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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Cerdika: Jurnal Ilmiah Indonesia
Arfita, Ika
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Humanities Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

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Cesarean Scar Pregnancy Presenting with Persistent Bleeding After Curettage: A Case Report of Uterine Resection and Reconstruction Arfita, Ika; Septivera, Yusra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i9.61461

Abstract

Background: Cesarean scar pregnancy (CSP) is a rare and potentially life-threatening form of ectopic pregnancy in which the gestational sac implants within the myometrial scar from a previous cesarean section. It is associated with significant risks, including uterine rupture and severe hemorrhage. Case Presentation: We report the case of a 35-year-old multiparous woman (G5P4A1) with two prior cesarean deliveries who presented with persistent vaginal spotting for three weeks, worsening over the last three days. She had undergone uterine curettage for incomplete abortion three weeks prior. A transvaginal ultrasound revealed a hypoechoic mass in the cesarean scar niche, with positive vascularization, consistent with a diagnosis of CSP. Surgical intervention via laparotomy was performed, including evacuation of retained products of conception, uterine resection and reconstruction, bilateral tubectomy, and adhesiolysis. The patient recovered well and was discharged after three days of postoperative care. Conclusion: Early diagnosis and prompt surgical management of cesarean scar pregnancy are essential to prevent severe complications. This case emphasizes the importance of considering CSP in patients with prior cesarean sections presenting with abnormal uterine bleeding after early pregnancy loss.
Pendekatan Alami dan Teknologi Modern Dalam Pemilihan Jenis Kelamin Melalui Shettles Method, Diet, dan PGT Arfita, Ika
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 1 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i1.2446

Abstract

Penelitian ini bertujuan untuk mengevaluasi efektivitas metode alami seperti Shettles Method dan pendekatan berbasis diet serta membandingkannya dengan teknologi modern Preimplantation Genetic Testing (PGT) dalam pemilihan jenis kelamin anak. Penelitian ini merupakan studi sistematik dengan pendekatan kualitatif deskriptif. Populasi penelitian mencakup artikel ilmiah yang diterbitkan dalam 10 tahun terakhir (2014-2024) terkait metode pemilihan jenis kelamin. Sampel penelitian terdiri dari 15 artikel yang memenuhi kriteria inklusi, yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui penelusuran database PubMed dan Google Scholar menggunakan kata kunci spesifik, seperti "Shettles Method," "diet-based gender selection," dan "Preimplantation Genetic Testing." Analisis data dilakukan dengan menggunakan alat Critical Appraisal untuk menilai kualitas studi, dan hasil disintesis berdasarkan efektivitas, etika, dan dampak sosial dari masing-masing metode. Hasil penelitian menunjukkan bahwa Shettles Method dan pendekatan diet memiliki tingkat keberhasilan yang terbatas, sedangkan PGT menawarkan akurasi tinggi hingga 99% tetapi menghadirkan tantangan etis, seperti ketidaksetaraan gender dan aksesibilitas teknologi. Penelitian ini menyarankan perlunya panduan yang lebih jelas serta edukasi masyarakat mengenai risiko dan implikasi metode pemilihan jenis kelamin.
Co-Authors Septivera, Yusra