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All Journal Indonesian Journal of Perinatology
Ni Putu Nining Gianni
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia.
Health Professions Medicine & Pharmacology Nursing

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Torsion of ovarian cyst in the third trimester of pregnancy: case report I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Putu Nining Gianni; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Ni Komang Anik Pirgantari; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 3 No. 1 (2022): Available online : 1 June 2022
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v3i1.17

Abstract

Introduction: The entire or partial rotation of the adnexa around its vascular axis or pedicle is known as ovarian torsion. Predisposing factors include short length, unrestricted motion, and a long pedicle. It’s tough to pinpoint the exact cause. Dermoid and serous cyst adenomas are the most common. The complete torsion blocks the venous and lymphatic systems, resulting in stasis, venous congestion, bleeding, and necrosis. The cyst becomes irritable and may explode. A soft cystic mass separate from the uterus can be seen on examination of the affected person, who usually complains of abrupt severe discomfort in the stomach and pelvis. At some time during pregnancy, the risk of ovarian torsion increases by a factor of five. The incidence rate is five per 10,000 pregnancies. Torsion of ovarian tumors was more common among women in their reproductive years. The majority of the instances were seen in pregnant women (22.7%) rather than non-pregnant women (6.1%). Case Description: In this case, we report a 27-year-old primigravida with 36 weeks and 5 days of pregnancy. She presented to the hospital with acute pain abdomen in the lower right (lumbar). She has a history of pregnancy control at a private clinic and there are no abnormalities in her pregnancy. She was hospitalized at 35 weeks 3 days of pregnancy due to the same complaint and has collaborated with the surgeon. No abnormalities were found on the abdominal ultrasound and urology at that time. The baby was born at 36 weeks 6 days of gestation by cesarean section, a twisted ovarian cyst was found on the right ovary, a dextra salpingectomy was performed for oophorectomy and an appendicectomy was also performed at the same time in collaboration with the surgeon. A healthy baby with a weight of 2300 grams and full of breastfeeding. Conclusion: This example demonstrates the problem of manufacturing desirable excellent radiological ultrasound imaging of the pelvic organs in late pregnancy. ultrasound exam in early pregnancy has to also be geared toward the cervix and adnexa which ends up in early analysis and management of ovarian hundreds, thereby fending off future emergency conditions and possible preterm transport.
Doula Support in The Success of a Normal Delivery I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; Ni Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Komang Anik Pirgantari; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 2 No. 2 (2021): Available online : 1 December 2021
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.72 KB) | DOI: 10.51559/inajperinatol.v2i2.13

Abstract

Introduction: Many mothers who give birth are less interested in giving birth normally because of the intense labor pain. Actually it can be overcome by doula assistance. The doula's presence provides emotional support during the preparation for childbirth, and the doula provides physical support by accompanying to overcome hunger, thirst, and pain. The aim of this study was to determine the effect of doulas assistance on the success of delivery. Methods: This study is a descriptive observational study with a cross-sectional design conducted at a private hospital in Bali in the period January 2020 to January 2021. The inclusion criteria in this study were all pregnant women with gestational age 34 to 40 weeks who were willing to undergo the study. While the exclusion criteria in this study were pregnant women who experienced complications during childbirth and pregnant women with incomplete clinical and demographic data. All of the data was analyzed descriptively by using SPSS 25 and was presented by frequency. Result: This study managed to collect as many as 100 pregnant women who will give birth with the help of a doula. It was found that as many as 60 people (60%) gave birth vaginally. Then followed by 31 people (31%) who underwent a Cesarean section with the help of a doula. There were also 5 people (5%) and 4 people (4%) who underwent epidural delivery and vacuum extraction with the help of a doula. Conclusion: Doula assistance during labor can increase the confidence of the mother who will give birth and support the success of normal delivery.
Co-Authors Anak Agung Wahyu Putri Agustini Anak Agung Wahyu Putri Agustini Cokorda Istri Mirayani Pemayun Cokorda Istri Mirayani Pemayun Firsta Sesarina Mintariani Firsta Sesarina Mintariani I Nyoman Hariyasa Sanjaya Ketut Widyani Astuti Made Diah Vendita Sakuntari Made Diah Vendita Sakuntari Ni Komang Anik Pirgantari Ni Komang Anik Pirgantari Ni Luh Made Diah Mas Cahyani Putri Ni Luh Md Dwi Laxmi Satriani Ni Luh Md Dwi Laxmi Satriani Ni Wayan Dewi Purwanti