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Eva Febia
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Is vaginal breech delivery safe option?: Analysis of 50 vaginal breech delivery in Zainoel Abidin and Ibu Anak Hospital Banda Aceh in 2011 Eva Febia; Mohammad Andalas
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

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Abstract

There were conflicting results about the success of vaginal breech delivery. Descriptive data about the success of vaginal breech delivery was needed in every institution. This research was conducted in Zainoel Abidin and Ibu Anak Hospital, Banda Aceh in order to analyze the success of vaginal breech delivery as well as the outcome of mother and babies. There were 50 vaginal breech deliveries in Zainoel Abidin Hospital during the study. The success of vaginal breech delivery was determined by the outcome of babies, the perinatal mortality and Apgar score of the babies. Vaginal breech delivery was more likely successful for babies whose birth weight 2000-3000 grams, between 35-40 weeks of gestational age, and singleton. Factors support the increase likelihood for the success of vaginal birth were adequate amniotic fluid, multiparity, and previously bigger baby that was delivered vaginally. We conclude that factors contribute the success of vaginal breech delivery were influenced by the birth weight, gestational age, parity, and amniotic fluid volume. However, since the number of subject was limited, further study with bigger sample size was needed
Can uterine rupture be prevented: Case series in Zainoel Abidin Hospital, Banda Aceh, Indonesia Eva Febia; Mohammad Andalas
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

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The incidence of uterine rupture was devastating to the outcome of mother and the baby. This serial cases were to evaluate and analyze many factors which contributed to uterine rupture in Zainoel Abidin Hospital, Banda Aceh. Six serial cases of uterine rupture in almost one year (January 2011-Agustus 2011) were analyzed. There were six cases of uterine rupture. All cases happened in patients with previous caesarean sections. There were two cases in patients with classical previous caesarean section incision. One case happened in patient with previous caesarean section eleven months ago or short delivery interval. Two cases happened in prolonged of the second phase of labor more than 4 hours. One cases happened in second phase of labor less than one hour. Among six cases, there was one perinatal death in uterine rupture due to prolonged second phase of labor more than 5 hours. Previous classical uterine incision, second phase of labor, and inter-delivery time in previous Caesarean Section were contributing factors to the incidence of uterine rupture that can be predicted. So many ways can be used to prevent them
Success of vaginal deliveries among women in labor with previous cesarean section: Analysis of 50 cases Eva Febia; Jimmy Toga Sitorus; Cut Meurah Yeni
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

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Abstract

This study was purposed to evaluate the success of vaginal deliveries after cesarean (VBAC). This case-series-study was conducted in Zainoel Abidin and Ibu dan Anak  Hospital, as referral and teaching Hospitals, Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, from January until October 2011 with descriptive analytic method. The outcomes were the success of VBAC. There were 50 subjects attempted VBAC. From 50 subjects who attempted VBAC, 45 subjects (90%) were succeed in vaginal delivery, 5 subjects (10%) were unsuccessful and had to undergo emergency C-Section. The parameters which were likely to contribute to the success of vaginal delivery in subjects who attempted VBAC were gestational age less than 40 weeks, the progress of cervical dilatation of less than 1 cm in 60 minutes, more ripened cervix on the labor. Parameters such as lower baby’s weight and history of vaginal delivery also result in the success of VBAC. Gestational age, Bishop score, and the progress of cervical dilatation contributed to higher success of VBAC. 
Spontaneous initiation of parturition after two-days-course of lung maturation and controversies in management of pre-eclampsia: A case report Eva Febia; . Rajuddin
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

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Abstract

There have been many controversies on how we should treat patients with  preeclampsia, how and when we should deliver the baby. This case report is purposed to evaluate one case of spontaneous parturition which ended up with vaginal delivery in one patient with preterm severe preeclampsia. We evaluate the best management which result in the best outcome for the patient and her baby. This is the case of Mrs N, 34 years old in 33-34 weeks gestational age with severe preeclampsia. When she came the blood pressure was 190/120 mmHg, protein urine +3. The blood pressure was controlled with nifedipine. The patient was given magnesium sulphate, N-acetyl cystein, and vitamin C as antioxidants. We were succeeded in completing two days of lung maturation with dexamethasone in order to give the best outcome for the baby. However, at the end, after two days of lung maturation, the patient started to enter the active phase of parturition spontaneously without labor of induction. We hypothesized that the high level of corticosteroid stimulated by the fetus initiated the process of labor. Patient delivered baby boy, 1300 grams, Apgar Score 7/8 that breathed spontaneously in room air. The patient’s condition was improving after parturition. Nifedipine, magnesium sulphate was considered the best management in pre-eclampsia.  Short course of lung maturation with dexamethasone was also considered to be beneficial for the baby. However, the initiation of parturition and the use of antioxidant as well as n-acetyl cystein in this patients was under debatable discussion.
Co-Authors . Rajuddin Cut Meurah Yeni Jimmy Toga Sitorus Mohammad Andalas