Garuda - Garba Rujukan Digital

Maternal and Neonatal Outcomes in Pregnancies with Systemic Lupus Erythematosus (SLE) from 2021 to 2023 at Hasan Sadikin Hospital, Bandung Putra, Ahmad Rialita; Madjid, Tita Husnitawati; Irianti, Setyirini
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.v8i2.896

Objective: To describe maternal and neonatal outcomes in pregnant women with SLE at Dr. Hasan Sadikin General Hospital, Bandung.Methods: This descriptive study reviewed secondary data of pregnant women with SLE at RSHS from January 2021 to December 2023.Results. A total of 41 pregnant women with SLE and 82 without SLE were included. SLE patients were younger (29.44±5.03 years) than non-SLE (33.76±7.31 years). Most SLE patients had normal (63.4%) or overweight (36.6%) nutritional status. Skin rash was the most common symptom (78%). Hypertension (14.6% vs 73.2%) and fetal death (4.9% vs 17.1%) were lower in the SLE group. Live birth rate was higher (95.1% vs 89.0%), but low birth weight incidence was higher (65.9% vs 53.7%) in SLE.Conclusion: Pregnant women with SLE tend to be younger and overweight. Hypertension and fetal death were lower, but low birth weight and growth restriction were more frequent in SLE pregnancies, despite quality ANC. The cause of fetal growth restriction in SLE remains unclear.Luaran Ibu dan Bayi pada kehamilan dengan Lupus Eritematosus Sistemik (LES) pada tahun 2021 - 2023 di Rumah Sakit Hasan Sadikin BandungAbstrakTujuan: Penelitian ini bertujuan untuk mendeskripsikan luaran maternal dan neonatus pada wanita hamil dengan LES di RSUP Dr. Hasan Sadikin Bandung.Metode: Penelitian ini menggunakan metode deskriptif untuk meninjau data sekunder ibu hamil dengan LES di RSHS dari Januari 2021 hingga Desember 2023.Hasil. Sebanyak 41 wanita hamil dengan LES dan 82 tanpa LES diikutsertakan. Pasien LES lebih muda (29,44±5,03 tahun) dibanding non-LES (33,76±7,31 tahun). Mayoritas pasien LES berstatus gizi normal (63,4%) atau overweight (36,6%). Ruam kulit paling umum (78%). Hipertensi (14,6% vs 73,2%) dan kematian janin (4,9% vs 17,1%) lebih rendah pada LES. Kelahiran hidup lebih tinggi (95,1% vs 89,0%), tapi berat lahir rendah lebih tinggi (65,9% vs 53,7%) pada LES.Kesimpulan: Wanita hamil dengan LES cenderung lebih muda dan overweight. Komplikasi hipertensi dan kematian janin lebih rendah, tetapi berat lahir rendah dan hambatan pertumbuhan janin lebih sering pada LES, meski mendapat ANC berkualitas. Penyebab hambatan pertumbuhan janin pada LES belum diketahui.Kata kunci: Kehamilan; Komplikasi; Luaran maternal; Luaran neonatus; Lupus Eritematosus Sistemik

Correlation of Maternal Comorbidities and Neonatal Outcomes in Patients With Non-Reassuring Fetal Status Undergoing Caesarean Section Nasrudin, Nasrudin; Priyanto, Edy; Suardi, Dodi
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.v8i2.854

Objective: Non-reassuring fetal status (NRFS) is an obstetric emergency characterized by abnormal fetal heart rate patterns requiring immediate intervention, often through cesarean section. Maternal comorbidities such as obesity, hypertension, and anemia are suspected to increase the risk of NRFS and adversely affect neonatal outcomes, particularly in developing countries. This study aimed to evaluate the relationship between maternal comorbidities and neonatal outcomes, including low birth weight (LBW), APGAR scores, and the need for Neonatal Intensive Care Unit (NICU) admission, in NRFS cases undergoing cesarean section at Prof. Dr. Margono Soekarjo Hospital, Purwokerto, from September 2023 to April 2024.Methods: A cross-sectional study used secondary (medical) data with total sampling. Bivariate and multivariate logistic regression analyses reported odds ratios (ORs) and 95% confidence intervals (CIs). A p-value of <0.05 was considered statistically significant.Result: Maternal obesity, hypertension, and anemia were significantly associated with LBW, low APGAR scores, and NICU admission. All comorbidities showed ORs <1, indicating increased risk for adverse neonatal outcomes.Conclusion: There was a significant correlation between maternal comorbidities and poor neonatal outcomes in NRFS cases delivered via cesarean section.Hubungan antara Komorbiditas Maternal dan Luaran Neonatus pada Pasien dengan Non-Reassuring Fetal Status yang Menjalani Seksio SesareaAbstrak Tujuan: Non-reassuring fetal status (NRFS) adalah kondisi kegawatdaruratan obstetri yang ditandai oleh pola detak jantung janin abnormal dan membutuhkan intervensi segera, sering berupa seksio sesarea. Komorbiditas maternal seperti obesitas, hipertensi, dan anemia diduga berperan dalam meningkatkan risiko NRFS dan memengaruhi luaran neonatal, terutama di negara berkembang. Penelitian ini bertujuan mengevaluasi hubungan antara komorbiditas maternal dan berat badan lahir rendah (BBLR), skor APGAR, dan kebutuhan perawatan Neonatal Intensive Care Unit (NICU) pada pasien NRFS yang menjalani seksio sesarea di RSUD Prof. Dr. Margono Sokearjo Purwokerto dari September 2023 hingga April 2024.Metode: Penelitian potong lintang ini menggunakan data (rekam medis) dengan teknik total sampling. Analisis bivariat dan multivariat dilakukan menggunakan regresi logistik dengan odds ratio (OR) dan interval kepercayaan 95%. Nilai p <0,05 dianggap signifikan.Hasil: Obesitas, hipertensi, dan anemia maternal secara signifikan berhubungan dengan BBLR, skor APGAR rendah, dan kebutuhan NICU. Semua komorbiditas menunjukkan odd ratio <1, mengindikasikan peningkatan risiko terhadap luaran neonatal yang merugikan.Kesimpulan: Terdapat hubungan signifikan antara komorbiditas maternal dan luaran neonatal yang buruk pada pasien NRFS yang menjalani seksio sesarea.

Correlation between Elevated Nerve Growth Factor mRNA Expression with Pain Intensity or Disease Severity in Endometriosis Octarina, Bertha; Abadi, Adnan; Hidayat, Syarief Taufik; Usman, Fatimah; Saleh, Masagus Irsan; Theodorus, Theodorus; Stevanny, Bella
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.v8i2.908

Objective: analyzed the relationship between NGF mRNA expression and pain levels and severity of endometriosis.Methods: This research involved 30 endometriosis patients undergoing surgery from November 2024 to April 2025. NGF mRNA expression was measured in blood plasma and ectopic tissue. Pain history was assessed retrospectively, and disease stage determined intraoperatively.Results: No significant relationship was found between NGF mRNA expression and pain levels or severity of endometriosis in either plasma or lesion tissue. Based on the Livak method analysis, the average value of relative expression of NGF gene mRNA increased 6.943-fold in blood plasma and 17.319-fold in endometriosis lesions of women with endometriosis. In the Mann Whitney test, there was a significant difference in the level of NGF gene mRNA expression between blood plasma and with p < 0.0001. NGF expression may not always correlate with disease severity because it is influenced by many factors.Conclusion: No significant correlation was found between NGF mRNA expression and endometriosis severity or pain intensity, but expression levels differed significantly between plasma and lesion tissue.

The Indonesian Version of the Chapron’s Screening Method for Endometriosis Diagnosis based on Questionnaire as a Tool for Better Endometriosis Screening in Indonesia Hendrana, Aisyah Riseta Aini; Tjahyadi, Dian; Bayuaji, Hartanto; Rachmawati, Anita; Prasetyo, Nogi Eko; Djuwatono, Tono
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.v8i2.890

Objective: This study aims to translate, develop, and assess the validity and reliability of the Indonesian version of Professor Chapron’s screening method for endometriosis diagnosis based on the questionnaire as a tool for better endometriosis screening in Indonesia.Methods: Development of the questionnaire using 5 steps: translation, synthesis, back translation, expert committee review, and pretesting by involving language expert and subject expert. The analysis includes the validity and reliability of the questionnaire.Results: A sample of 30 subjects was enrolled. The questionnaire was consist of 3 sections, including characteristic patient questions, yes or no questions (8 questions), and pain scale questions (5 questions). Of the 8 yes or no questions, 7 were valid (r >0.300), and one question was not valid (r<0.300). The yes or no questions were reliable (Cronbach’s alpha 0.6968). All of the 6 pain scale questions were valid (r>0.300) and reliable (Cronbach’s alpha 0.790).Conclusion: This study represent the Professor Chapron’s questionnaire for endometriosis screening into another language (Bahasa) than the original. It showed that the questionnaire was reliable, and one question was not valid (removed from the questionnaire). The questionnaire can be used in Indonesia for screening method in Indonesia.Versi Indonesia dari Kuesioner Chapron untuk Metode Skrining dalam Diagnosis Endometriosis sebagai Alat Skrining Endometriosis di IndonesiaAbstrak Tujuan: Penelitian ini bertujuan untuk menerjemahkan, mengembangkan, dan menilai validitas dan reliabilitas versi bahasa Indonesia dari metode Skrining Professor Chapron berdasarkan kuesioner, sebagai alat untuk skrining endometriosis yang lebih baik di Indonesia.Metode: Pengembangan kuesioner menggunakan 5 langkah: penerjemahan, sintesis, penerjemahan balik, telaah komite ahli, dan pra-uji dengan melibatkan ahli bahasa dan ahli subjek. Analisis yang dilakukan yaitu uji validitas dan reliabilitas kuesioner.Hasil: Sampel penelitian sebanyak 30 orang. Kuesioner terdiri atas 3 bagian, yaitu pertanyaan karakteristik pasien, pertanyaan ya atau tidak (8 pertanyaan), dan pertanyaan skala nyeri (5 pertanyaan). Sebanyak 7 pertanyaan ya atau tidak, hasilnya valid (r>0,300) dan 1 pertanyaan tidak valid (r<0,300). Pertanyaan ya atau tidak hasilnya reliabel (Cronbach’s alpha 0,6968). Semua pertanyaan skala nyeri hasilnya valid (r>0,300) dan reliabel (Cronbach’s alpha 0,7900).Kesimpulan: Penelitian ini mengembangkan serta menilai validitas dan reliabilitas kuesioner Professor Chapron untuk skrining endometriosis dalam versi bahasa Indonesia. Kuesioner ini reliabel dengan 1 pertanyaan tidak valid (dihilangkan dari kuesioner). Kuesioner ini dapat digunakan di Indonesia untuk metode skrining endometriosis di Indonesia.

Heterotopic Pregnancy after a Spontaneous Conception: A Case Report Hartanto, Amadea Ivana; Siddiq, Amillia; Erfiandi, Febia
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.v8i2.808

Introduction: Heterotopic pregnancy (HP) is a rare and potentially life-threatening condition in which an intrauterine pregnancy (IUP) and an ectopic pregnancy (EP) occur simultaneously. Increased awareness and early diagnosis are crucial to preventing complications. This case highlights the importance of timely identification and appropriate management of heterotopic pregnancy.Case report: A 32-year-old G2P1A0 pregnant woman was referred with a suspicion of heterotopic pregnancy. The patient had no prior complaints and had a spontaneous conception, there was no history of in vitro fertilization. At 2 months of gestation, an ultrasound revealed both an intrauterine pregnancy and an ectopic pregnancy. The laparoscopic diagnostic evaluation confirmed an enlarged right horn, requiring a wedge resection of the right horn. The procedure was completed successfully, and the intrauterine pregnancy progressed until term. This resulted in a cesarean section delivery of a healthy female infant weighing 3000 grams.Conclusion: This case underscores the need for a high index of suspicion when diagnosing heterotopic pregnancy, even in asymptomatic patients. Early recognition and surgical intervention significantly improve outcomes. The findings offer valuable insights for clinical practice and highlight the importance of vigilance in the evolving landscape of reproductive medicine.Kehamilan Heterotopik Pasca Konsepsi Spontan: Sebuah Laporan KasusAbstrakPendahuluan: Kehamilan heterotopik (KH) adalah kondisi langka dan berpotensi mengancam jiwa ketika kehamilan intrauterin (KIU) dan kehamilan ektopik (KE) terjadi secara bersamaan. Kesadaran yang lebih tinggi dan diagnosis dini sangat penting untuk mencegah komplikasi. Kasus ini menyoroti pentingnya identifikasi yang tepat waktu dan manajemen yang sesuai dari kehamilan heterotopik.Laporan kasus: Seorang wanita hamil G2P1A0 berusia 32 tahun dirujuk dengan kecurigaan kehamilan heterotopik. Pasien tidak memiliki keluhan sebelumnya dan kehamilan terjadi secara spontan, tanpa riwayat fertilisasi in vitro (IVF). Pada usia kehamilan 2 bulan, pemeriksaan ultrasonografi menunjukkan adanya kehamilan intrauterin dan kehamilan ektopik. Evaluasi diagnostik laparoskopi mengonfirmasi adanya pembesaran tuba kanan sehingga dilakukan reseksi parsial tuba kanan. Prosedur ini berhasil diselesaikan sampai kehamilan intrauterine cukup bulan dan menghasilkan kelahiran bayi Perempuan sehat dengan berat 3000 gram melalui operasi sesar.Kesimpulan: Kasus ini menekankan perlunya tingkat kecurigaan yang tinggi dalam mendiagnosis kehamilan heterotopic termasuk pada pasien yang tidak bergejala. Pengenalan dini dan intervensi bedah secara signifikan meningkatkan hasil klinis. Temuan ini memberikan wawasan berharga untuk praktik klinis dan menyoroti pentingnya kewaspadaan dalam perkembangan ilmu kedokteran reproduksi.

Rare Case: Tetra-Amelia Syndrome Alifa, Dhara; Aziz, Muhammad Alamsyah; Ritonga, Mulyanusa Amarullah; Pribadi, Adhi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.694

Introduction: Congenital abnormalities are anomalies that become a fear for a family, when a mother experiences pregnancy. Some abnormalities are temporary and can be corrected, while some are permanent and cannot be corrected, so screening at antenatal time is very important.Objective: To explain and analyze a rare case of Tetra-amelia syndrome and how to diagnose it.Case: A 32-year-old woman with a 32-week-old G3P0A2 pregnancy visited the maternal-fetal clinic. According to ultrasound data, a single fetus with a gestational age of 31-32 weeks and a fetal weight of 1837 grams is in breech presentation. Only the proximal components of the arm and leg are formed, leaving the radius bones, ulna, tibia, and fibula unformed. The femur has a length that corresponds to 16 weeks, while the humerus has a length that corresponds to 20 weeks. These findings also revealed a discrepancy in pregnancy age. A tetra-amelia abnormality was discovered at the end of the ultrasound scan. Caesarean section performed on August 6, 2021, at the age of 39 weeks, a baby girl has been born baby girl a baby girl weighing 2300 grams, a body length of 31 cm, with mild asphyxia.Conclusion: During antenatal care, ultrasound on the unidentified distal part of the entire extremity can detect Tetra-amelia syndrome.Kasus Langka: Sindrom Tetra-ameliaAbstrak Pendahuluan: Kelainan bawaan adalah anomali yang menjadi trauma bagi keluarga, ketika seorang ibu mengalami kehamilan. Beberapa kelainan bersifat sementara dan dapat diobati, sementara beberapa bersifat permanen dan tidak dapat diperbaiki sehingga skrining pada waktu antenatal sangat penting.Tujuan: Artikel ini untuk menjelaskan dan menganalisis kasus langka sindrom Tetra-amelia dan cara mendiagnosisnya.Kasus: Seorang wanita berusia 32 tahun dengan kehamilan G3P0A2 berusia 32 minggu mengunjungi klinik fetomaternal. Hasil pemeriksaan ultrasonografi menunjukan janin tunggal dengan usia kehamilan 31 - 32 minggu dan berat janin 1837 gram dalam letak sungsang. Hanya komponen proksimal lengan dan kaki yang terbentuk, sedangkan tulang jari-jari, ulna, tibia, dan fibula tidak terbentuk. Femur memiliki panjang yang sesuai dengan 16 minggu, sedangkan humerus memiliki panjang yang sesuai dengan 20 minggu. Kelainan tetra-amelia dapat dideteksi dengan pemindaian ultrasonografi. Pada tanggal 6 Agustus 2021 presentasi sungsang, dilakukan operasi caesar, lahir bayi perempuan pada usia 39 minggu, berat 2300 gram, panjang 31 cm, disertai asfiksia ringan.Kesimpulan: Pemeriksaan ultrasonografi pada perawatan antenatal dapat mendeteksi sindrom Tetra-amelia, bila bagian distal ekstremitas tidak teridentifikasi.Kata kunci:Sindrom Tetra-amelia, Ultrasonografi, Kelainan Kongenital

Comparison of Pregnancy Outcomes with Autoimmune Rheumatic Disease and Without Autoimmune Rheumatic Disease Sulaiman, Aina Zakia; Pribadi, Adhi; Hamijoyo, Laniyati; Irianti, Setyorini; Rahmadi, Andri Reza
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.724

Introduction: It is known that pregnancies with autoimmunity have a higher risk of complications in the mother and fetus compared to pregnancies without autoimmunity. The purpose of this study was to determine the comparison between pregnancy outcomes with autoimmune rheumatic disease and without autoimmune rheumatic disease.Methods: This study is an observational analytic with a retrospective cross-sectional design. Data were obtained from all patients with pregnancy outcomes with autoimmune rheumatic disease and without autoimmune rheumatic disease at Hasan Sadikin Hospital Bandung 1 January - 31 December 2021-2023.Results: During this period, 71 pregnant women were found to be accompanied by autoimmune rheumatic diseases and then data on pregnant women without autoimmune rheumatic diseases were randomly taken as controls. In this study, it was found that pregnant women with autoimmune diseases experienced more neonatal outcomes of stunted fetal growth, namely 11(15.5%) compared to pregnant women without autoimmune rheumatic diseases, namely 2(2.8%) with a p-value of 0.009.Conclusion: This study found that pregnant women with autoimmune rheumatic disease experienced more neonatal outcomes of FGR compared to pregnant women without autoimmune rheumatism.Perbandingan Antara Luaran Kehamilan Dengan Penyakit Rhematik Autoimun Dan Tanpa Penyakit Rematik AutoimunAbstrakPendahuluan: Diketahui bahwa kehamilan dengan autoimun memiliki risiko komplikasi pada ibu maupun janin lebih tinggi dibandingkan dengan kehamilan tanpa autoimun. Tujuan penelitian ini untuk mengetahui perbandingan antara luaran kehamilan dengan penyakit rematik autoimun dan tanpa penyakit rematik autoimunMetode: Penelitian ini bersifat analitik observasional dengan desain potong lintang retrospektif. Data diperoleh dari seluruh pasien luaran kehamilan dengan penyakit rematik autoimun dan tanpa penyakit rematik autoimun di Rumah Sakit Hasan Sadikin Bandung 1 Januari – 31 Desember 2021-2023Hasil: Dalam periode tersebut ditemukan 71 orang ibu hamil yang disertai dengan penyakit rematik autoimun kemudian diambil data ibu hamil tanpa penyakit rematik autoimun secara random sebagai kontrol. Pada penelitian ini didapatkan ibu hamil dengan penyakit autoimun lebih banyak mengalami luaran neonatal pertumbuhan janin terhambat yaitu 11(15.5%) dibandingkan ibu hamil tanpa penyakit rematik autoimun yaitu 2(2.8%) dengan p- value0.009.Kesimpulan : Penelitian ini menemukan bahwa ibu hamil dengan penyakit rematik autoimun lebih banyak mengalami luaran neonatal pertumbuhan janin terhambat dibandingkan dengan ibu hamil tanpa rematik autoimun.Kata kunci : Luaran Maternal, Luaran Neonatal, Autoimun

Calcium Paradox, Vitamin D and Vitamin K2 Mose, Johanes C.
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.757

Calsium supplementation during pregnancy is a routine standard practice for antenatal care recommended by WHO, FIGO, POGI as well as Indonesia Ministry of Health. Calcium is one of essential micronutrients needed in human life, especially during pregnancy known for bone and teeth development, prevent osteoporosis, involved in blood coagulation, prevent haemorrhages during pregnancy and post partum periods, muscle contraction, prevent hypertension, preeclampsia, prematurity, IUGR, LBW, stunting, increase immunity, etc.Prevalence of hypocalcemia varies from 60 % to 70.5 % in low-medium income countries (LMIC) and 30 % to 60 % in high income countries (HIC).A systematic review study conducted in 2019 reported a prevalence of low calcium consumption less than 800 mg/day (normal consumption is around 1000-1200 mg/day) was 29 % in HIC and 82 % in LMIC, including Malaysia 377 mg/day and Indonesia < 400 mg/day.Calcium metabolism in human body is very much depend on the normal level of vitamin D, magnesium and parathyroid hormone in blood. Vitamin D is mainly needed for the absorption of calcium in intestine. The combination of vitamin D and calcium supplementation is very much recommended.

Alcohol Abuse in Pregnancy (Case Report) Rahmani, Putri; Arfiantama, M. Ikhsan; Lubis, Ahmad Sofyan; Rahman, Luthfi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.713

Introduction: Alcohol abuse is an uncommon but significant health issue among pregnant women in Indonesia. Even minimal alcohol consumption can cause substantial harm to both individuals and society. However, there are currently no national service standards for screening, recording, or counseling regarding alcohol use during pregnancy in Indonesia.Case Report: A 25-year-old woman, gravida 2 para 1 abortus 0 (G2P1A0), at 20-21 weeks of gestation, presented to the emergency room with decreased consciousness after consuming alcohol suspected to contain ethanol. Clinical assessment and laboratory tests indicated that the patient was suffering from metabolic encephalopathy and severe metabolic acidosis. The patient was promptly intubated and resuscitated. Despite receiving intensive care in the ICU, the patient experienced seizures and intrauterine fetal demise (IUFD), followed by spontaneous labor the next day. Unfortunately, the patient’s condition continued to deteriorate, and she succumbed to multi-organ failure due to high blood alcohol concentration on the ninth day of treatment.Conclusion: From the case we can conclude that alcohol use during pregnancy is closely linked to the patient’s psychological condition. To optimize patient care, obstetricians and gynecologists are encouraged to employ routine screening techniques, clinical laboratory tests, brief interventions, and appropriate treatment referrals, one of them is ASSIST by WHO. Unfortunately, many pregnant women in Indonesia lack access to specialist care. Therefore, it is crucial to disseminate information about the health risks associated with alcohol consumption and abortion within informal community sectors to effectively reach vulnerable groups.Penyalahgunaan Alkohol pada Kehamilan (Laporan Kasus)AbstrakPendahuluan: Penyalahgunaan alkohol merupakan masalah kesehatan yang jarang ditemukan pada ibu hamil di Indonesia, meski konsumsi alkohol dalam jumlah berapa pun dapat menimbulkan kerugian besar bagi individu dan masyarakat. Namun, saat ini belum ada standar layanan nasional untuk skrining, pencatatan, dan konseling mengenai penggunaan alkohol pada ibu hamil di Indonesia.Laporan Kasus: Seorang perempuan berusia 25 tahun, gravida 2 para 1 abortus 0 (G2P1A0), dengan usia kehamilan 20-21 minggu, datang ke IGD dengan kondisi penurunan kesadaran setelah meminum minuman beralkohol yang diduga mengandung etanol. Pemeriksaan klinis dan hasil laboratorium menunjukkan bahwa pasien menderita ensefalopati metabolik dan asidosis metabolik berat. Pasien segera diintubasi dan diresusitasi. Setelah satu hari perawatan di ICU, pasien mengalami kejang dan intrauterine fetal demise (IUFD), yang kemudian disusul dengan persalinan spontan keesokan harinya. Kondisi pasien terus memburuk selama perawatan dan meninggal pada hari kesembilan akibat kegagalan multiorgan karena tingginya kadar alkohol dalam darah. Hasil alloanamnesis dari keluarga pasien menunjukkan bahwa pasien mengalami tekanan psikologis akibat kehamilan yang tidak diinginkan, yang diduga terkait dengan percobaan aborsi.Kesimpulan: Dalam kasus ini dapat disimpulkan bahwa konsumsi alkohol selama kehamilan erat kaitannya dengan kondisi psikologis pasien. Untuk mengoptimalkan perawatan, dokter obstetri dan ginekologi didorong untuk mempelajari dan menggunakan teknik skrining rutin, tes laboratorium klinis, intervensi singkat, dan rujukan pengobatan yang tepat dengan skrining ASSIST dari WHO. Sayangnya, masih banyak ibu hamil di Indonesia yang tidak memiliki akses terhadap dokter spesialis. Oleh karena itu, informasi mengenai risiko kesehatan akibat alkohol dan aborsi penting untuk disebarluaskan kepada masyarakat di sektor informal sehingga kelompok rentan dapat dijangkau dengan baik.Kata kunci: intoksikasi alkohol, kehamilan, penyalahgunaan alkohol, aborsi

Professional Atitude Can Cause to Perch Plagiarism Martaadisoebrata, Djamhoer
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.740

A calling requiring specialize knowledge and often long and intensive preparation including instruction and skills and methods as well as in the scientific, historical and scholarly principles, underlying such skills and methods, maintaining by force or organization or concern opinion, high standard of achievement and conduct, and committing its members to continue study and to a kind of work which has for prime propose the rendering of public service.

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Wiryawan Permadi

Contact Email
obgyniajurnal@gmail.com

Phone
-

Journal Mail Official
obgyniajurnal@gmail.com

Editorial Address
-

Location
Kota bandung,

Jawa barat

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Wiryawan Permadi

Contact Email obgyniajurnal@gmail.com

Phone -

Journal Mail Official obgyniajurnal@gmail.com

Editorial Address -

Location Kota bandung, Jawa barat INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Wiryawan Permadi

Contact Email
obgyniajurnal@gmail.com

Phone
-

Journal Mail Official
obgyniajurnal@gmail.com

Editorial Address
-

Location
Kota bandung,

Jawa barat

INDONESIA