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GAMBARAN KLINIS DAN HISTOPATOLOGI KASUS-KASUS ABNORMAL UTERINE BLEEDING DI RUMAH SAKIT SUMBER WARAS Dewi, Andriana Kumala; Sugiharto, Sony; Sunjaya, Anthony Paulo; Sunjaya, Angela Felicia
Jurnal Bakti Masyarakat Indonesia Vol 3, No 1 (2020): Jurnal Bakti Masyarakat Indonesia
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (648.035 KB) | DOI: 10.24912/jbmi.v3i1.8038

Abstract

Abnormal Bleeding Uterine Problems (AUB) is the most common disorder found in daily gynecological practice. AUB can occur at any age between menarche and menopause, but this disorder is more often found during the beginning and the end of ovarian function. Two-thirds of women who are hospitalized with abnormal uterine bleeding are over 40 years old. The causes of AUB are broadly divided into 2 namely structural and non-structural abnormalities. Diagnosis and management of abnormal uterine bleeding is currently a challenge in the field of gynecology because complaints of vaginal bleeding are the most common complaints that bring patients to health facilities. This study aims to find any histopathological features that are often found in patients with a diagnosis of AUB. This research method is a cross-sectional retrospective. Obtained 87 patients diagnosed with abnormal AUB who performed operative management during the period January to December 2018 from the Sumber Waras Hospital Polyclinic. The results of laboratory tests before the treatment showed that the majority of patients (59.8%) had anemia with an average hemoglobin of 10.79 (± 2.40) mg / dL. In the majority of patients with AUB (66.9%) the procedure was performed in the form of a biopsy/curette of the endometrial tissue for anatomical pathology. Meanwhile, based on the results obtained by the histopathological picture, found in the majority of patients found a picture of structural pathology (PALM) that is 86.2%ABSTRAK:Masalah  Abnormal Uterine Bleeding (AUB)  merupakan  kelainan  yang  paling  sering ditemukan  dalam  praktik ginekologi  sehari-hari. AUB dapat terjadi pada setiap umur antara menarche dan menopause, tetapi kelainan ini lebih sering dijumpai sewaktu masa permulaan dan masa akhir fungsi ovarium. Dua pertiga dari perempuan yang dirawat di rumah sakit dengan keluhan perdarahan uterus abnormal berumur diatas 40 tahun. Penyebab AUB secara garis besar dibagi menjadi 2 yaitu kelainan struktural dan non struktural. Diagnosis dan manajemen dari perdarahan uterus abnormal saat ini menjadi suatu tantangan dalam bidang ginekologi karena keluhan perdarahan per vaginal adalah keluhan tersering yang membawa pasien datan ke fasilitas kesehatan. Penelitian ini bertujuan untuk menemukan gambaran histopatologis apa saja yang sering ditemukan pada pasien dengan diagnosis AUB. Metode penelitian ini adalah cross sectional retrospective. Diperoleh 87 pasien yang didiagnosis menderita abnormal AUB yang dilakukan tatalaksana secara operatif selama periode Januari sampai Desember 2018 dari Poliklinik RS Sumber Waras. Hasil pemeriksaan laboratorium sebelum tindakan menunjukkan bahwa mayoritas pasien (59.8%) menderita anemia dengan rerata hemoglobin 10.79 (±2.40) mg/dL Pada sebagian besar pasien dengan AUB (66.9%) tindakan yang dilakukan berupa biopsi/kuret jaringan endometrium untuk pemeriksaan patologi anatomi. Sedangkan, berdasar hasil gambaran histopatologis yang didapat, ditemukan pada mayoritas pasien ditemukan gambaran patologi struktural (PALM) yaitu 86,2%.
Apakah Persalinan di Usia Remaja dapat Meningkatkan Insidens Persalinan Prematur Edbert, Bruce; Dewi, Andriana Kumala
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 3 November 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v6i3.580

Abstract

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara persalinan usia remaja dan insidens persalinan prematur. Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan desain potong lintang, sampel yang didapatkan berjumlah 87 partisipan yang dianalisis secara univariat dan bivariat (fisher exact) dengan bantuan perangkat lunak SPSS.Hasil: Penelitian ini menemukan sebanyak 16,3% ibu bersalin yang berusia di bawah 20 tahun mengalami persalinan prematur dan adanya hubungan antara persalinan di usia remaja terhadap insidens persalinan prematur (ρ-value = 0,030; PR = 7,163; IK 95% = 0,982 – 71,176). Kesimpulan: Terdapat peningkatan insidens persalinan prematur pada ibu yang bersalin di usia remaja.Does Adolescent Labor Increases the Incidence of Preterm Labor?Abstract Objective: This study aimed to determine the relationship between teenage childbirth and the incidence of premature delivery.Method: This study was an analytical observational research with a cross-sectional design. The sample consisted of 87 participants who were analyzed using univariate and bivariate analysis (fisher exact) with the assistance of SPSS software.Results: this study found that 16.3% of the patients who gave birth under the age of 20 experienced premature delivery and had significant relationship between teenage childbirth and the incidence of premature delivery (ρ-value = 0.030; PR = 7,163; 95% CI = 0.982 - 71.176).Conclusion: There was an increased incidence of premature delivery among patients who gave birth during their teenage years.Key words: pregnancy; pregnancy complications; premature delivery; teenagers.