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HUBUNGAN KETUBAN PECAH DINI DENGAN KEJADIAN SEKSIO SESARIA DI RSUD ULIN BANJARMASIN PERIODE JUNI-JULI 2014 Surdhawati, Herla Maulita; Aditya, Renny; Heriyani, Farida
Jurnal Berkala Kedokteran Vol 11, No 1 (2015): Februari 2015
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i1.193

Premature Rupture of Membranes (PROM) is a membranes rupture during before delivery takes. PROM cause a direct contact between the world outside and inside uterus. PROM cause some problems for both mother and fetus, because it should be managed by cesarean section. The purpose of this study is to determine the relationship between PROM with cesarean section in RSUD Ulin Banjarmasin on June to July 2014. This is an observasional analytic study with cross sectional approach. The sample was selectedusingaccidental samplingwith a sample size160,the resultswere analyzedusingchi-square test with confidence interval 95%.The results showed 29 mothers with PROM, then found 15(51.724%)managed by cesarean sectionand(48.275%) samples of vaginal birth. Whilethe131women witha diagnosisinstead ofPROM, 34(25.954%) samples managed bycesareansectionand97(74.046%) samples ofvaginalbirth. Chi-square test showed the value of p=0,006 and odds ratio of 3,056. The conclusion of this research is there are relationship between PROM with cesarean section in RSUN Ulin Banjarmasin on June to July 2014.Â Keywords: premature rupture of membranes, cesarean section, vaginal birth

HUBUNGAN USIA DAN PARITAS DENGAN KEJADIAN PERSALINAN SUNGSANG DI RSUD ULIN BANJARMASIN TAHUN 2013 Riskiviawinanda, Firdausi; Aditya, Renny; Mutmainnah, Noor
Berkala Kedokteran Vol 11, No 2 (2015): September 2015
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i2.173

Breech delivery is a labor complication which could come to death of fetus. Some risk factors of breech delivery are age and parity. This research had a purpose to know the relation of age and parity with breech delivery at RSUD Ulin Banjarmasin in 2013. This research had used analitic observational metode with cross-sectional approachment. Data analytic which had been used was chi-square test. Result of this research had shown that from 284 research subjects who gave birth at RSUD Ulin Banjarmasin, 89 (31,34%) research subjects had breech delivery and 195 (64,86%) research subjectsÂ had normal labor without complications. There were 72 (29,15%) breech deliveries from all research subjects who had no risk ages. There were 17 (45,95%) breech deliveries from all resarch subjects who had risk ages. There were 38 (25,68%) breech deliveries from all research subjects with primiparity. There were 51 (37,50%) breech deliveries from all research subjects with multiparity. The result of chi- square test for the relationship between age and breech delivery was P=0,040 with POR=2,06) and the relationship between parity and breech delivery was P=0,032 with POR=1,73. So, there was a relitionship of ages and parity in breech delivery at RSUD Ulin Banjarmasin 2013.Â Keywords: breech delivery, age, parity

The Correlation between Psychosocial Stress and Prematurity Aditya, Renny
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.815 KB)

Objective: This study was aimed to analyze the relationship between the level of psychosocial stress on preterm birth and term birth. Methods: This was a cross-sectional study, with 45 patients experiencing preterm birth and at term birth, who met the inclusion and exclusion criterias in Obstetrics and Gynecology Department of Dr. Hasan Sadikin Hospital and other hospital nearby. Result: The level of psychosocial stress on preterm birth was severe 64.4 %, moderate 14% and mild 2%. The comparison between the group resulted in p < 0.001 using chi-square test with confidence interval 95% and correlation coefficient was phi = 0.811. The specific psychosocial stressor were problem with in laws (p=0.001), problem with husband (p=0.003), foreclosure on a mortgage or loan (p=0.001), change in residence (p=0.001), major change in living conditions (building a new home, remodeling) (p=0.001), no monetary possession (p=0.001), major change in financial state (p=0.004), environment vulnerability (p=0.035), and being dismissal from work (p=0.014). Conclusion: The relationship between psychosocial stress and preterm birth was significant. The stressor included problem with in laws foreclosure on a mortgage or loan, change in residence, major change in living conditions (building a new home, remodeling, no monetary possesion, major change in financial state, environment vulnerability, and dismissal from work. [Indones J Obstet Gynecol 2012; 36-2: 55-60] Keywords: preterm birth, psychosocial stres

The Correlation between Psychosocial Stress and Prematurity Aditya, Renny
Indonesian Journal of Obstetrics and Gynecology Volume. 36, No. 2, April 2012
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: This study was aimed to analyze the relationship between the level of psychosocial stress on preterm birth and term birth. Methods: This was a cross-sectional study, with 45 patients experiencing preterm birth and at term birth, who met the inclusion and exclusion criterias in Obstetrics and Gynecology Department of Dr. Hasan Sadikin Hospital and other hospital nearby. Result: The level of psychosocial stress on preterm birth was severe 64.4 %, moderate 14% and mild 2%. The comparison between the group resulted in p < 0.001 using chi-square test with confidence interval 95% and correlation coefficient was phi = 0.811. The specific psychosocial stressor were problem with in laws (p=0.001), problem with husband (p=0.003), foreclosure on a mortgage or loan (p=0.001), change in residence (p=0.001), major change in living conditions (building a new home, remodeling) (p=0.001), no monetary possession (p=0.001), major change in financial state (p=0.004), environment vulnerability (p=0.035), and being dismissal from work (p=0.014). Conclusion: The relationship between psychosocial stress and preterm birth was significant. The stressor included problem with in laws foreclosure on a mortgage or loan, change in residence, major change in living conditions (building a new home, remodeling, no monetary possesion, major change in financial state, environment vulnerability, and dismissal from work. [Indones J Obstet Gynecol 2012; 36-2: 55-60] Keywords: preterm birth, psychosocial stres

HUBUNGAN USIA MATERNAL DENGAN METODE PERSALINAN DAN LUARAN BAYI (BERAT BADAN LAHIR DAN APGAR SCORE) DI RSUD ULIN BANJARMASIN PERIODE Aditya, Renny; Richardo, Yuvens
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 5, No 3 (2018): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v5i3.6535

ABSTRAKKehamilan remaja adalah kehamilan pada ibu dengan usia kurang dari 20 tahun saat melahirkan. Faktor risiko diantaranya prematuritas, berat badan lahir rendah, preeklampsia, perdarahan.Tujuan dari penelitian ini adalah untuk menganalisis adanya hubungan usia ibu saat hamil (usia maternal) dengan metode persalinan dan luaran bayi (berat bayi lahir dan APGAR menit pertama) di Bagian Obstetri & Ginekologi RSUD Ulin Banjarmasin. Desain penelitian ini berupa analitik observasional dengan pendekatan cohort retrospective study, dengan metode simple random sampling.dari rekam medis. Sampel penelitian sejumlah 304 pasien hamil. Instrumen penelitian adalah lembar checklist dan medical record pasien. Analisis data dengan menggunakan uji chi square dengan derajat kepercayaan 95%. Hasil menunjukkan adanya hubungan signifikan antara usia maternal dengan berat bayi lahir (p value = 0,0001), dengan risiko relatif terjadinya BBLR (<2500 g) pada kelompok usia 14-19 tahun adalah 1,72; CI 95% 1,72-1.75. Usia maternal juga memiliki hubungan yang signifikan dengan metode persalinan (p value =0,0001), dengan risiko relatif metode persalinan perabdominam pada kelompok usia 14-19 tahun adalah 1,32; CI 95% 1,32-1,33. Sedangkan terhadap skor APGAR menit pertama, usia maternal tidak memiliki hubungan yang bermakna (p value >0,05). Jadi, dapat disimpulkan bahwa usia remaja berisiko untuk terjadinya berat bayi lahir rendah dan dengan metode persalinan perabdominal. Berdasarkan hasil penelitian ini,disarankan dilakukan peningkatan pendidikan dan informasi kesehatan seksual dan reproduksi pada remaja sejak dini.Kata-kata kunci: Kehamilan remaja, berat badan lahir, APGAR score, metode persalinanABSTRACTTeenage pregnancy is pregnancy in mothers less than 20 years of age during childbirth. Risk factors include prematurity, low birth weight, preeclampsia, bleeding. The purpose of this study was to analyze the relationship between maternal age during pregnancy (maternal age) with the method of delivery and outcome of the baby (birth weight and first minute APGAR) in the Obstetrics & Gynecology Section of Ulin Hospital Banjarmasin. The design of this study is an observational analytic with a cohort retrospective study approach, with a simple random sampling method. Research instrument is checklist paper and patient medical records. Data analysis with chi-square test at 95% singnificancy. The sample was 304 pregnant patients. The results showed a significant relationship between maternal age and birth weight (p value = 0.0001), with the relative risk of LBW (<2500 g) in the 14-19 year age group being 1.72; 95% CI 1.72-1.75. The maternal age also had a significant relationship with the method of delivery (p value = 0.0001), with the relative risk of maternal maternal labor methods in the 14-19 year age group being 1.32; CI95% 1.32-1.33. Whereas for the first minute APGAR score, maternal age did not have a significant relationship (p value> 0. 05). So, it can be concluded that the age of adolescents is at risk for the occurrence of low birth weight and with the method of maternal labor. Based on the results of this study, it is recommended that an increase in education and information on sexual and reproductive health in adolescents early on.Keywords: Teen pregnancy, birth weight, APGAR score, method of delivery

PERBEDAAN KADAR FERITIN PADA IBU HAMIL DENGAN COVID-19 TANPA DAN DISERTAI PREEKLAMPSIA Penelitian di RSUD Ulin Banjarmasin Periode Maret 2020- Periode Maret 2020-Februari 2022 Rahmatullah, Muhammad Ikhsan; Armanza, Ferry; Hendriyono, Fransiskus Xaverius; Aditya, Renny; Rahmiati, Rahmiati
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11459

COVID-19 is an infectious disease which become a pandemic worldwide. Pregnant women are a vulnerable group infected with COVID-19. Ferritin is a marker of increased inflammation associated with the severity of COVID-19. Pregnant women with COVID-19 have a higher mortality than pregnant women without COVID-19. Low ferritin levels during 28-30 weeks of gestation are associated with a low incidence of preeclampsia. This study aims to determine whether there are significant feritin level difference in pregnant women with COVID-19 without and with preeclampsia. This type of research is analytic observational using a cross-sectional study design with retrospective data collection. The results of the study obtained 603 subjects, but only 63 subjects met the inclusion criteria. Pregnant women with COVID-19 without preeclampsia as 36 subjects were randomized thus obtained 27 subjects were pregnant women with COVID-19 without preeclampsia and 27 subjects were pregnant women with COVID-19 accompanied by preeclampsia. Pregnant women with COVID-19 without preeclampsia had a median 66 ng/mL with a minimum value 1 ng/mL and a maximum value 951 ng/mL and pregnant women with COVID-19 accompanied by preeclampsia had a median 55 ng/mL with a minimum value 2 ng/mL and a maximum value 1.112 ng/mL. The conclusion of this study was that there was no significant feritin level difference in pregnant women with COVID-19 without and with preeclampsia with p=0.924.

PERBEDAAN RASIO NEUTROFIL-LIMFOSIT DAN C-REACTIVE PROTEIN PADA IBU HAMIL DENGAN COVID-19 TANPA DAN DISERTAI PREEKLAMPSIA Penelitian di RSUD Ulin Banjarmasin Periode Maret 2020 - Periode Maret 2020-Februari 2022 Qaedi, Muhammad Bari Nur; Armanza, Ferry; Hendriyono, Fransiskus Xaverius; Aditya, Renny; Rahmiati, Rahmiati
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11456

COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. Pregnant women are vulnerable to COVID-19. Preeclampsia is a complication in pregnant women characterized by hypertension at > 20 weeks of gestation and proteinuria. The Neutrophils Lymphocyte Ratio and C-Reactive Protein is a marker of inflammation related to disease severity. Elevated NLR and CRP are associated with COVID-19 and preeclampsia. The study aims to determine whether there are significant differences in NLR values or CRP levels for pregnant women with COVID-19 without and with preeclampsia. This type of research is analytic observational using a retrospective cross-sectional study. The results of the study were 603 subjects, 70 subjects met the inclusion criteria. Subjects of pregnant women with COVID-19 without preeclampsia were randomized, obtained 30 subjects of pregnant women with COVID-19 without preeclampsia and 30 subjects accompanied by preeclampsia. The NLR value of pregnant women with COVID-19 without preeclampsia had a median of 5.57, a minimum value of 1.90 and a maximum value of 30.38. Those accompanied by preeclampsia had a median of 5.13, a minimum value of 2.04 and a maximum value of 18.10. CRP levels of pregnant women with COVID-19 without preeclampsia had a median of 45.2 mg/L, a minimum value of 2.0 mg/L and a maximum value of 240.0 mg/L. Those accompanied by preeclampsia had a median of 50.4 mg/L, a minimum value of 2.6 mg/L and a maximum value of 318.1 mg/L. Conclusion: there was no significant difference in NLR values or CRP levels in pregnant women with COVID-19 without and with preeclampsia (p=0.631, p=0.478).

Hubungan Penggunaan Antiretroviral (ARV) dengan Luaran Neonatal pada Ibu Terinfeksi Human Immunodeficiency Virus (HIV) Ariyani, Noor Aida; Radam, M. Robyanoor Ahyadi; Tobing, Samuel L.; Aditya, Renny; Yunanto, Ari; Andayani, Pudji
Indonesian Journal of Obstetrics & Gynecology Science Volume 3 Nomor 1 Maret 2020
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Tujuan: Mengetahui hubungan penggunaan antiretroviral pada ibu terinfeksi HIV dengan luaran neonatal. Metode: Menggunakan metode analitik dengan pendekatan cross sectional. Pengambilan data dilakukan dari Poli Klinik VCT dan register VK RSUD Ulin Banjarmasin. Jumlah data dibagi berdasarkan penggunaan antiretroviral dan bukan pengguna antiretroviral di hubungkan dengan hasil luaran neonatal berupa berat badan lahir, prematur, IUGR, asfiksia dan kematian neonatal. Analisis menggunakan uji statistik chi square test bermakna bila p < 0.05 ,bila uji chi square tidak memenuhi kriteria maka dilakukan uji fisher.Hasil: Terdapat 73 kasus melahirkan terinfeksi HIV tahun 2015-2018. Ibu terinfeksi HIV yang menggunakan antiretroviral sebanyak 24 (33%) dan bukan menggunakan antiretroviral sebanyak 49 (67%). Dihubungan penggunaan antiretroviral dengan luaran neonatal berat badan lahir bayi, hasil uji square <0.05 signifikan yaitu p 0.019, hasil luaran neonatal prematur (p = 0.022). Hubungan penggunaan antiretroviral terhadap hasil luaran berupa IUGR, asfiksia dan kematian neonatal didapatakan p 0.166 ; 0.243 ; 0.649.Kesimpulan: Penggunaan antiretroviral pada ibu hamil terinfeksi HIV mengurangi kejadian bayi berat lahir rendah dan prematurRelationship between Antiretroviral Therapy (ARV) with Neonatal Outcome in Woman with HIV InfectionAbstractObjective: Assess the correlation of antiretroviral medication in HIV-infected pregnant women to the outcome of neonates. Method: Analytical method with a cross-sectional approach was used. Data were obtained from the VCT polyclinic and the register of the VK register of Ulin Banjarmasin Regional General Hospital (RSUD). The data are divided into antiretroviral user and non-antiretroviral users linked with the outcome of the neonate in birth weight, prematurity, IUGR, asphyxia, and neonatal death. Statistical analysis using the chi-square test will suggest a significant difference if the p-value is < 0.05. If the chi-square test can not be used, fisher test will be conducted.Result: There are 73 cases of HIV-infected births between 2015 and 2018. There are 24 (33%) of HIV-infected pregnant women on antiretrovirals compared to 49 (67%) non-users. There is a link between antiretroviral usage with the neonatal outcome of birth weight with a chi-square p-value of 0.019 (significant if p-value < 0.05). The outcome of prematurity is also significant, with a p-value of 0.022. The correlation of antiretroviral use to outcome in IUGR, asphyxia, and neonatal mortality are of p-value 0.166; 0.243, and 0.649, respectively.Conclusion: Antiretroviral use in HIV-infected pregnant women reduces the outcome of low birth weight and prematurity incidence in neonates.Key words: HIV, infected woman, outcome, antiretroviral, RSUD Ulin

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