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e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,074 Documents
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Medical Rehabilitation in Patient with Post ORIF et causa Neglected Epiphyseal Fracture Distal Radius-Ulna Sinistra: A Case Report Christina A. Damopolii; Joudy Gessal; Jonathan P. Suyono
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.44765

Abstract

Distal radius-ulna fracture is one of the most common human osseous injuries, with incidence rate increasing worldwide. There are two peaks of prevalence: the first around the 10th and the second around the 60th year of life. During childhood, they are among the most common pediatric fractures accounting for 19.9 to 35.8% of all pediatric fractures. We reported a case of a boy 13 years old diagnosed as post open reduction internal fixation distal radius ulna et causa epiphyseal fracture. He came to rehabilitation outpatient clinic with chief complaint pain on his left forearm. He underwent a surgery two weeks ago at the distal radius ulna. The surgeon did osteotomy on ulna and then fixated with plate and screw. On physical examination, there were pain and range of motion limitation mainly on the forearm and wrist joint. The patient was treated with low level laser therapy at the surgical wound to promote healing and decrease edema, initial digital motion exercise along with active range of motion of the uninvolved joints. He was also educated about icing and medicamentation if pain still persisted. Once adequate bony healing had occurred, active, active-assisted, progressive passive wrist motion, and strengthening exercise using resistance were performed to maximize the result. At the end of rehabilitation program, there was great improvement on pain and also range of motion improvement. Albeit, there was still a slight range of motion limitation on ulnar deviation and wrist extension by 5 degrees. In conclusion, rehabilitation program is very beneficial in treating post-surgery patient using modalities and exercises to improve functional function. Keywords: epiphyseal fracture; radius-ulna; medical rehabilitation
Analisis risiko bahaya dengan metode HIRADC pada salah satu perusahaan berskala internasional di Sulawesi Utara Junita E. Katihokang; Diana V. D. Doda; Rizald M. Rompas; Aaltje E. Manampiring
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.44902

Abstract

Abstract: Companies need a strategy to determine the number of occupational accidents and occupational diseases with risk management. HIRADC (Hazard Identification Risk Assessment and Determining Control) is one of the key elements of a safe work plan that can minimize cases of occupational accidents and occupational diseases. This study aimed to determine the potential hazards and risk levels of the oilmill and maintenance work area of PT. X international crude oil companies in North Sulawesi, risk control and application of control methods in the field. This was a qualitative study for the application of HIRADC method conducted in South Minahasa Regency. Recruitment of informants based on purposive sampling as many as 11 employees at oilmill and maintenance area as the main informants, and EHS Supervisor as the key informant and the Head of Department (HOD) as additional informants. The instruments of this study were the in-depth interview matrix and the HIRADC matrix. Data were obtained by observation, in-depth interviews and company document, then were analyzed with HIRADC method. The results obtained 68 types of hazards including physical, chemical, biological, ergonomic, and psychological hazards. The risk levels of hazards were high risk (H 35.2%), medium risk (M 58.8%), and low risk (L 5,8%) hazards; no hazard at the extreme risk level (E). The identification of highlighted hazards was the potential hazard of noise, heatstress, welding and grinding dust, with the highest levels of risk were the M risk (58.8%) and the H risk (35.2%). In conclusion, it is necessary to take control of measures according to the hierarchy of control in the form of substitution, engineering control, administration and personal protective equipment (PPE). Keywords: potential hazard; risk level; Occupational Health and Safety; Hazard Identification, Risk Assessment and Determing Control (HIRADC)   Abstrak: Perusahaan memerlukan strategi untuk menentukan angka kecelakaan kerja dan penyakit akibat kerja dengan manajemen risiko. HIRADC (Hazard Identification Risk Assessment and Determining Control) ialah salah satu elemen kunci dari rencana kerja yang aman yang bisa meminimalisir kasus kecelakaan kerja dan penyakit akibat kerja. Penelitian ini bertujuan untuk mengetahui potensi bahaya dan tingkat risiko area kerja Oilmill dan Maintenance PT. X perusahaan minyak kelapa mentah bertaraf internasional di Sulawesi Utara, pengendalian risiko serta penerapan metode pengendalian di lapangan. Jenis penelitian ialah kualitatif untuk aplikasi metode HIRADC. Penelitian dilaksanakan pada salah satu perusahaan berskala internasional di Kabupaten Minahasa Selatan. Rekrutmen informan berdasarkan purposive sampling, sebanyak 11 orang yaitu karyawan area Oilmill dan Maintenance sebagai informan utama, serta EHS Supervisor sebagai informan kunci dan Head of Department (HOD) sebagai informan tambahan. Instrumen penelitian ini yaitu matriks wawancara mendalam dan matriks HIRADC. Data diperoleh dengan wawancara mendalam, observasi lapangan dan dokumen perusahaan, kemudian dianalisis dengan metode HIRADC. Hasil penelitian mendapatkan 68 jenis bahaya termasuk bahaya fisik, kimia, biologi, ergonomi dan psikologi. Tingkat risiko didapatkan rendah (L 5,8%), sedang (M 58,8%), dan tinggi (H 35,2%); tidak terdapat jenis bahaya tingkat risiko ekstrim (E). Identifikasi bahaya yang menjadi highlight ialah potensi bahaya kebisingan, heatstress, debu pengelasan dan gerinda dengan tingkat risiko terbanyak ialah tingkat M (58,8%) dan H (35,2%). Simpulan penelitian ini ialah diperlukan tindakan pengendalian sesuai hierarchy of control berupa substitusi, rekayasa engineering, administrasi dan APD (alat pelindung diri). Kata kunci: potensi bahaya; tingkat risiko; Kesehatan dan Keselamatan Kerja; Hazard Identification, Risk Assessment and Determing Control (HIRADC)
Oncocytic Carcinoma of Parotid Gland: A Case Report Nico Lumintang; Sherly Tandililing; Calenthia Ekawati
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.46277

Abstract

Oncocytic carcinoma is a rare malignant carcinoma, representing only 5% of all oncocytic tumors. Furthermore, oncocytic carcinoma of the parotid gland is uncommon, accounting only for under 1% of all salivary gland tumors. We reported an 82-year-old female presented with a right parotid mass. She had experienced a similar complaint six months ago and had undergone treatment. Physical examination showed a mobile and painless cystic mass of the right parotid without facial nerve involvement. Fine needle aspiration biopsy (FNAB) finding suggested benign cystic lesions with inflammatory cells and amorphous debris. Subsequently, she underwent surgical tumor excision and right-sided partial parotidectomy. Histopathological examination showed proliferative tumor cells with an atypical nucleus, abundant eosinophilic cytoplasm, and solid, trabecular, and tubular growth pattern, suggesting an oncocytic carcinoma of the parotid gland. In conclusion, oncocytic carcinoma must be considered in all parotid gland tumors with oncocytic cells despite the rarity. Considering its recurrence and metastasis nature, patients with oncocytic carcinoma should remain in a long-term follow-up. The role of radiotherapy and chemotherapy remains controversial but may be used for treating advanced-stage cases or distant metastasis Keywords: oncocytic carcinoma; parotid gland; partial parotidectomy
Burn Hypertrophic Scar Profile Based on POSAS Score at Prof. Dr. R. D. Kandou Hospital Manado Mendy Hatibie; Maximillian C. Oley; Eko S. Sinaga
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.46370

Abstract

Burn injury is skin damage due to extreme temperature resulting in hypertrophic scar if impaired of wound healing occurs that can impact on the quality of life. Evaluation of hypertrophic scar objectively and subjectively including scar quality and quality of life patient could performed with POSAS score. This study aimed to evaluate burn hypertrophic scar profile based on POSAS core at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective study using medical records of burn patients from 2018 to 2020 at Prof. Dr. R. D. Kandou Hospital. The results obtained 64 samples. Most of the patients were male (75.0%). The most dominant age of patients was over the age of 21 years (79.7%). The most frequent cause of burns was exposure to hot water (71.9%) followed by fire (21.9%). The undergraduate education level was the most affected by burns (79.7%). The type of work most affected was the professional group (62.5%) followed by housewives (18.8%). Most of the wounds were superficial-middermal degree (71%) followed by superficial degree (15,6%) and deep dermal full thickness (12,5%). Assessment of hypertrophic scars using the POSAS score showed almost the same results between observers and patients. In conclusion, hypertrophic scar evaluation with POSAS score is very useful because it can evaluate the scar quality and the quality of life. POSAS score evaluation is depended on wound treatment, duration of wound healing, grading and wound burn area, and length of stay. Keywords: hypertrophic scar; POSAS score; quality of life
Evaluasi Klinik Autorefraktor NIDEK TONOREF III Dibandingkan dengan Refraksi Subjektif pada Populasi Miopia Muda Vera Sumual; Ade J. Nursalim; Stevanus Paliliewu; Andrew Citra; Mochamad Sahroni; Dian Anggraini; Burhan Noho
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.46675

Abstract

Abstract: Incidence of myopia has continued to increase in the last few decades and is expected to increase continually from time to time. Early detection of myopia is expected to prevent the occurrence of amblyopia, strabismus or other eye disorders. Autorefractor is a medical device that can be used before refraction examination in order to increase the efficiency in measurement of refractive disorders. However, the autorefractor used needs to be tested first to ensure the reliability of the tool in supporting clinical examinations. This study aimed to evaluate the reliability of the NIDEK TONOREF III autorefractor in daily clinical practice in young myopia population. The results obtained 42 subjects with myopic refractive error aged 20-41 years. The majority were females and had mild myopia. The statistical analysis showed no significant difference in the calculation of pupillary distance (p=0.581) and the correction results (p=0.842) between autorefractor and subjective refraction. In conclusion, the NIDEK Tonoref III autorefractor exhibits a high degree of reliability in evaluating glasses prescription and pupillary distance for cases of myopia. Keywords: autorefractor; myopia; NIDEK TONOREF III; objective refraction; subjective refraction   Abstrak: Angka kejadian miopia terus mengalami peningkatan dalam beberapa dekade terakhir dan diperkirakan akan terus bertambah. Deteksi dini miopia diharapkan dapat mencegah terjadinya ambliopia, strabismus ataupun kelainan mata lainnya. Autorefraktor merupakan alat pemeriksaan yang dapat digunakan mendahului pemeriksaan refraksi untuk meningkatkan efisiensi pemeriksaan kelainan refraksi. Namun, autorefraktor yang digunakan perlu diuji terlebih dahulu sehingga menjamin keterandalan alat dalam menunjang pemeriksaan klinis. Penelitian ini bertujuan untuk menguji keterandalan autorefraktor NIDEK TONOREF III dalam praktik klinis sehari-hari pada populasi miopia muda. Hasil penelitian mendapatkan 42 subjek penelitian dengan kelainan refraksi miopia pada rentang usia 20-41 tahun. Subjek terbanyak berada pada kategori miopia ringan dan berjenis kelamin perempuan. Hasil uji t-independen menunjukkan tidak terdapat perbedaan bermakna pada perhitungan jarak antar pupil (p=0,581) serta hasil koreksi (p=0,842) antara autorefraktor dan refraksi subjektif. Simpulan penelitian ini ialah autorefraktor NIDEK Tonoref III memiliki keterandalan yang baik dalam menilai koreksi kacamata dan jarak antar pupil untuk kasus miopia. Kata kunci: autorefraktor; miopia; NIDEK TONOREF III; refraksi objektif; refraksi subjektif
Pemantauan Paska Transplantasi Ginjal Yuswanto Setyawan
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.47631

Abstract

Kidney transplant recipients require unique medical care that includes attention not only to the function of the transplant itself, but also to common medical problems that are more prevalent, more atypical, and more severe in presentation than in the general population. Due to the successes of kidney transplantation, the estimated additional life-years gained from renal transplantation vary from 8 to 31 years. During the early phase, prevention of acute rejection and infection are the priority. After around 3–6 months, the priorities change to preservation of transplant function and avoiding the long-term complications of immunosuppressive medication (the medication used to suppress the immune system to prevent rejection). The potential complications discussed include heart disease, infection, cancer, bone disease and blood disorders. There is also a section on contraception and reproductive issues. In conclusion, the most important management of post kidney transplantation is prevention of acute rejection and opportunistic infections. Prognosis of kidney transplant recipient will worsen if both of the conditions mentioned occur. Keywords: kidney transplant recipients; post kidney transplantation; early phase prevention; long-term-complications   Abstrak: Resipien transplantasi ginjal memerlukan perawatan medis khusus yang memerlukan perhatian tidak hanya pada fungsi transplantasi itu sendiri, tetapi juga pada masalah medis umum yang sering timbul, atipikal, umumnya dengan presentasi yang lebih parah daripada populasi umum. Transplantasi ginjal yang berhasil dapat menambah usia harapan hidup yang bervariasi, berkisar delapan hingga 31 tahun. Selama fase awal prioritas penanganan ialah reaksi penolakan akut dan pencegahan infeksi. Setelah 3-6 bulan paska trasnplantasi, prioritas ialah mempertahankan fungsi transplantasi dan menghindari komplikasi jangka panjang dari pengobatan imunosupresif (obat yang digunakan untuk menekan sistem kekebalan, untuk mencegah reaksi penolakan). Potensi komplikasi yang dibahas meliputi penyakit jantung, infeksi, kanker, penyakit tulang, kelainan darah, kontrasepsi dan masalah reproduksi. Simpulan kajian ini ialah penatalaksanaan paska transplantasi ginjal yang paling penting berupa pencegahan penolakan akut dan infeksi oportunistik, dimana prognosis resipien transplantasi ginjal akan memburuk jika kedua kondisi tersebut terjadi. Kata kunci: resipien transplantasi ginjal; pasca transplantasi ginjal; pencegahan tahap awal; komplikasi jangka panjang
Faktor-faktor Risiko yang Berhubungan dengan Kejadian Multidrug-Resistant Tuberculosis (TB-MDR) di Kota Ternate, Maluku Utara Fathul R. S. Imam; Jootje M. L. Umboh; Josef S. B. Tuda
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.44459

Abstract

Multidrug-resistant tuberculosis (MDR-TB) is tuberculosis that does not respond to at least isoniazid and rifampicin, with or without other first line anti-TB drugs. Resistannt cases will lead to higher failure of TB therapy, increasing morbidity and mortality, and increasing financial burden in TB control. This study aimed to determine the risk factors associated with MDR-TB in Ternate. This was an analytical and observational study with a case-control design. There were 64 patients as samples, consisting of 32 case samples (MDR-TB) and 32 control samples (antituberculosis drug sensitive TB). Data were obtained using medical records of Dr. H. Chasan Boesorie Hospital in Ternate, and were analyzed with univariate, bivariate and multivariate tests using the SPSS. The results showed that there was a significant relation-ship between history of diabetes mellitus (p=0.021; OR=4.2; 95% CI:1.181-14.937) and history of TB treatment (p=0.010; OR= 6.818; 95% CI:1.356-34.274 ) with the incidence of MDR-TB. Meanwhile, variables that had no effect were sex, age, education level, and history of HIV-AIDS. The multivariate analysis showed that history of TB treatment had the strongest association with the incidence of MDR-TB (OR=5,.93; 95%CI:1.034-29.175). In conclusion, there are two risk factors associated with the incidence of MDR-TB in Ternate namely histories of diabetes mellitus and tuberculosis treatment. Keywords: risk factors; tuberculosis; multidrug-resistant tuberculosis; antituberculosis drugs   Abstrak: Multidrug-resistant tuberculosis (TB-MDR) adalah tuberkulosis (TB) yang resisten terhadap isoniazid dan rifampisin secara bersamaan, dengan atau tanpa disertai obat anti tuberkulosis (OAT) lini pertama lainnya. Kasus resistensi menyebabkan tingginya kegagalan terapi TB, meningkatkan angka kesakitan dan kematian, serta menambah beban pembiayaan dalam pengendalian TB. Penelitian ini bertujuan untuk mengetahui dan menganalisis faktor-faktor risiko yang berhubungan dengan kejadian TB-MDR di Kota Ternate, dengan lokasi penelitian di RSUD Dr. H. Chasan Boesorie Ternate. Jenis penelitian ialah analitik observasional menggunakan desain kasus-kontrol. Sampel berjumlah 64 pasien, yang terdiri dari 32 kasus (TB-MDR), dan 32 kontrol (TB sensitif OAT). Data penelitian diperoleh dari sumber data sekunder, yakni catatan rekam medis pasien. Analisis data yang dilakukan terdiri dari analisis univariat, bivariat, dan multivariat dengan program pengolah data SPSS. Hasil penelitian menunjukkan bahwa terdapat hubungan bermakna antara riwayat diabetes melitus (p=0,021; OR= 4,2;  95%CI: 1,181-14,937) dan riwayat pengobatan TB (p=0,010; OR= 6,818; 95%CI: 1,356-34,274) dengan kejadian TB-MDR. Variabel yang tidak berpengaruh ialah jenis kelamin, usia, tingkat pendidikan, dan riwayat HIV-AIDS. Hasil analisis multivariat mendapatkan bahwa riwayat pengobatan TB merupakan variabel yang paling kuat hubungannya dengan kejadian TB-MDR (OR=5,493; 95%CI:1,034-29,175). Simpulan penelitian ini ialah terdapat dua faktor risiko yang berhubungan dengan kejadian TB-MDR di Kota Ternate, yakni riwayat diabetes melitus dan riwayat pengobatan TB. Kata kunci: faktor risiko; tuberkulosis; multidrug-resistant tuberculosis; obat antituberkulosis
Penanganan Rehabilitasi Medik pada Pasca Artrodesis Kaki Charcot Tanpa Komplikasi Christina A. Damopolii; Joudy Gessal; Devan Perwira
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.44762

Abstract

Impact of diabetes on the occurrence of Charcot's foot provides conservative treatment to the benefits of arthrodesis. Charcot foot is a debilitating joint disease characterized by progressive multiple bone destruction, dislocations, and severe deformities of the foot and ankle. Its prevalence may increase in the general high-risk population. Initial treatment of Charcot foot is often conservative and involves the use of bracing, casting, and special orthopedic shoes. This intervention allows the patient to functionally ambulate without resorting to more invasive interventions. Arthrodesis is an effective limb-saving method for patients with Charcot neuroarthropathy who have severe deformity and instability. This technique is usually used for chronic cases with irreversible deformity and/or joint instability to increase plantar pressure and balance of the foot and to minimize the risk of foot ulceration and amputation. In conclusion, non-weight bearing treatment dan immobilisation are the most effective rehabilitation management for active-phase Charcot foot accompanied by surgery consideration to maximize the functional of the foot. Keywords: Charcot foot; diabetes; arthrodesis; rehabilitation management   Abstrak: Diabetes berdampak terhadap terjadinya kaki Charcot dengan penanganan secara konservatif hingga tindakan artrodesis. Kaki Charcot merupakan salah satu penyakit sendi yang merusak dan ditandai dengan progresifitas kerusakan tulang multipel, dislokasi dan deformitas parah pada kaki dan pergelangan kaki dengan prevalensi yang meningkat pada populasi dengan risiko tinggi. Perawatan awal kaki Charcot seringkali konservatif dan melibatkan penggunaan bracing, casting, dan sepatu ortopedi khusus. Intervensi ini memungkinkan pasien untuk ambulasi secara fungsional tanpa menggunakan intervensi yang lebih invasif. Artrodesis merupakan metode penyelamatan anggota tubuh yang efektif untuk pasien dengan neuropati Charcot yang memiliki deformitas parah dan ketidakstabilan. Teknik ini biasanya digunakan untuk kasus kronis dengan deformitas ireversibel dan/atau ketidakstabilan sendi untuk meningkatkan tekanan dan keseimbangan plantar kaki dan untuk meminimalkan risiko ulserasi dan amputasi kaki. Simpulan studi ini ialah penanganan non-weight bearing dan imobilisasi merupakan penanganan rehabilitasi untuk kaki Charcot fase aktif dengan pertimbangan tindakan pembedahan untuk memaksimalkan fungsi kaki. Kata kunci: kaki Charcot; diabetes; arthrodesis; penanganan rehabilitasi
Therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP): A Single Centre 5-Year Experience Michael Tendean; Toar D. B. Mambu; Ferdinand Tjandra; Billy Salem; Jimmy Panelewen; Everly Corputty
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.46027

Abstract

Abstract: Endoscopic retrograde cholangiopancreatography (ERCP) and related procedures are established as necessary techniques in the diagnosis and treatment of biliopancreatic diseases. Caution is needed due to the high risk of complications that can be fatal. The main complications are pancreatitis, bleeding, perforation, biliary stents, and lithiasis treatment issues. This study aimed to evaluate the therapeutic ERCP at Prof. Dr. R. D. Kandou Hospital between 2017-2021. This was a retrospective study using patients’ medical record data. The results obtained a total of 196 ERCP procedures performed at Prof. Dr. R. D. Kandou Hospital in that period. Variations of etiology, technical difficulties, and morbidities were recorded. The success rate of endoscopic stone extraction was 77.9 %, EPBD 10.71 %, and stenting for biliary drainage 97.3 %. Etiology varied from bile duct stone (74%); malignancies of the pancreas (8%), duodenum (2%), and periampullary (4%); Klatskin tumor (5.6%); and other malignancies (5%). Associated morbidities were melena 2%, pancreatitis 1%, and cholangitis 0.5%. In conclusion, endoscopic retrograde cholangiopancreatography is a reliable method for the diagnosis and treatment of hepatobiliary and pancreatic diseases, shown by the low incidence of morbidities and mortalities. Keywords: endoscopic retrograde cholangiopancreatography; biliopancreatic diseases
Gambaran Pelayanan Antenatal pada Masa Pandemi COVID-19 di Indonesia 2020-2021 Anggraini Lolitasari; Hermie M. M. Tendean; Erna Suparman
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.45182

Abstract

Abstract: Antenatal care (ANC) is an essential examination during pregnancy to monitor the health of mothers and babies and is one of the efforts to reduce MMR and IMR. However, with the COVID-19 pandemic being declared a national disaster in Indonesia in 2020, there were restrictions on health services including antenatal care. To ensure that ANC continues to run well, guidelines have been created that regulate the implementation of ANC during the COVID-19 pandemic in Indonesia, which are important to comply with. This study aims to describe antenatal care during the COVID-19 pandemic in Indonesia in 2020-2021. The research method used is literature review. The results of the study show that in 2020-2021 most health facilities in Indonesia have carried out antenatal care according to the guidelines, by making appointments and screening for COVID-19 before antenatal care, health workers using PPE according to the guidelines, requiring implementation of health protocols, conducting ANC according to standards, ask pregnant women to study the MCH handbook, carry out classes for pregnant women according to guidelines, and run a planned referral system. Factors affecting antenatal care during the COVID-19 pandemic were human resources, facilities and infrastructure, sources of funds, changes in policies and SOPs, adherence of health workers to using PPE, fear of pregnant women, knowledge and attitudes of pregnant women, and adherence of pregnant women to implementing health protocols. Keywords: antenatal care; antenatal care guidelines; COVID-19 pandemic   Abstrak: Antenatal care (ANC) adalah pemeriksaan esensial pada masa kehamilan untuk memantau kesehatan ibu dan bayi dan merupakan salah satu upaya untuk menurunkan AKI dan AKB. Namun, dengan adanya pandemi COVID-19 yang ditetapkan sebagai bencana nasional di Indonesia pada tahun 2020, terjadi pembatasan pelayanan kesehatan termasuk pemeriksaan antenatal. Untuk menjamin ANC tetap berjalan dengan baik, dibuat pedoman yang mengatur pelaksanaan ANC selama masa pandemi COVID-19 di Indonesia, yang penting untuk dipatuhi. Penelitian ini bertujuan untuk mengetahui gambaran pelayanan antenatal pada masa pandemi COVID-19 di Indonesia pada tahun 2020-2021. Metode penelitian yang digunakan adalah literature review. Hasil penelitian menunjukkan pada tahun 2020-2021 sebagian besar fasilitas kesehatan di Indonesia telah melakukan pelayanan antenatal sesuai dengan pedoman, dengan melakukan pembuatan janji temu dan skrining COVID-19 sebelum pemeriksaan antenatal, petugas kesehatan menggunakan APD sesuai pedoman, mewajibkan penerapan protokol kesehatan, melakukan ANC sesuai standar, meminta ibu hamil mempelajari buku KIA, melaksanakan kelas ibu hamil sesuai pedoman, dan menjalankan sistem rujukan terencana. Faktor-faktor yang mempengaruhi pelayanan antenatal pada masa pandemi COVID-19 adalah SDM, sarana dan prasarana, sumber dana, perubahan kebijakan dan SOP, kepatuhan tenaga kesehatan menggunakan APD, rasa takut ibu hamil, pengetahuan dan sikap ibu hamil, dan kepatuhan ibu hamil menerapkan protokol kesehatan. Kata kunci: pelayanan antenatal; pedoman antenatal care; pandemi COVID-19

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