. Darto
FAKULTAS KEDOKTERAN UNIVERSITAS SEBELAS MARET SURAKARTA

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Perbedaan Kejadian Asfiksia Neonatorum pada Kehamilan dengan Preeklamsia Ringan dan Kehamilan Normal di RSUD Dr. Moewardi Surakarta Hadiyanto, Louis; Darto, .; Hafidha, Nur Hafidha
Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: The incidences of early neonatal death and stillborn are high despite decreased overall child mortality rate. Asphyxia is one of causes of neonatal deaths. Hypertension in pregnancy (preeclampsia) may contribute to perinatal morbidity and mortality. Placental ischemia is proposed to be cause of preeclampsia as well as mechanism leading to neonatal asphyxia. This study aimed to compare the prevalences of neonatal asphyxia in pregnancies with mild preeclampsia and normal pregnancy at RSUD Dr. Moewardi Surakarta. Methods: This was an observational analytic study with cross-sectional approach, conducted from April to August 2012. Thirty patients with mild preeclampsia and 30 patients with normal pregnancies were selected based on certain criteria. Preeclampsia patients were identified from signs of hypertension (systolic/diastolic blood pressure ≥140/90 mmHg), extremity edema, and/or proteinuria. Neonatal asphyxia was identified from APGAR scores documented in medical record. Data were analyzed by Fisher’s exact test using SPSS version 13.0 for Windows. Results: Only 1 (3.3%) case of neonatal asphyxia was found in pregnancy with mild preeclampsia. No neonatal asphyxia was found in normal pregnancy. Result from  Fisher’s exact test showed a p-value of 1.000 (p>0.05). Conclusion: There was no difference of neonatal asphyxia prevalence in pregnancies with mild preeclampsia and normal pregnancy at RSUD Dr. Moewardi Surakarta. Keywords: Mild preeclampsia, normal pregnancy, neonatal asphyxia
Hubungan Faktor Sosial Ekonomi dengan Kejadian Prolapsus Uteri di RSUD Dr. Moewardi Putra, Ivan Aristo Suprapto; Darto, .; Subandono, Jarot
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Socioeconomic factors in Indonesian citizen was different on every person. Especially on work, many variants of works would cause on variants of workload. On the other side, work varied effect on different income. Earnings would affect on the food consumed. Low collagen contained food intake could affect the low level of collagen. Risk factors for uterine prolapse was higher workload, higher parity and lower collagen level. Methods: This research was an analytic obervational with case control design. Sampling technique was fixed disease sampling for the case group and random sampling for the control group. The research was conducted by interviewing a sample directly in the  obstetric clinic  Dr. Moewardi hospital The sample was 36 person, divided into 18 samples of group cases and 18 control group samples. Dependent variable was the incidence of uterine prolapse and independent variables were socioeconomic factor. Data were analyzed by chi-square test then followed by multivariate analyse  logistic regression. Results: Distribution characteristics of uterine prolapse by age most results were in the age of 40-49 (16.67%). Based on the results, the highest number of children was 4 children (16.7%). The test results with regression analysis showed significance between socioeconomic factors to the incidence of uterine prolapse. Workload had p = 0.017 and OR = 0.186, p = 0.039 whereas income., and OR = 7.208, 95% confidence interval. Nagelke R square of 38.2%. Conclusions: Socio economic factor include workload and income significantly affected incidence of uterine prolapse. Keywords: Socio-economic factors, workload, income, uterine prolapse