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All Journal Majalah Obstetri dan Ginekologi Indian Journal of Forensic Medicine & Toxicology International Islamic Medical Journal
Khanisyah Erza Gumilar
Department Of Obstetrics & Gynecology, Faculty Of Medicine, Airlangga University, Dr. Soetomo Hospital, Surabaya
Religion Humanities Health Professions Medicine & Pharmacology Public Health

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Maternal and Perinatal Outcomes in Uncorrected Tetralogy of Fallot Khanisyah Erza Gumilar; Christina Meilani Susanto; Erry Gumilar Dachlan
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.15023

Abstract

Background: Tetralogy of Fallot (TOF) is the most common congenital heart disease in the population.Correction of TOF during infancy or childhood may increase the quality of patient’s life. Uncorrected TOFmay cause further complications later on. Pregnancy with uncorrected TOF may cause complications onboth maternal and fetal sides.Objective: to analyze maternal and perinatal outcomes in patients with uncorrected TOF during pregnancy.Methods: This is a retrospective study. A total of 8 pregnant women diagnosed with TOF registered inthe Obstetric-Cardiac unit in 3 years (2016-2018). Medical records were reviewed for clinical assessment,echocardiography results, and therapy during hospitalization. Patients were contacted by telephone to providean obstetric history, including details of pregnancy and delivery. Five of 7 patients able to be contacted, andhome visits were done to evaluate their conditions.Results: There were 8 pregnant women with uncorrected TOF. Most cases (87,5%) were first diagnosedduring pregnancy and delivery. Intra-Uterine Growth Restriction (IUGR) and abortion (62.5% and 25%,respectively) were the most obstetric complications. Cardiac complications were cardiogenic shock (12.5%),thromboembolic (12.5%), and various degree of heart failure (62.5%). The number of Small for GestationalAge (SGA) was 66.7%. Incidence of congenital heart disease (CHD) in the fetus was 20%. One death caseand 2 abortions from a total of 8 cases were found.Conclusion: TOF may cause many maternal and fetal complications. The most common maternalcomplications are heart failure, cardiogenic shock and thromboembolic, while perinatal complicationsinclude IUGR, SGA and abortion.
Characteristics of Peripartum Cardiomyopathy (PPCM) pregnancy and preeclampsia in Dr Soetomo Hospital, Surabaya, Indonesia, 2014-2016 Dibya Arfianda; Budi Wicaksono; Khanisyah Erza Gumilar; Andrianto Andrianto
Majalah Obstetri dan Ginekologi Vol. 27 No. 1 (2019): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.898 KB) | DOI: 10.20473/mog.V27I12019.40-44

Abstract

Objectives: to present data on the characteristics of pregnancy with PPCM and PE. Management of patients with PPCM is almost the same as for patients with acute or chronic heart failure, which uses drug therapy. PPCM and preeclampsia (PE) are two related diseases, although not directly. Both have similar pathophysiological mechanisms.Case Report: We present 25 pregnancy cases with PPCM at Dr. Soetomo Hospital within 3 years. Data were collected from January 2014 to December 2016, consisting of 5 PPCM cases and the other 20 cases were PPCM with PE cases.Conclusion: Pregnancy with PPCM-PE has higher morbidity than PPCM only. The diagnosis of PPCM should be established immediately if heart failure symptoms are found in the third trimester and the patient has risk factors, such as age >30 years, multigravida, obesity, and multiple pregnancy.
Peripartum cardiomyopathy and its relationship with preeclampsia Christina Meilani Susanto; Khanisyah Erza Gumilar
Majalah Obstetri dan Ginekologi Vol. 28 No. 2 (2020): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I22020.52-58

Abstract

Objectives: To know the characteristic of PPCM in RSUD Dr. Soetomo Hospital Surabaya and to know the relationship between PPCM and PE.Materials and Methods: This was a case control study. Data was obtained from medical record of 2843 patients within 2014-2015, divided into 2 groups, 19 patients with PPCM in a case group, and 2824 patients in control group. The statistical analysis used was Fisher exact test.Results: Peripartum cardiomyopathy patients were older compared to control group (32.21 ± 6.83 y.o vs 29.26 ± 6.45 y.o). The incidence of PPCM in our study was about 1 per 149 live births. Most cases were diagnosed antepartum (52.63%), and about 84.2% PPCM cases were also complicating with preeclampsia. The statistical analysis revealed that there was increase risk of PPCM if the pregnant women complicates PE during pregnancy, with Odds Ratio (OR) 20.679, p<0.05. The most common perinatal outcomes was Small for Gestational Age (SGA) babies (81.8%), whereas case fatality rate (CFR) in maternal was 15.7%.Conclusion: Although diagnosis of PPCM is still an exclusion diagnosis, we have to pay more attention to pregnant women complicating with preeclampsia, since preeclampsia can increase the risk of PPCM.
The Pregnancy and Delivery with Cardiac Disease in Dr. Soetomo Hospital 2018 Ana Puji Rahayu; Khanisyah Erza Gumilar
Jurnal Medis Islam Internasional Vol 2 No 2 (2021): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v2i2.1822

Abstract

Background: Cardiac disease is one of the non obstetric problems causing mortality both in pregnancy and labor due to the complications. Preventions for the complications have not been implemented, thus the number of patients which have cardiac disease with complications and perinatal outcome with low birth weight is still high. Objective : To identify maternal and neonatal outcome of pregnant women with cardiac disease in dr. Soetomo Surabaya hospital in 2018. Method: Descriptive retrospective study using medical records in dr. Soetomo Surabaya hospital 2018. Result: We found 1433 pregnancy cases with 51 (3,6 %) patients were having cardiac disease and included in this research. The most common maternal complication was pulmonary hypertension 16 cases. A dead case was found 1 case (1,9 %) with eissenmenger syndrome. We found the perinatal outcome of 30 babies (58.8%) born with a weight of 2500 gram and under. There are 7 patients with cardiac disease that have been corrected (13,7%). Among those 7 patients, 6 had a perinatal outcome with a birth weight of more than 2500 gram. Conclusion : Most pregnant patients with cardiac disease in dr. Soetomo Surabaya hospital 2018 are already having some complications with perinatal outcomes of low birth weight. Therefore, management of cardiac disease in pregnancy to prevent complications by means of preconception counseling, good antenatal care, and appropriate referrels are still needed to improve the quality of maternal and neonatal outcomes.
Co-Authors Ana Puji Rahayu Andrianto Budi Wicaksono Christina Meilani Susanto Christina Meilani Susanto Dian Puspita Virdayanti Dibya Arfianda Erry Gumilar Dachlan