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Widhiati, Ruth
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Characteristics of Congenital Fetal Abnormalities in Ulin General Hospital Banjarmasin, South Kalimantan Sabaruddin, Hermin; Ahyadi, Robyanoor; Abimanyu, Bambang; Widhiati, Ruth; Hariadi, Hariadi; Sauqi, Hardyan; Aqmal, Hendri
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.24989

Abstract

Congenital abnormalities are the leading cause of infant mortality and a significant contributor to child and adult morbidity. This study aims to analyze the characteristics and outcomes of fetuses with congenital abnormalities in a tertiary hospital. This study aims to determine the characteristics, influencing factors and a clearer picture of the prevalence and types of congenital abnormalities that occur at Ulin Banjarmasin Regional Hospital. This descriptive-retrospective study used secondary data from medical records collected between January 2022 and December 2024. A total of 85 congenital abnormalities were recorded over three years, with maternal ages ranging from 20 to 35 years, covering 58 (68.24%) cases. The majority of the mothers came from Tabalong Regency, South Kalimantan Province (n=19, 22.35%). Gestational age in the third trimester (>28 weeks) was found in 72 women (81.71%). The majority of respondents were multigravida (n=57, 67.06%). Caesarean section was the most common method of delivery (n=65, 76.47%). There were 51 respondents who had no history of congenital disease in the family (60.00%). The majority of respondents did not consume alcohol and smoke (n=79, 92.94% and n=75, 88.24%). Regarding folic acid consumption, 56 respondents (65.88%) did not consume it. The most common type of congenital disorder found was related to the nervous system with the largest proportion of 21 babies.
Conservative Management of Placental Abruption Wicaksono, Muhammad Adhitya; Ahyadi, Robyanoor; Abimanyu, Bambang; Widhiati, Ruth; Sabaruddin, Hermin
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.25133

Abstract

Placental abruption is a severe obstetric complication. This case involves a 43-year-old woman with chronic hypertension, severe preeclampsia, and IUGR at 26-27 weeks gestation. Underweight (BMI 18.1), she presented with suspected placental abruption, oligohydramnios, and fetal growth restriction. This study highlights the importance of early detection and a multidisciplinary approach in improving outcomes. The patient received conservative treatment, including magnesium sulfate, corticosteroids, antihypertensives, and nutritional support. Despite maternal stability, fetal IUGR, and hypoxia led to an emergency cesarean at 33-34 weeks. A 1055g baby girl was delivered with Apgar scores of 6, 7, and 8. Placental examination revealed retroplacental hemorrhage and calcification. This case emphasizes the importance of early diagnosis, intensive monitoring, and timely intervention in high-risk pregnancies with placental abruption and severe preeclampsia. A multidisciplinary approach is essential to improve maternal and neonatal prognosis.
Pregnancy with Hepatoblastoma Sabaruddin, Hermin; Abimanyu, Bambang; Radam, Muhammad Robyanoor Ahyadi; Widhiati, Ruth; Budinurdjaja, Pribakti; Salan, Yosef Dwi Cahyadi; Vamela, Agatha
Berkala Kedokteran Vol 21, No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i2.24964

Abstract

Congenital hepatoblastoma is a rare primary liver malignancy that most commonly occurs in newborns with a prevalence of 1.2 -1.5 per million children per year. The etiology of congenital hepatoblastoma is unclear. Congenital hepatoblastoma is diagnosed in the fetal period and 3 months after birth. The ultrasound image revealed a heterogeneous hyperechoic mass in the liver lobe with clear boundaries and when the baby was born there was a clinical mass in the stomach, increased SGOT and SGPT and direct, indirect and total bilirubin and. Gold Standart diagnosis is based on histopathological examination. This study is a Case Report. A women 24 years old , 39-40 weeks gestasional age came PONEK Ulin Hospital with in labor. Patient came in condition active phase of labour with history of labor spontan vertex delivery. There is no congenital abnormalities history of family. During antenatal care, US at 35 weeks gestasional age result congenital anomaly regio abdomen suspected mesenterial mass. Baby born spontaneous delivery Male/2845g/47cm/AS 8-9-10 and do neonatologist evaluated US Lobus Hepar sinistra size 6.2 x 3.7cm susp hepatoblastoma and intraabdominal organs within normal limits. Laboratory result was SGOT and SGPT 106/26 ul, AFP >2000.00ng/ml, Bilirubin direct /indirect /total 0.9/10.9/11.9 mg/dl and FNAB result round cell tumor.Congenital hepatoblastoma is a rare primary malignancy of the liver in newborns and causes minimal complications during pregnancy but has severe consequences after birth. Postnatal treatment with surgery, chemotherapy and liver transplantation according to the severity of the hepatoblastoma lesion.
Co-Authors Abimanyu, Bambang Ahyadi, Robyanoor Aqmal, Hendri Budinurdjaja, Pribakti Hardyan Sauqi Hariadi Hariadi Radam, Muhammad Robyanoor Ahyadi Sabaruddin, Hermin Salan, Yosef Dwi Cahyadi Vamela, Agatha Wicaksono, Muhammad Adhitya