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All Journal e-CliniC Jurnal e-Biomedik JURNAL BIOMEDIK JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Medical Scope Journal (MSJ)
Hermie M. M. Tendean
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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CORRELATION BETWEEN CERVICAL LENGTH WITH SUCCESSFUL LABOR INDUCTION Tendean, Hermie M. M.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 3 Nomor 3 (2015)
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective : To determine the correlation between cervical length on transvaginal ultrasound assessment with successful labor induction. Method : This was an observational study with crosssectional approach to 39 consecutive women who undergoing induction of labor in the Department of Obstetrics and Gynecology, Prof. dr. R.D. Kandou Manado general hospital. Cervical length was measured by transvaginal ultrasound prior to induction of labor. Labor induction were success if vaginal delivery occured within 24 hours after induction of labor began. Results:Induction of labor succeed in 34 subjects (87.18%) with a mean of cervical length 2,60 + 0,43 cm and failed in 5 subjects (12.82%) with a mean of cervical length of 3,54 + 0,77 cm (p = 0.006). The optimal cut off point for predicting the success of labor induction was 2,895 cm. Cervical length ≤ 2,895 cm had a sensitivity of 79,41% and a specificity of 80,00%, positive predictive value of 93,10%, negative predictive value of 36,63% andaccuracy of 79,49%. Conclusion: There was a significant correlation between cervical length with the successful induction of labor, cervical length ≤ 2.895 cm can be used to predict the success of labor induction.  Keywords: Induction of Labor, Cevical Length,  Transvaginal Ultrasound
Creatinine clearance levels are associated with the incidence of preeclampsia Sanusi, Jesslyn M; Tendean, Hermie M. M.; Kaeng, Juneke J.
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.899 KB) | DOI: 10.32771/inajog.v6i4.843

Abstract

Abstract Objective: Determine thecorrelation between creatinine clearance relationship with preeclampsia incidence. Method: Cross sectional research. Result: Creatinine clearance examination conducted on 60 sample of pregnant women > 20 weeks,30 normotensive samples and 30 preeclampsia samples. The obtained data analyzed using SPSS software version 22.0 and discussed using the existing literature theory. Creatinine clearance average level in normotensive pregnancy 124.650 ± 14.3699ml/minutes/1,73m2and preeclampsia 74.003 ± 23.169ml/minutes/1,73m2. After Mann-Whitney statistical test obtained p value = 0,000. From ROC curve analysis for creatinine clearance obtained sensitivityvalue 100% and specificity 99,53%. Conclusion:There is a significant correlation between the creatinine clearance levels with preeclampsia. Keywords: creatinine clearance, normotensive, preeclampsia.   Abstrak Tujuan: Menentukan hubungan antara creatinine clearance dengan kejadian preeklamsia. Metode: Penelitian potong lintang. Hasil:Dilakukan pemeriksaan creatinine clearance pada 60 sampel ibuhamil > 20 minggu, 30 sampel darah normal dan 30 sampel preeklamsia. Data yang diperoleh dianalisa dengan menggunakan software SPSS versi 22.0 dan dibahas dengan menggunakan  teori literatur yang ada. Kadar rerata creatinine clearance pada kehamilan normotensi 124,650 ± 14,3699 ml / menit / 1,73m2 dan preeklampsia 74,003 ± 23,169 ml / menit / 1,73m2. Setelah uji statistik Mann-Whitney diperoleh nilai p = 0,000. Dari analisis kurva ROC untuk creatinine clearance diperoleh nilai sensitivitas 100% dan spesifisitas 99,53%. Kesimpulan: Ada hubungan yang signifikan  antara creatinine clearance dengan kejadian preeklamsia. Kata kunci: creatinine clearance, normotensi, preeklampsia.
Relationship of Retinol Binding Protein Four Serum Level on Endometrial Hyperplasia and Endometrial Carcinoma Limy, Ivan; Suparman, Eddy; Tendean, Hermie M. M.
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.974 KB) | DOI: 10.32771/inajog.v6i4.849

Abstract

Abstract Objective : To determine the relationship of elevated serum retinol binding protein 4 with abnormal uterine bleeding Methods : This study was an observational quantitative with cross sectional methods, with all women who had abnormal uterine bleeding caused either by endometrial carcinoma or endometrial hyperplasia at RSUP Prof.DR.RD Kandou, and affiliation hospitals from November 2016 until April 2017. Data were analyzed With SPSS version 2.0 to see the significancy level. Results: Of 26 research subjects, 23 subjects with endomtrial hyperplasia and 3 subjects with endometrial carcinoma. From the total of 26 malignancy and hyperplasia diagnoses, 21 had IMT> 25 and 23 were diagnosed with Endometrial Hyperplasia and 3 Carcinoma Endometrium. 18 subjects had elevated serum RBP4 levels, with 15 people with endometrial hyperplasia and 3 with endometrial carcinoma. With the Fischer Exact test statistic, serum retinol binding protein 4 levels were found in both endometrial hyperplasia and endometrial carcinoma p = 1.00, meaning no significant difference for the occurrence of abnormal uterine bleeding. Conclusion: There was no significant association between serum retinol binding protein 4 between endomterium carcinoma and endometrial hyperplasia. Keywords: abnormal uterine bleeding, endometrial carcinoma, endometrial hyperplasia, serum retinol binding protein 4   Abstrak Tujuan : Mengetahui adanya hubungan peningkatan kadar serum retinol binding protein 4 pada hyperplasia endomterium dengan carcinoma endometrium Metode : Penelitian ini adalah jenis kuantitatif observasional secara potong lintang, dengan semua perempuan yang mengalami perdarahan uterus abnormal yang disebabkan oleh hiperplasia endometrium atau carcinoma endometrium di Bagian Kebidanan dan Kandungan Rumah Sakit Umum Pusat (RSUP) Prof.DR.R.D Kandou, dan RS jejaring mulai November 2016 sampai April 2017.Data dianalisa dengan SPSS versi 2.0 untuk melihat tingkat kemaknaannya. Hasil : Dari 26 subjek penelitian, 23 subjek dengan hyperplasia endomtrium dan 3 subjek dengan carcinoma endometrium. Didapatkan data penelitian dari total keganasan diagnosa  dan hiperplasia sejumlah 26 orang, sebanyak 21 orang memiliki IM T>25 dan sebanyak 23 orang didiagnosa dengan Hiperplasia Endometrium dan 3 orang karsinoma Endometrium. Didapatkan sebanyak 18 subyek penelitian mengalami peningkatan kadar serum RBP 4, dengan 15 orang yang mengalami hiperplasia endometrium dan 3 orang dengan karsinoma endometrium. Dengan uji statistik Fischer Exact test, didapatkan kadar serum retinol binding protein 4 baik pada hiperplasia endometrium dengan karsinoma endometrium p=1.00, mengartikan tidak mempunyai perbedaan bermakna untuk terjadinya perdarahan uterus abnormal. Kesimpulan : Tidak terdapat hubungan bermakna kadar serum retinol binding protein 4 antara karsinoma endomterium dengan hiperplasia endometrium. Kata kunci : hiperplasia endometrium , kadar serum retinol binding protein 4, karsinoma endometrium, perdarahan uterus abnormal
Creatinine clearance levels are associated with the incidence of preeclampsia Sanusi, Jesslyn M; Tendean, Hermie M. M.; Kaeng, Juneke J.
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.899 KB) | DOI: 10.32771/inajog.v6i4.843

Abstract

Abstract Objective: Determine thecorrelation between creatinine clearance relationship with preeclampsia incidence. Method: Cross sectional research. Result: Creatinine clearance examination conducted on 60 sample of pregnant women > 20 weeks,30 normotensive samples and 30 preeclampsia samples. The obtained data analyzed using SPSS software version 22.0 and discussed using the existing literature theory. Creatinine clearance average level in normotensive pregnancy 124.650 ± 14.3699ml/minutes/1,73m2and preeclampsia 74.003 ± 23.169ml/minutes/1,73m2. After Mann-Whitney statistical test obtained p value = 0,000. From ROC curve analysis for creatinine clearance obtained sensitivityvalue 100% and specificity 99,53%. Conclusion:There is a significant correlation between the creatinine clearance levels with preeclampsia. Keywords: creatinine clearance, normotensive, preeclampsia.   Abstrak Tujuan: Menentukan hubungan antara creatinine clearance dengan kejadian preeklamsia. Metode: Penelitian potong lintang. Hasil:Dilakukan pemeriksaan creatinine clearance pada 60 sampel ibuhamil > 20 minggu, 30 sampel darah normal dan 30 sampel preeklamsia. Data yang diperoleh dianalisa dengan menggunakan software SPSS versi 22.0 dan dibahas dengan menggunakan  teori literatur yang ada. Kadar rerata creatinine clearance pada kehamilan normotensi 124,650 ± 14,3699 ml / menit / 1,73m2 dan preeklampsia 74,003 ± 23,169 ml / menit / 1,73m2. Setelah uji statistik Mann-Whitney diperoleh nilai p = 0,000. Dari analisis kurva ROC untuk creatinine clearance diperoleh nilai sensitivitas 100% dan spesifisitas 99,53%. Kesimpulan: Ada hubungan yang signifikan  antara creatinine clearance dengan kejadian preeklamsia. Kata kunci: creatinine clearance, normotensi, preeklampsia.
Relationship of Retinol Binding Protein Four Serum Level on Endometrial Hyperplasia and Endometrial Carcinoma Limy, Ivan; Suparman, Eddy; Tendean, Hermie M. M.
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 4 October 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.974 KB) | DOI: 10.32771/inajog.v6i4.849

Abstract

Abstract Objective : To determine the relationship of elevated serum retinol binding protein 4 with abnormal uterine bleeding Methods : This study was an observational quantitative with cross sectional methods, with all women who had abnormal uterine bleeding caused either by endometrial carcinoma or endometrial hyperplasia at RSUP Prof.DR.RD Kandou, and affiliation hospitals from November 2016 until April 2017. Data were analyzed With SPSS version 2.0 to see the significancy level. Results: Of 26 research subjects, 23 subjects with endomtrial hyperplasia and 3 subjects with endometrial carcinoma. From the total of 26 malignancy and hyperplasia diagnoses, 21 had IMT> 25 and 23 were diagnosed with Endometrial Hyperplasia and 3 Carcinoma Endometrium. 18 subjects had elevated serum RBP4 levels, with 15 people with endometrial hyperplasia and 3 with endometrial carcinoma. With the Fischer Exact test statistic, serum retinol binding protein 4 levels were found in both endometrial hyperplasia and endometrial carcinoma p = 1.00, meaning no significant difference for the occurrence of abnormal uterine bleeding. Conclusion: There was no significant association between serum retinol binding protein 4 between endomterium carcinoma and endometrial hyperplasia. Keywords: abnormal uterine bleeding, endometrial carcinoma, endometrial hyperplasia, serum retinol binding protein 4   Abstrak Tujuan : Mengetahui adanya hubungan peningkatan kadar serum retinol binding protein 4 pada hyperplasia endomterium dengan carcinoma endometrium Metode : Penelitian ini adalah jenis kuantitatif observasional secara potong lintang, dengan semua perempuan yang mengalami perdarahan uterus abnormal yang disebabkan oleh hiperplasia endometrium atau carcinoma endometrium di Bagian Kebidanan dan Kandungan Rumah Sakit Umum Pusat (RSUP) Prof.DR.R.D Kandou, dan RS jejaring mulai November 2016 sampai April 2017.Data dianalisa dengan SPSS versi 2.0 untuk melihat tingkat kemaknaannya. Hasil : Dari 26 subjek penelitian, 23 subjek dengan hyperplasia endomtrium dan 3 subjek dengan carcinoma endometrium. Didapatkan data penelitian dari total keganasan diagnosa  dan hiperplasia sejumlah 26 orang, sebanyak 21 orang memiliki IM T>25 dan sebanyak 23 orang didiagnosa dengan Hiperplasia Endometrium dan 3 orang karsinoma Endometrium. Didapatkan sebanyak 18 subyek penelitian mengalami peningkatan kadar serum RBP 4, dengan 15 orang yang mengalami hiperplasia endometrium dan 3 orang dengan karsinoma endometrium. Dengan uji statistik Fischer Exact test, didapatkan kadar serum retinol binding protein 4 baik pada hiperplasia endometrium dengan karsinoma endometrium p=1.00, mengartikan tidak mempunyai perbedaan bermakna untuk terjadinya perdarahan uterus abnormal. Kesimpulan : Tidak terdapat hubungan bermakna kadar serum retinol binding protein 4 antara karsinoma endomterium dengan hiperplasia endometrium. Kata kunci : hiperplasia endometrium , kadar serum retinol binding protein 4, karsinoma endometrium, perdarahan uterus abnormal
KARAKTERISTIK PERSALINAN PREMATUR DI RSUP PROF. DR. R. D. KANDOU MANADO Oroh, Siva; Suparman, Eddy; Tendean, Hermie M. M.
e-CliniC Vol 3, No 2 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i2.8605

Abstract

Abstract: Preterm labor is labor that occurs at 20 - <37 weeks gestational age calculated from the first day of the last menstrual period. Preterm labor is one cause of neonatal morbidity and mortality, which is 60-80% worldwide. This was a retrospective and descriptive study using the medical record of the Department of Obstetrics & Gynecology/Prof. Dr. R.D. Kandou General Hospital Manado period of January 1st to December 31st 2013. There were 151 premature labors during that period. The most frequent characteristics were age group 21-34 years, high school education, and house wife. Based on the parity status, the highest number was P0. History of abortion was found only in a small part of samples. The highest number of diseases/complications was rupture of membrane. The most frequent type of labor was spontaneous labor with back of the head position.Keywords: premature birth, premature babyAbstrak: Persalinan prematur adalah persalinan yang berlangsung pada usia kehamilan 20 - <37 minggu dihitung dari hari pertama haid terakhir. Persalinan prematur merupakan salah satu penyebab utama morbiditas dan mortalitas neonatal, yaitu 60-80% di seluruh dunia. Penelitian ini bersifat deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan medik di Bagian Obstetri Ginekologi/BLU RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari-31 Desember 2013. Hasil penelitian mendapatkan 151 sampel kasus persalinan prematur. Karakteristik berdasarkan usia ibu terbanyak pada usia 21-34 tahun, pendidikan ibu terbanyak SMA, dan pekerjaan IRT. Berdasarkan paritas didapatkan jumlah tertinggi pada P0, riwayat abortus hanya sebagian kecil ibu, penyakit/penyulit tersering ialah ketuban pecah dini, dan jenis persalinan tersering ialah spontan letak belakang kepala.Kata kunci: persalinan prematur, bayi prematur
GAMBARAN SINDROMA PRAHAID PADA REMAJA Bungasari, Septa Ayu; Tendean, Hermie M. M.; Suparman, Eddy
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.6518

Abstract

Abstract: Menstruation issue is a common gynecological issue experienced by adolescents. One of disorders linked with menstruation is premenstrual syndrome. According to ICD-10 issued by WHO, premenstrual syndrome included to gynecology disorder associated with female genital organs and menstrual cycle. Premenstrual syndrome can interfere with daily activities, interpersonal relationship, occupational achievement and educational performance due to impaired attention in class and absence from school. The study used survey descriptive method with questionnaire tool carried out among 54 female students of the first semester in Faculty of Medicine, University of Sam Ratulangi, within academic year of 2014-2015. The results showed that of the 54 female students, most of them were 18 years old (48.1%), predominant types of symptom was psychology symptom in 54 samples (100%), predominant psychology symptom was mood swing in 52 samples (96.3%), predominant physical symptom was acne problem in 45 samples (83.3%) and predominant behavioral symptom was argumentative in 17 samples (31.5%).Keywords: premenstrual, syndrome, adolescent, teenageAbstrak: Masalah yang timbul pada haid merupakan masalah ginekologi yang sering dikeluhkan remaja. Salah satu gangguan yang berhubungan dengan haid adalah sindroma prahaid. Menurut ICD ke-10 yang dikeluarkan WHO, sindroma prahaid tercantum sebagai kelainan ginekologi yang terkait dengan organ kelamin wanita dan siklus haid.Kumpulan gejala yang dirasakan menjelang haid mengganggu aktivitas sehari-hari, hubungan interpersonal, hasil kerja dan prestasi akademik karena kurang perhatian dalam kelas dan sering tidak hadir. Penelitian ini menggunakan metode survei deskriptif dengan alat kuesioner yang dilakukan pada 54 mahasiswi semester 1 Fakultas Kedokteran Unsrat tahun ajaran 2014-2015. Berdasarkan penelitian pada 54 mahasiswi, didapatkan distribusi umur responden terbanyak ialah 18 tahun (48,1%); jenis gejala yang paling dominan muncul ialah gejala psikologis sebanyak 54 orang (100%); gejala psikologis terbanyak ialah perubahan mood sebanyak 52 orang (96.3%); gejala fisik terbanyak ialah timbul jerawat sebanyak 45 orang (83,3%); dan gejala perilaku terbanyak ialah suka menentang sebanyak 17 orang (31,5%).Kata kunci: prahaid, sindroma, remaja
PROFIL PERSALINAN PADA USIA ≥35 TAHUN DI RSUP PROF. DR. R. D. KANDOU MANADO Pontoh, Vidi Y. Y.; Tendean, Hermie M. M.; Suparman, Eddy
e-CliniC Vol 3, No 3 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i3.9509

Abstract

Abstract: Childbirth at age ≥35 years has a high degree of risks. High blood pressure, excessive body weight, diabetes, as well as complicated labor can be found in pregnancy and childbirth at age ≥35 years. This study aimed to obtain the profile of childbirth at age ≥35 years at Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive retrospective study using the medical record and birth attendants at The Obstetrics and Gynecology Department from 1 January to 31 December 2014. There were 249 cases of childbirth at age ≥35 years of 3106 total labors. Most of the mothers at age ≥35 years had parity of 2 – 4 (66.26%), spontaneous labor (60.64%), babies with cephalic presentation (70.28%), and weight 2500 – <4000 grams.Keywords: labor, age ≥35 years, incidenceAbstrak: Persalinan pada usia ≥35 tahun mempunyai risiko tinggi. Tekanan darah tinggi, kelebihan berat badan, diabetes, serta persalinan yang lebih sulit dan lama merupakan masalah yang dapat ditemui di kehamilan dan persalinan pada usia ≥35 tahun. Penelitian ini bertujuan untuk mendapatkan profil persalinan pada usia ≥35 tahun di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini menggunakan metode deskriptif retrospektif melalui rekam medik dan buku partus di bagian Obstetri dan Ginekologi RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari – 31 Desember 2014. Terdapat 249 kasus persalinan pada usia ≥ 35 tahun dari 3106 total persalinan. Sebagian besar ibu berusia ≥35 tahun berada pada paritas 2-4 (66,26%) dan lebih sering lahir dengan presentasi letak kepala (70,28%). Umumnya persalinan terjadi spontan (60,64%) denan berat badan bayi 2500 - <4000 g.Kata kunci: persalinan, usia ≥ 35 tahun, insidensi
GAMBARAN KADAR KALSIUM WANITA MENOPAUSE DI PANTI WERDHA DAMAI MANADO Syahputra, Muchlis; Suparman, Eddy; Tendean, Hermie M. M.
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i1.11007

Abstract

Abstract: One health problem that needs serious attention in the elderly is osteoporosis, characterized by decreased bone density. Calcium is the main mineral of bone-forming. This study was aimed to obtain the calcium level among menopausal women at Panti Werdha Damai (senior housing) Manado. This was an observational study with a cross sectional design. Subjects were 30 menopausal women at Panti Werdha Damai Manado from November to Desember 2015. The results showed that most subjects were ≥ 65 years old (26 subjects; 86.67%) BMI ≥23.0 (15 subjects; 50%); with clinical osteoporosis symptoms (27 subjects; 90%). Among subjects aged ≥65 years, there was 1 subjects with low calcium level; 21 with normal calcium level; and 5 with high calcium level. Among subjects aged <65 years, there were 2 with normal calcium level and 1 with high calcium level; none with low calcium level. Most subjets (70%) had clinical osteoporosis symptoms. Conclusion: Most menopausal women at Panti Werdha Damai Manado had normal calcium level, however, most of them had shown clinical osteoporosis symptoms.Keywords: calcium, menopausal women Abstrak: Salah satu masalah kesehatan yang perlu mendapatkan perhatian serius pada lanjut usia ialah osteoporosis yang ditandai dengan penurunan kepadatan tulang. Kalsium merupakan mineral utama pembentuk tulang. Penelitian ini bertujuan untuk mendapatkan kadar kalsium wanita menopause di Panti Werdha Damai Manado. Jenis penelitian ialah observasional dengan desain potong lintang. Subjek penelitian ialah 30 orang wanita menopause di Panti Werdha Damai Manado selama periode November-Desember 2015. Hasil penelitian memperlihatkan bahwa subjek penelitian terbanyak berusia ≥65 tahun sebanyak 26 orang (86,67%), IMT ≥23,0 sebanyak 15 orang (50%), dengan gejala klinis osteoporosis sebanyak 27 orang (90%). Pada subjek berusia ≥65 tahun terdapat 1 orang dengan kadar kalsium rendah, 21 orang dengan kadar kalsium normal, dan 5 orang dengan kadar kalsium tinggi. Pada subjek berusia <65 tahun terdapat 2 orang dengan kadar kalsium normal dan 1 orang dengan kadar kalsium tinggi; tidak terdapat yang mempunyai kadar kalsium rendah. Sebagian besar subjek (70%) mempunyai gejala klinis osteoporosis. Simpulan: Sebagian besar wanita menopause di Panti Werdha Damai Manado mempunyai kadar kalsium normal. Walaupun demikian, sebagian besar telah menunjukkan gejala klinis osteoporosis. Kata kunci: kalsium, menopause
PERSALINAN DENGAN LUARAN MAKROSOMIA DI BLU RSUP. PROF. DR. R. D. KANDOU Kusumawati, Lidya; Tendean, Hermie M. M.; Suparman, Eddy
e-CliniC Vol 2, No 2 (2014): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v2i2.5023

Abstract

Abstrak: Berdasarkan penelitian WHO tahun 2007, di seluruh dunia terdapat kematian ibu sebesar 500.000 jiwa per tahun dan bayi khususnya neonatus sebesar 10.000.000 jiwa per tahun. Angka kematian maternal dan neonatal di Indonesia Tahun 2009 masih tinggi yaitu 226/100.000 kelahiran hidup dan 26/1000 kelahiran hidup. Faktor langsung penyebab tingginya AKI adalah perdarahan, terutama perdarahan post partum. Selain itu adalah keracunan kehamilan, infeksi dan partus lama/macet. Makrosomia adalah berat badan lahir ≥ 4000 gram. Terdapat resiko komplikasi dari bayi berat lahir berlebih atau makrosomia, baik dialami oleh ibu atau bayi itu sendiri. Resiko komplikasi ibu saat melahirkan antara lain perdarahan, infeksi, sectio sesarea dan preklamsi. Sendangkan resiko yang mengancam bayi sewaktu dilahirkan adalah mengalami distosia dan kematian perinatal. Tujuan: Melihat insiden bayi lahir dengan makrosomia mempunyai resiko cukup tinggi yang mungkin terjadi pada ibu maupun janin, penelitian ini bertujuan untuk mengetahui distribusi persalinan dengan makrosomia. Metode penelitian: Penelitian ini bersifat Deskriptif retrospektif. Hasil: Kasus bayi makrosomia di BLU Prof. Dr. R. D. Kandou periode 1 Januari – 31 Desember 2012 didapatkan 204 kasus dari 4347 persalinan. Seksio sesarea dilakukan pada pasien dengan luaran bayi makrosomia pada tahun 2012 sebanyak 132 kasus (64.7%). Kejadian bayi makrosomia terbanyak pada usia ibu 30-34 Tahun dengan jumlah 56 pasien (27.5%). Pasien terbanyak dengan pendidikan terakhir SMA yaitu sebanyak 141 pasien (69.1%).Sebanyak 124 pasien (60.8%) melakukan lebih dari 4 kali pemeriksaan antenatal. Kelahiran bayi makrosomia dengan jenis kelamin laki-laki sebanyak 120 bayi (64.7%). Bayi makrosomia di dominasi dengan berat badan lahir 4000-4250 gram yaitu sebanyak 131 bayi (64.22%). Kata kunci: Distribusi makrosomia, jenis persalinan, faktor resiko
Co-Authors . Sudarman Angelina Tuange Aprilia Fransiska Lantu, Aprilia Fransiska Eddy Suparman Erna Suparman Florence T. U. Latuharhary Freddy W. Wagey Inri Suryani Batan John J. E. Wantania, John J. E. Juneke J. Kaeng Lidya Kusumawati Limy, Ivan Lumentut, Anastasia M. Maya Mewengkang Meyclin Dameria Sibuea Muchlis Syahputra, Muchlis Prisilia D. D. Sumoked, Prisilia D. D. Rotinsulu, Fioren G. F. Sanusi, Jesslyn M Septa Ayu Bungasari Siva Oroh, Siva Syarwani, Teuku I. Tiara Faradita Rahim, Tiara Faradita Vidi Y. Y. Pontoh, Vidi Y. Y.