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I Nyoman Hariyasa Sanjaya
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INDONESIA
Indonesian Journal of Perinatology
Published by The Indonesian Society of Perinatology
ISSN : 27750744     EISSN : 27750736     DOI : https://doi.org/10.51559/inajperinatol.
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the field. InaJPerinatol publishes articles that encompass basic research/clinical studies related to the cardiovascular and thorax field. The Journal aims to bridge and integrate the intellectual, methodological, and substantive diversity of medical scholarship and encourage a vigorous dialogue between medical scholars and practitioners.
Arjuna Subject : Kedokteran - Obstetrics and Gynaecology
Articles 62 Documents
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Cooling therapy in severe neonatal asphyxia: a case of hypoxic-ischemic encephalopathy with neonatal pneumonia and neurological recovery Aliya Sari; Syibra Sabrina; Neni Sumarni
Indonesian Journal of Perinatology Vol. 7 No. 1 (2026): Available online: 1 June 2026
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v7i1.80

Abstract

Background: Neonatal asphyxia, defined as failure to establish breathing at birth, remains a major contributor to early neonatal mortality, causing around 900.000 deaths globally each year. One of its most serious complications is hypoxic-ischemic encephalopathy (HIE), a brain injury due to oxygen deprivation leading to a long term neurological impairment. Up to 60% of infants with severe HIE die or develop profound disability. Early cooling therapy reduces mortality and improves neurodevelopmental outcomes. Comorbidities such as pneumonia may complicate management. This case describes a neonate with severe asphyxia and HIE with pneumonia, and its purpose is to elucidate a case of severe neonatal asphyxia with HIE and pneumonia successfully managed with early cooling therapy as evidence of effective neuroprotective. Case Presentation: A male neonate born at 38 weeks by cesarean section due to fetal distress had meconium-stained amniotic fluid. Apgar scores of 1-2-5. The patient underwent resuscitation with intubation, ventilation, and meconium suctioning.  Seizures developed at 20 minutes of life. Examination showed chest retraction and coarse crackles. Babygram showed pneumonia, while cranial ultrasonography indicated increased intracranial pressure. Labs revealed hypercalcemia and prolonged coagulation. Supportive therapy included oxygen, IV glucose, antibiotics, calcium gluconate, fluids, and anticonvulsants. Cooling therapy was initiated within 6 hours, maintained for 72 hours at 33.5–34.5°C, followed by gradual rewarming. Neurological reflexes improved, and the patient was successfully extubated. Conclusion: Cooling therapy remains a cornerstone for HIE after severe neonatal asphyxia. Early initiation within six hours, with careful monitoring and infection control, can significantly improve neurological outcomes even in complicated cases.
Abdominal Packing for Management of Refractory Postpartum Hemorrhage I Gde Sastra Winata Winata; Belinda Carlisa; Jessica Nathalia; Ni Nyoman Trijayanti
Indonesian Journal of Perinatology Vol. 7 No. 1 (2026): Available online: 1 June 2026
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v7i1.85

Abstract

Changes in the demographic and clinical characteristics of pregnant women increase the risk of postpartum hemorrhage, which remains one of the leading causes of maternal mortality in Indonesia. Management of severe postpartum hemorrhage may include abdominal packing. This procedure is performed using a balloon tamponade system combined with gauze-based packing. The fundamental principle of balloon tamponade involves the strategic placement of the tampon within the true pelvis (below the pelvic brim), rather than the false pelvis (above the pelvic brim), to achieve direct physical compression against the pelvic bony boundaries. Following the procedure, patients must be closely monitored, and abdominal tampon removal should be performed in a timely manner, typically within 24–48 hours. Complications associated with abdominal packing may occur if sustained intra-abdominal pressure exceeds 20 mmHg, which can lead to organ failure and necessitate abdominal decompression. However, with adequate monitoring and careful implementation, abdominal packing can serve as a safe and effective alternative for the management of refractory postpartum hemorrhage.

Page 7 of 7 | Total Record : 62

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