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Association Between Maternal Random Blood Glucose Level and Prematurity at Margono Soekardjo Hospital Purwokerto Rachmayanti, Erma; Priyanto, Edy Priyanto; Winarno, Gatot Nyarumenteng Adhipurnawan; Suhartomo, Dalri Muhammad
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.v8i2.893

Abstract

Objective: Hyperglycemia is among the most common medical conditions encountered during pregnancy. Its prevalence continues to rise in line with two other global epidemics, obesity and diabetes. Studies have shown that hyperglycemia during pregnancy can induce negative impacts on maternal-fetal well-being, one of which is premature birth. This study aims to investigate the association between maternal random blood glucose (RBG) level and prematurity.Methods: This is an observational analytical study with a cross-sectional approach. The data used in the study were obtained from the medical records of patients who gave birth at Margono Soekarjo Hospital, Purwokerto, from January 2023 to February 2024.Result: This study found an association between high maternal RBG levels and prematurity (P-value < 0.005).Conclusion: High maternal RBG level is a risk factor for prematurity. The result of this study shows that RBG may be used as a practical and efficient alternative method to rule out hyperglycemia in pregnancy when OGTT is difficult to perform.Hubungan antara Kadar Glukosa Darah Sewaktu Maternal dan Kejadian Prematuritas di RS. Margono Soekardjo PurwokertoAbstrakTujuan: Hiperglikemia merupakan salah satu kondisi medis yang paling umum dijumpai selama kehamilan. Prevalensinya terus meningkat seiring dengan dua epidemi global lainnya, yaitu obesitas dan diabetes. Berbagai penelitian telah menunjukkan bahwa hiperglikemia selama kehamilan dapat memberikan dampak negatif terhadap kesejahteraan ibu dan janin, salah satunya adalah kelahiran prematur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kadar glukosa darah sewaktu (GDS) maternal dan kejadian prematuritas.Metode: Penelitian ini merupakan studi observasional analitik dengan pendekatan potong lintang. Data yang digunakan berasal dari rekam medis pasien yang melahirkan di RSUD Margono Soekarjo, Purwokerto, pada periode Januari 2023 hingga Februari 2024.Hasil: Dalam penelitian ini ditemukan adanya hubungan yang signifikan antara kadar GDS maternal yang tinggi dan prematuritas (nilai P<0,005).Kesimpulan: Kadar GDS maternal yang tinggi merupakan salah satu faktor risiko terjadinya prematuritas. Berdasarkan hasil penelitian ini, GDS dapat dipertimbangkan sebagai metode alternatif yang praktis dan efisien untuk mendeteksi hiperglikemia dalam kehamilan, terutama ketika pemeriksaan OGTT sulit dilakukan
CHARACTERISTICS OF CONFIRMED PREGNANT MOTHERS WITH COVID-19 AND NEONATAL OUTCOMES Rachmayanti, Erma; Wisnubroto, Cakrabumi
JURNAL KEDOKTERAN Vol. 7 No. 2 (2022): Juli 2022
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v7i2.439

Abstract

COVID-19 is a disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A pregnant woman is vulnerable to health problems, particularly infectious diseases. This study aimed to provide an overview of the characteristics of pregnant women with COVID-19 and their neonatal outcomes. A descriptive study with a retrospective approach was carried out by tracing the medical records of the pregnant women with COVID-19. The information collected was the maternal age, gestational age, parity, types of delivery, pregnancy complications, clinical symptoms, chest radiography, newborn weight, baby's APGAR score, and neonatal complications. In a retrospective search, 53 pregnant women were confirmed to have COVID-19. Most of them (79.2%) were in the 21 to 35 years age group, had given birth more than once (69.8%), term pregnancy (84.9%), without pregnancy complications (52.8%), was asymptomatic (58.5%), and had a normal chest radiograph (81.1%). The percentage of mothers who gave birth by cesarean section was 54.7%, while vaginal delivery was 45.3%. Fifty-two (98.1%) babies were born alive, and one baby died in utero with gastroschisis (1.9%). Three infants (5.7%) died after delivery, and four infants confirmed COVID-19 (7.5%). There was no increase in neonatal morbidity and mortality among confirmed pregnant women with COVID-19. COVID-19 has not been proven vertical transmission from mother to baby. Keywords: COVID-19; Pregnant Women; Neonates.