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Understanding Hyperemesis Gravidarum, Urinary Tract Infection, and Total Placenta Previa: Threats in Early Pregnancy Gultom, Abitmer; Rombe, Claudia Valoryn Iona; Tanggo, Christian Ronald
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 9 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i9.375

Abstract

Introduction: Hyperemesis gravidarum is a condition of excessive vomiting during pregnancy, occurring before 20 weeks of gestation. Urinary tract infections (UTIs) involve infections affecting any part of the urinary tract, and pregnant patients are more susceptible to UTIs. Placenta previa is a condition where the placenta partially or completely covers the internal cervical os. These three conditions have significant impacts on maternal and fetal well-being, necessitating a thorough understanding of their pathophysiology, diagnosis, and appropriate management. Objective: To report a case of hyperemesis gravidarum, urinary tract infection, and total placenta previa in a 30-year-old female patient. Case Report: A 30-year-old G2P1A0 woman presented with complaints of vomiting more than 8 times per day and brownish spotting, later diagnosed with hyperemesis gravidarum, UTI, and total placenta previa. Result and Discission: Findings included ketonuria, bacteriuria, bleeding from a closed external cervical os, and ultrasound imaging showing the placenta covering the internal cervical os. Conclusion: The patient was hospitalized and received appropriate medical management.
Trabeculectomy Surgery in Primary and Secondary Glaucoma: Retrospective Cross-sectional Analysis Christine, Reinne Natali; Tanong, Nicolas Dwiki; Rombe, Claudia Valoryn Iona; Angreni, Frisca
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.333

Abstract

Background: Glaucoma remains a leading cause of permanent blindness worldwide, with elevated intraocular pressure (IOP) as the most modifiable risk factor. When medical therapy fails, trabeculectomy is often the preferred surgical option, though its effectiveness may differ based on the type of glaucoma. Primary glaucoma is typically idiopathic, while secondary glaucoma results from identifiable causes such as trauma, inflammation, or diabetes. Understanding these distinctions is essential for optimizing surgical outcomes and tailoring patient-specific treatment strategies. This study aims to determine whether there is a difference between the reduction in intraocular pressure in primary and secondary glaucoma after undergoing trabeculectomy surgery. Methods: This descriptive cross-sectional study used purposive sampling to select medical records of patients who underwent trabeculectomy at the Christian University of Indonesia Teaching Hospital from July 2021 to June 2022. A total of 30 patients were included. Inclusion criteria were patients diagnosed with either primary or secondary glaucoma who underwent trabeculectomy and had complete pre- and postoperative IOP data. Exclusion criteria included patients with previous glaucoma surgery, incomplete medical records, or less than one month of follow-up. The primary outcome was the percentage reduction in IOP one month postoperatively.. Results: The results showed that the percentage reduction in IOP within 1 month in primary glaucoma was 43.54%, whereas in secondary glaucoma, it was 41.87%. P value > 0.05 in all postoperative IOPs between primary glaucoma and secondary glaucoma. Conclusion: Trabeculectomy is still the first choice to reduce IOP, which has failed pharmacological treatments. However, there was no significant difference between decreased intraocular pressure in patients with primary and secondary glaucoma.