinan

Adolescence Eclampsia and Maternal Mortality within Sociocultural Problem in Indonesia: A Case Report Rosalina, Phang; Nurdiawan, Windi; Judistiani, Raden Tina Dewi; Permadi, Wiryawan; Setiawan, Dani
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.697

Introduction: Preeclampsia and eclampsia in adolescent pregnancy is closely related, especially in low-middle income countries. It becomes a public health issue not only in the present but also in the future due to potential complications and as a reflection of the social conditions of a country. This case aims to highlight adolescence eclampsia and current sociocultural and economic problem in Indonesia.Case Report: A 15-year-old, 9-months primigravida (G1P0A0), was referred to our center due to eclamptic seizure. Blood pressure was 160/110 mmHg and cervical dilation is 4 cm with adequate pelvic diameter. After 4 hours, cervical dilation progressed to 6 cm but followed by infrequent fetal heartbeat and CTG reveals category III with late deceleration. Emergency C-section was performed and patient admitted to ICU for 5 days afterwards. However, she was deteriorated and passed away.Conclusion: In addition to physiological immaturity, adolescence pregnancies often face sociocultural problems that lead to higher rates of hypertensive disorders of pregnancy in this population. Early recognition and knowledge of risk factors for preeclampsia are essential for good management, and a faster referral system will reduce maternal mortality.Eklamsia pada Remaja dan Kematian Ibu dalam Masalah Sosial Budaya di Indonesia: Sebuah Laporan KasusAbstrakPendahuluan: Preeklamsia dan eklamsia pada kehamilan remaja sangat erat kaitannya, terutama di negara-negara berpenghasilan menengah ke bawah. Hal ini menjadi masalah kesehatan masyarakat tidak hanya di masa sekarang, tetapi juga di masa depan karena potensi komplikasi dan sebagai cerminan kondisi sosial suatu negara. Laporan kasus ini bertujuan untuk menyoroti eklamsia pada remaja dalam kaitannya dengan masalah sosial budaya dan ekonomi saat ini di Indonesia.Laporan Kasus: Seorang perempuan berusia 15 tahun, primigravida 9 bulan (G1P0A0), dirujuk ke Rumah Sakit Hasan Sadikin, Bandung karena kejang eklamsia. Tekanan darah 160/110 mmHg dan dilatasi serviks 4cm degan diameter panggul yang memadai. Setelah 4 jam, dilatasi serviks berkembang menjadi 6cm, etapi diikuti oleh detak jantung janin yang jarang dan CTG menunjukkan kategori III dengan deselerasi lambat. Operasi caesar darurat dilakukan dan pasien dirawat di ICU selama 5 hari. Namun, keadaan pasien memburuk dan meninggal dunia. Kesimpulan: Selain imaturitas fisiologis, kehamilan remaja sering menghadapi masalah sosiokultural yang menyebabkan tingginya angka hipertensi kehamilan pada populasi ini. Pengenalan dini dan pengetahuan tentang faktor risiko preeklamsia sangat penting untuk manajemen yang baik, dan sistem rujukan yang lebih cepat akan mengurangi angka kematian ibu.Kata kunci: eklampsia, kehamilan remaja, kematian ibu, masalah sosiokultural

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