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INDONESIA
Jurnal Kesehatan Reproduksi
Published by Universitas Gadjah Mada
ISSN : 2302836X     EISSN : 2621461X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
urnal Kesehatan Reproduksi is a scientific journal published by Association of Women and Children Reproductive Health Enthusiasts and Experts/Ikatan Pemerhati Anak dan Kesehatan Reproduksi/IPAKESPRO) who works closely with the Department of Obstetrics and Gynaecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada. Jurnal Kesehatan Reproduksi first printed version was published in 2014 with ISSN 2302-836X. In 2016, we also have an online journal version with ISSN 2621-461X. Currently, we already use the Online Journal System, requiring all authors to submit their papers online. Afterwards, authors, editors and reviewers will be able to monitor the manuscript processing. This journal is published annually every April, August and December.
Arjuna Subject : -
Articles 234 Documents
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Rekanalisasi Tuba Fallopi Paska Sterilisasi dan Luaran Kehamilannya: Case Report Muhammad Ludfi
JURNAL KESEHATAN REPRODUKSI Vol 8, No 3 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.73600

Abstract

Latar Belakang: Sekitar 1-3% wanita yang telah melakukan sterilisasi berkeinginan untuk memiliki anak kembali di kemudian hari. Sementara beberapa penelitian menunjukkan bahwa kehamilan tidak terencana yang terjadi setelah prosedur sterilisasi dapat meningkatkan risiko kehamilan ektopik. Rekanalisasi tuba fallopi merupakan suatu alternatif dari fertilisasi in vitro (IVF) untuk pasien yang menginginkan kehamilan setelah sterilisasi dan mungkin lebih sesuai untuk dilakukan di negara berkembang karena efektivitas biayanya.Tujuan: Untuk memberikan informasi mengenai prosedur rekanalisasi tuba fallopi yang dilakukan pada wanita yang sebelumnya menjalani sterilisasi serta luaran kehamilannya.Laporan Kasus: Kami melaporkan dua kehamilan pada wanita yang menjalani rekanalisasi tuba fallopi. Pada kedua wanita tersebut dilakukan pendekatan laparotomi mikro dari reanastomosis tuba setelah mengidentifikasi tuba fallopi yang diikat sebelumnya. Pembedahan mikro dilakukan dengan menjahit mesosalping menggunakan bahan polypropylene no. 6.0. Selanjutnya lapisan otot di ujung kedua tuba diidentifikasi dan dijahit secara sistematis pada jam 6, 12, 3, 9 dan diakhiri dengan penjahitan lapisan serosa menggunakan jahitan satu-satu. Uji patensi kedua tuba dilakukan dengan mengalirkan pewarna metilen biru untuk memastikan tidak ada kebocoran dari jahitan reanastomosis. Evaluasi pencitraan HSG satu bulan paska tindakan didapatkan hasil tuba dalam kondisi baik dan kurang lebih satu tahun setelahnya kedua pasien berhasil hamil dan melahirkan dengan kondisi ibu dan bayi baik.Kesimpulan: Keberhasilan rekanalisasi tuba dan kehamilan setelahnya ditentukan sejak dokter melakukan skrining awal pada kandidat operasi, penjelasan yang tepat mengenai teknik prosedur yang dilakukan dan persiapan pre-operasi yang detail dan baik. Banyak studi menyebutkan rekanalisasi tuba fallopi sebagai pilihan yang patut untuk dikerjakan karena memiliki keunggulan pada kelayakan tindakan dan juga efektivitas biayanya. Beberapa faktor penting yang dapat memengaruhi keberhasilan rekanalisasi adalah usia pasien, interval waktu antara sterilisasi dengan tindakan rekanalisasi, tempat ligasi, metode yang digunakan pada ligasi sebelumnya dan sisa panjang tuba setelah operasi. Kata Kunci: rekanalisasi tuba fallopi paska sterilisasi;luaran kehamilan 
Ketepatan Rumus Risanto untuk Memprediksi Berat Lahir Janin pada Ibu dengan Berat Badan Berlebih Nadia Mutiara Zahra; Shinta Prawitasari; Vicky Admiral Aprizano; Muhammad Nurhadi Rahman; Risanto Siswosudarmo
JURNAL KESEHATAN REPRODUKSI Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64595

Abstract

AbstrakLatar Belakang: Pengukuran taksiran berat janin (TBJ) harus dilakukan seakurat mungkin agar dapat mencerminkan keadaan janin yang sesungguhnya guna merencanakan manajemen persalinan. Rumus Risanto adalah salah satu rumus TBJ yang yang praktis digunakan dengan memanfaatkan komponen tinggi fundus uteri (TFU). Namun, sering kali, penentuan TFU pada ibu hamil dengan berat badan berlebih sulit dilakukan secara teliti, akibat dari tingginya ketebalan lemak subkutan abdomen. Sehingga, terdapat kemungkinan penurunan ketepatan pengukuran TBJ menggunakan TFU pada ibu dengan berat badan berlebih.Tujuan: Untuk menilai ketepatan rumus Risanto dalam memprediksi berat lahir janin pada ibu dengan berat badan berlebih.Metode: Desain penelitian nested cross sectional, yang bersarang pada penelitian induk oleh author pada tahun 2018. Subjek yang terlibat yakni ibu hamil aterm dengan indeks massa tubuh (IMT) ≥25 kg/m2 di RSUP dr Sardjito dan beberapa RS jejaring. Selisih antara rata-rata taksiran berat janin rumus Risanto (TBJR) dan berat bayi lahir (BBL) dianalisis menggunakan paired t-test. Kemudian, TBJR dinilai ketepatannya menggunakan rata-rata persentase kesalahan absolut, serta proporsi kasus yang berada pada persentase kesalahan absolut ≤5%, ≤10%, ≤15%, dan ≤20%. TBJ dikatakan akurat apabila rata-rata persentase kesalahan absolut ≤10% dan/atau jumlah kasus dengan TBJ yang berada pada rentang ± 10% dari BBL sebanyak >75%.Hasil dan Pembahasan: Dari 205 subjek penelitian didapatkan rata-rata TBJR sebesar 3050,49 ± 421,96 gram (rentang 1995-4745 gram). Sedangkan, rata-rata BBL sebesar 3129,29 ± 406,67 gram (rentang 1800-4880 gram). TBJR cenderung memberikan hasil taksiran yang lebih kecil daripada BBL, dengan selisih rerata diantara keduanya (∆mean) sebesar 78,8 gram (95% CI: 50,031-107,569 dan nilai P=0,000). Artinya terdapat perbedaan yang bermakna secara statistik. Namun, apabila ∆mean diubah kedalam persentase maka akan didapatkan selisih rata-rata sebesar 2,52%. Selain itu, didapatkan rata-rata persentase kesalahan absolut sebesar 5,8 ± 4,11 %. Apabila dilihat proporsi data yang berada pada persentase kesalahan absolut ≤5%, ≤10%, ≤15%, dan ≤20%, maka berturut turut didapatkan cakupan sebesar 47,3%, 85,9%, 96,6%, dan 100% dari keseluruhan data.Kesimpulan: Rumus Risanto dapat dikatakan akurat dalam memperkirakan BBL pada ibu dengan berat badan berlebih berdasarkan indikator rata-rata persentase kesalahan absolut ≤10% dan jumlah kasus dengan TBJR yang berada pada rentang ±10% dari BBL sebanyak >75%. AbstractBackground: Estimated Fetal Weight (EFW) needs to be as accurate as possible to reflect the actual condition of the fetus for labor-management planning. Risanto’s formula is one of the easy to use formula to estimate fetal weight using fundal height (FH). But, oftentimes, the measurement of fundal height in overweight pregnant mothers is hard to be done precisely due to the thickness of the abdominal subcutaneous fat layer. Therefore, there is a possibility of a decrease in EFW’s accuracy in overweight mothers by using FH measurement.Objective: To determine the accuracy of Risanto’s formula in estimating fetal weight in overweight mothers.Method: It was a cross-sectional study nested within research by author in 2018. Mothers at term pregnancies with body mass index (BMI) ≥25 kg/m2 from Sardjito and affiliated hospitals were included in the study. The difference between the mean Risanto’s estimated fetal weight (R_EFW) and the mean actual birth weight (ABW) was analyzed using a paired t-test. Later on, the accuracy of R_EFW was analyzed based on the mean absolute percentage error and the number of cases within ≤5%, ≤10%, ≤15%, and ≤20% absolute percentage error. EFW can be defined as accurate if the mean absolute percentage error is ≤10% and/or the number of EFW within ± 10% from the ABW is >75%.Results and Discussion: From the 205 research subjects, the mean R_EFW was 3050,49 ± 421,96 gram (ranged from 1995 to 4745 gram), while the mean ABW was 3129,29 ± 406,67 gram (ranged from 1800-4880 gram). Risanto’s formula tends to give a smaller estimation compared to the ABW with the mean difference (∆mean) between the two was 78,8 gram (95% CI: 50,031-107,569 and P=0,000). The mean difference was statistically significant. But, if we convert the ∆mean into a percentage, the mean difference was 2,52%. Other than that, the mean absolute percentage error was 5,8 ± 4,11 %. The number of case within the absolute percentage error of ≤5%, ≤10%, ≤15%, and ≤20% was 47,3%, 85,9%, 96,6%, and 100% from the overall data in consecutive order.Conclusion: Risanto’s formula was accurate in estimating fetal birth weight in overweight mothers based on the two indicators, in which the mean absolute percentage error was ≤10% and the number of cases within the ± 10% from the ABW was >75%.
Perilaku Seksual Berisiko serta Kaitannya dengan Keyakinan Diri Remaja untuk Mencegah: Studi Deskriptif Valen Fridolin Simak; Kristamuliana Kristamuliana; Crista Gretasia Sekeon
JURNAL KESEHATAN REPRODUKSI Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.66159

Abstract

Background: The misuse of media or technology (smartphones, internet) to access various information including pornographic sites can increase adolescents to engage in sexual activity because adolescents continue to feel challenged to do so in real life.Objective: Describe risky sexual behavior and its relation to adolescent self-efficacy to prevent itMethod: The method used in this research is descriptive analytic conducted online by distributing questionnaire links to prospective respondents. The data analysis process used the Pearson testResults and Discussion: There is an increase in the number of incidents of risky sexual behavior, 39% of adolescents are not at risk, 8.1% are low risk, 27.7% are at moderate risk and 25.2% are at high risk. The majority of adolescents have the confidence to prevent risky sexual behavior by 64.8%. Furthermore, the results found that there was a significant relationship between risky sexual behavior and adolescent self- efficacy with a p value of 0.005.Conclusion: The increasing number of cases of risky sexual behavior can be of particular concern for all of us, especially health workers, to be able to develop educational program methods for adolescents, considering that this age is the nation's successor. Keywords: adolescent; risky sexual behavior; self- efficacy
Evaluation of the Key Performance Indicators of the In Vitro Fertilization (IVF) Program at the Permata Hati Clinic, Dr. Sardjito in 2019-2020 Bayu Rizky Prabowo; Shofwal Widad; Addin Trirahmanto
JURNAL KESEHATAN REPRODUKSI Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.71952

Abstract

Evaluation of the Key Performance Indicators of the In Vitro Fertilization (IVF) Program at the Permata Hati Clinic, Dr. Sardjito in 2019-2020Bayu Rizky Prabowo, Shofwal Widad, Addin TrirahmantoObstetric dan Gynecology DepartmentFaculty of Medicine, Public Health, and Nursing Gadjah Mada UniversityDr. Sardjito Central General Hospital YogyakartaABSTRACTBACKGROUND: One of the efforts that can be done to overcome infertility is In Vitro Fertilization (IVF) or the IVF process is a process in which the egg is fertilized by sperm outside the body. Where in the In Vitro Fertilization effort, hormone stimulation is carried out, in principle, is an effort to add a number of hormones from the outside (exogenous hormone) which functions as control of the reproductive process, so that the reproductive cycle can be accelerated or can be carried out outside its natural environment. Given the many risks that arise, a measurement is needed to determine the success rate of the IVF program itself. Research Performance indicator or key performance indicator (KPI) is a type of performance measurement of any process, whether in biomedical or non-biomedical fields, may be subject to inherent deviations from the optimum limit or from the set limit.METHODS: This research is a descriptive observation because the researcher only observes without treating the object to be studied. This research was conducted at Dr. RSUP. Sardjito because RSUP Dr. Sardjito owns the Permata Hati infertility clinic, which provides patients with IVF (in vitro fertilization or IVF) procedures. Data collection was carried out especially in the medical record section which was carried out in January 2019 - January 2020.RESULTS: The variables of ICSI damage level, normal ICSI fertilization rate, normal IVF success rate, IVF fertilization failure rate, blastocyst cryosurvival rate, and implantation level (cleavage stage) have not been able to meet the key performance indicators. , and the implantation rate (blastocyst stage) met the key performance indicatorsCONCLUSION: Permata Hati Clinic Performance RSUP Dr. Sardjito is still under competency and aspirational performance based on key performance indicators.KEYWORDS Key Performace Indicator, In Vitro Fertilization, Assisted reproductive technique
Analisis Implementasi Program Ponek Di Rsud Sleman Melalui Pendekatan Model Van Meter Van Horn Siti Ropingah Sirojudin; Cipta Pramana Pramana; Gunarmi Gunarmi
JURNAL KESEHATAN REPRODUKSI Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.74679

Abstract

Background: The maternal mortality rate, newborns in Sleman Regency is quite high. The death rate can be prevented by implementing the Emergency Neonatal Care (EmNC) program. RSUD Sleman is a 24-hour EmNC hospital, has been running the program since 2012.Objectives: To find out the EmNC program at RSUD Sleman through the Van Meter Van Horn model approach to see the implementation performance on aspects: standards, targets, and policy objectives; resource; communication between units, organizational character; attitude of the implementers.Method: Research with a mix method approach. Quantitative data were collected through questionnaires, and qualitative data through in-depth interviews with key informants: the person in charge of the program, doctors, nurses, midwives, and management leaders. Data analysis using qualitative descriptive analysis techniques.Results and Discussion: Aspects of standards, goals, policy objectives of the EmNC program, resources, inter-organizational communication are included in the good category. On the aspect of organizational characteristics, and the attitude of the implementers in the sufficient category.Conclusion: The performance of the implementation of the EmNC program policy at RSUD Sleman from the aspect of standards, goals, objectives, and resources, communication between organizations is categorized as good, but the aspects of organizational characteristics and attitude of the implementers are categorized as adequate.Keywords: emergency; obstetrics; neonates; service; vanmeter van horn. 
Infeksi Covid-19 pada Ibu Hamil dan Kejadian Anomali Kongenital: Scoping Review Patricia Alika Kurniawan; Eugenia Maria Alodia Hartono; Shinta Prawitasari
JURNAL KESEHATAN REPRODUKSI Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.74685

Abstract

Latar belakang: Covid-19 (coronavirus disease 2019) disebabkan oleh Severe Acute Respiratory Coronavirus (SARS-CoV 2). Ibu hamil memiliki risiko lebih untuk terkena infeksi, termasuk infeksi covid-19. Transmisi vertikal dari ibu hamil ke janin tampaknya tidak terjadi pada infeksi covid-19, namun hal ini masih perlu diteliti lebih lanjut. Beberapa laporan menemukan adanya maternal vascular malperfusion dan intervilositis histiositik kronis dengan nekrosis tropoblas pada plasenta ibu yang terinfeksi covid-19, dimana dapat secara langsung mempengaruhi perkembangan janin dalam rahim. Hingga saat ini, dampak infeksi SARS-CoV 2 pada kehamilan masih banyak belum diketahui. Namun demikian, infeksi SARS-CoV 2 memiliki potensi untuk menyebabkan komplikasi kehamilan pada trimester 1 meliputi keguguran dan anomali kongenital.Tujuan: Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh infeksi covid-19 pada ibu hamil dan kejadian anomali kongenital pada janin.Metode: Penelitian ini menggunakan metode scoping review. Jurnal yang memenuhi kriteria inklusi dan eksklusi akan dikumpulkan dan dianalisis. Kriteria inklusi yakni jurnal yang membahas infeksi covid-19 pada ibu hamil terkait luaran bayi dengan kelainan kongenital. Kriteria eksklusi meliputi jurnal yang tidak berbahasa inggris ataupun tidak full text. Pencarian jurnal dilakukan di PubMed. Hasil tinjauan data disajikan dalam bentuk tabel.Hasil dan Pembahasan: Penelitian dilakukan pada 9 jurnal yang sesuai dengan kriteria inklusi dan eksklusi. Sebanyak 6 jurnal tidak menunjukkan adanya hubungan anomali kongenital pada bayi yang lahir dari ibu terinfeksi covid 19. Tiga dari enam jurnal tersebut tidak menemukan anomali kongenital, sedangkan tiga jurnal lainnya secara berurutan menyatakan tidak adanya hubungan antara infeksi covid-19 maternal dengan gangguan pendengaran, penyakit jantung bawaan, serta perlambatan perkembangan saraf (gangguan pendengaran dan retinopati prematuritas) bayi. Satu jurnal menyimpulkan adanya hasil peningkatan abnormalitas transien motorik halus yang signifikan. Satu jurnal menyimpulkan adanya kemungkinan abnormalitas mata yang disebabkan oleh transmisi fetomaternal covid-19 atau efek indirek dari infeksi covid-19 maternal pada saat perkembangan traktus optikus. Satu jurnal lainnya tidak dapat menyimpulkan hasil abnormal MRI otak pada 3 subyek bayi memiliki korelasi dengan paparan covid 19 pada saat kehamilan. Adapun sebanyak dua jurnal menemukan adanya insufisiensi plasenta pada subyek yang terinfeksi covid-19.Kesimpulan: Hubungan antara anomali kongenital dan infeksi covid-19 maternal masih perlu diteliti lebih lanjut. Hingga saat ini, belum dapat disimpulkan apakah infeksi covid-19 pada ibu hamil meningkatkan risiko terjadinya anomali kongenital pada janin.
Pengaruh Perawatan Payudara terhadap Kadar Prolaktin dan Volume ASI pada Ibu Postpartum Primipara Siti Lestari; Yusri Dianne Jurnalis; Fadil Oenzil
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64302

Abstract

Abstract BackgroundExclusive breast milk is breastfeeding for infants from 0-6 months in order to meet the nutritional needs for growth and development. Breastfeeding has unmatched advantages for infants, mothers, families and communities. It is strongly recommended to exclusively breastfeed for 6 months. The production and excretion of breast milk is influenced by the prolactin hormone and the oxytocin hormone.  ObjectiveProlactin affects the amount of milk produced. Breast care is highly important; one of which is maintaining breast hygiene, especially the hygiene of the nipples to avoid infection and to soften it, so that the infant can be breastfed properly, and stimulates the glands.Method an experimental research with post test only control group design in Andalas Community Health Center, Padang. The sample in this study consisted of 15 treatment groups and 15 control groups that met the inclusion criteria taken by simple random sampling technique. Breast care was carried out on the third trimester of pregnant women starting from the age of 34 weeks carried out three times a week. Prolactin level was measured by ELISA and breastmilk volume was measured by measuring tubes. The normality test used the Shapire Wilk test. Statistical test used independent t test.Results and DiscussionThe results of this study indicated that the mean of prolactin level in the breast care group (425,00 ± 41,08) was greater than the control group (372,34 ± 43,59). The results of statistical tests revealed that there was a significant effect of breast care on prolactin level (p = 0,002). Besides, the volume of breast milk in the breast care group was (32,67 ± 4,60) greater than the control group (26,60 ± 4,29). The results of statistical tests showed that there was a significant effect of breast care on breast milk volume (p = 0,001).ConclusionProlactin level and milk volume in postpartum primiparous mothers who did breast care were more in production than mothers who did not do breast care and the difference was significant.
Dampak dan Strategi Layanan Kesehatan Ibu Hamil Selama Pandemi COVID-19 Nur Khotimah Elfiyani; Hadi Pratomo; Evi Martha; Prima Sesari Saraswati
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.66345

Abstract

Background: COVID-19 pandemic has both directly and indirectly affected the provision of the maternal health services. Stress caused by the pandemic also affecting the maternal health service.Objective: This research aimed to assess both the impact on the maternal health services and strategy performed to respond to the COVID-19 pandemic by the District Health Office (DHO) of South Tangerang.Method: The main method of this research is quantitative, then the quantitative findings are described qualitatively. The research team employed an in-depth interview via Zoom application (video teleconference) with 3 informants from the DHO. Meanwhile, the quantitative data were derived from dashboard of maternal health data K1, K4 and PF.  Qualitative data are analyzed using theme analysis which is adapted to the findings from those quantitative data.Results and Discussion: The impact of the maternal health service showed a significant decrease against maternal health service in April in which the loss percentage of coverage K1 = 32.93%; coverage K4= 26.43%; Childbirth by health professionals in health facility = 19.4%.Conclusion: The decreasing of maternal health services potentially increase complication to pregnant women and mother and child’s mortality rate. The DHO is suggested to continue improving strategies and efforts to maintain the access of maternal health services during the COVID-19 pandemic.
Sexual Abuse Disertai Kehamilan Tidak Direncanakan atau Dikehendaki pada Remaja dengan Intellectual Disability: Sebuah Laporan Kasus I Made Darmayasa; Tri Oktin Windha Daniaty; AA Sri Wahyuni
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.73875

Abstract

AbstractBackground: Intellectual Disability in adolescents is prone to physical, mental, and sexual violence. Intellectual and adaptive disabilities make adolescents with intellectual disabilities unable to avoid environmental behavior including sexual abuse. Methods: A case report of a 12-year-old teenager with an Intellectual Disability who became pregnant as a result of sexual abuse by an unknown person. On the way, she had an abortion. Results: On examination, it was found that a 12-year-old teenager with mild mental retardation, without education, came from an incomplete family with very poor socioeconomic status. The diagnosis was confirmed by a multiaxial approach and concluded that adolescents with mild mental retardation have significant behavioral impairment and require attention or therapy (F70.1). Patients are also submissive and quiet with ego defense mechanisms that regression, and have problems with mental and intellectual development. Multidisciplinary management was carried out involving the social and medical departments.Summary: Patients with Intellectual Disabilities, especially adolescents, require special attention and a multidisciplinary, and comprehensive approach, starting from prevention, as well as in carrying out treatment.
Gambaran Luaran Pasien Plasenta Akreta Spektrum yang Dilakukan Manajemen Konservatif dan Manajemen Non Konservatif di RSUP Dr. Sardjito Gita Vania Damayanti; Irwan Taufiqur Rachman; Addin Trirahmanto
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.74838

Abstract

Latar belakang: Angka kejadian plasenta akreta spektrum terus meningkat dari tahun ke tahun seiring dengan meningkatnya angka seksio sesarea. Risiko utama yang berhubungan dengan plasenta akreta spektrum adalah perdarahan banyak yang dapat menyebabkan komplikasi sekunder termasuk koagulopati, kegagalan multi sistem organ dan kematian. Manajemen optimal yang melibatkan tim multidisiplin perlu dilakukan untuk mendapatkan luaran yang baik.Tujuan: Tujuan penelitian ini adalah untuk mengetahui gambaran luaran pasien plasenta akreta spektrum yang dilakukan manajemen konservatif dan manajemen non konservatif di RSUP Dr. Sardjito.Metode: Penelitian ini merupakan penelitian deskriptif dengan menggunakan data rekam medis pasien plasenta akreta spekrum yang dilakukan tindakan di RSUP Dr. Sardjito pada tahun 2018-2020. Subjek penelitian terbagi ke dalam dua kelompok yaitu kelompok yang dilakukan manajemen konservatif dan manajemen non konservatif.Hasil: Dari 38 subjek, 22 subjek (57,89) direncanakan untuk dilakukan manajemen konservatif dan 16 subjek (42,11%) dilakukan manajemen non konservatif. Dari 22 subjek yang direncanakan untuk dilakukan manajemen konservatif, 10 subjek gagal sehingga dilakukan manajemen non konservatif. Luaran utama yang dinilai adalah jumlah perdarahan. Rata-rata jumlah perdarahan pada kelompok manajemen konservatif lebih sedikit daripada kelompok manajemen konservatif (2.179,16 ± 399,69 ml vs 5.173,07 ± 594,29 ml). Luaran lain yaitu jumlah transfusi (transfusi PRC 1.062 ± 187,50ml vs 2.048,07 ± 198,07 ml; transfusi FFP 512,50 ± 100,21 ml vs 1.117,30 ± 100,11 ml; transfusi TC 120,83 ± 29,80 ml vs 375 ± 36,92 ml) dan kematian 16,67% vs 3,85%.Kesimpulan: Luaran jumlah perdarahan dan jumlah transfusi (PRC, FFP, TC) lebih sedikit pada kelompok yang dilakukan manajemen konservatif daripada manajemen non konservatif. Angka kematian pada kelompok manajemen konservatif lebih tinggi daripada manajemen non konservatif.

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