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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

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.

Planned home birth in low-risk pregnancies Made Diah Vendita Sakuntari; I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; 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. 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.v3i1.19

Introduction: Planned home births are often a safe option for low-risk pregnancies, according to prior studies. This study aims to ascertain the characteristics of planned home deliveries with skilled medical staff in low-risk pregnancies as well as the outcomes on mother and infant health in Denpasar, Bali. Methods: The planned home births from 2010 to 2019 were examined in this study using a retrospective descriptive design. The study included all intended home deliveries, including those that required hospital transfers owing to difficulties. As many as 168 planned home births with private doctor assistance made up the study’s sample. Sociodemographic and clinical variables were both examined in this analysis. Results: The mean age of the sample in this study was 32 years. The findings indicate that women planning a home delivery with a licensed doctor in low-risk pregnancies have a better likelihood of spontaneous vaginal birth and favorable outcomes for maternal health. Additionally, there is a reduced likelihood of hospital transfer (10%). Furthermore, evidence demonstrates that planned home births are typically linked to fetal wellbeing. Conclusion: The majority of women gave birth between 38 and 40 weeks gestation. The majority of samples were deliveries were normal vaginal births. The main reasons for transfer were due to the arrested cervical dilation or the arrested progress of the fetal head.

Early detection of Fetal Acrania on first-trimester sonography: a case report I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Komang Anik Pirgantari; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; NI Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Ni Luh Putu Yulia Padmawati; Anak Agung Wahyu Putri Agustini
Indonesian Journal of Perinatology Vol. 2 No. 1 (2021): Available Online: 1 June 2021
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Introduction. Fetal Acrania is a rare fetal malformation characterized by the complete or partial absence of a skull covering the fetal brain. In the absence of a hard covering of the soft brain tissue, Acrania is known as a universally lethal malformation. Here we present a Fetal Acrania case detected by sonographic examination at our Center. Case Description. A 36 years old female was referred to the obstetric department to undergo an in-depth sonographic evaluation as a previous examination reveals a potential congenital fetal anomaly. Our sonographic evaluation revealed a singleton, live fetus, 12 weeks gestational age in cephalic presentation and longitudinal lie. One obvious malformation was a well-formed fetal brain without the surrounding cranium (Acrania). The absence of cranium was the main and only malformation. The absence of cranium was evident as the fetal brain was easily compressed on probe pressure, and the brain appeared like floating in the amniotic fluid over the base of the skull. Therapeutic abortion was carried out. The termination was conducted by administering four tablets of 200 mcg misoprostol sublingually and repeated 24 hours later. No adverse reaction or complication on termination. The aborted fetal examination confirmed the lack of fetal cranium. Conclusion. Although seemingly obvious, the first-trimester diagnosis of fetal Acrania must be made with caution as the fetal cranium is not fully calcified before 10- 11 weeks. As Acrania is a universally lethal malformation, therapeutic abortion is indicated.

The impact of the COVID-19 pandemic on the frequency of routine visits and breastfeeding plans on Kasih Medika Clinic I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Firsta Sesarina Mintariani; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; NI Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Ni Komang Anik Pirgantari; Ni Luh Putu Yulia Padmawati; Anak Agung Wahyu Putri Agustini
Indonesian Journal of Perinatology Vol. 2 No. 1 (2021): Available Online: 1 June 2021
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Introduction. The SARS-CoV-2 pandemic has affected every part of the population, including pregnant mothers, breastfeeding mothers, and infants. There is an inadequate comprehension of SARS-CoV-2 transmission potential as of now. As expected, it will result in anxiety among the public, including a specific issue such as breastfeeding practice for the suspected or confirmed novel coronavirus infection. This study aimed to assess whether such anxiety was present in a population of patients that routinely visit Kasih Medika clinic. Methods. This is a simple study conducted on August 5-10, 2020. This study used a questionnaire instrument with samples of pregnant and postpartum mothers. The questionnaire includes a question regarding the anxiety surrounding breastfeeding, visiting the clinic and their everyday activity. Results. We reported that COVID-19 has an impact on the breastfeeding plans from the respondent's questionnaire. All respondents felt anxious about COVID-19, although only 18% of patients reduce their routine visits to Kasih Medika, while the rest keep visiting as scheduled. Eighty-six percent of respondents restricted their outdoor activities during the COVID-19 pandemic. The COVID-19 pandemic causes 27% of the respondents to feel afraid of their breastfeeding plans. However, in the primigravida population, 45.45% of respondents were afraid of their breastfeeding plans. Meanwhile, in the multigravida and postpartum respondents, 90.90% were not afraid about their breastfeeding plans during the COVID-19 period. Conclusion. COVID-19 pandemic brings a certain degree of anxiety to the mothers, including anxiety of safety during breastfeeding practice. Despite the risk of transmission, breastfeeding has more benefits than disadvantages. Breastfeeding makes the infant have a good immune system, which prevents any disease, including COVID-19. Breastfeeding during the COVID-19 is still recommended under health protocol.

The impact of the Covid-19 pandemic on successful breastfeeding: analysis of the impact of Covid-19 on routine visits and breastfeeding plans at Kasih Medika Cokorda Istri Mirayani Pemayun; I Nyoman Hariyasa Sanjaya; Firsta Sesarina Mintariani; Made Diah Vendita Sakuntari; Ni Nyoman Dewi Purwanti; NI Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Ni Komang Anik Pirgantari; Ni Luh Putu Yulia Padmawati; Anak Agung Wahyu Putri Agustini
Indonesian Journal of Perinatology Vol. 2 No. 2 (2021): Available online : 1 December 2021
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Introduction: All human worldwide had a risk infected by a severe acute respiratory syndrome–coronavirus-2 (SARS-CoV-2), including pregnant woman. Nowadays, SARS-CoV-2 transmission is still not fully understood. Thus, this situation created anxiety particularly for mothers that planned to breast-feed their baby and did their routine hospital visit. Thus this research aimed to evaluate the impact of COVID-19 pandemic with the routine visits and breastfeeding plan. Methods: This study was carried out with cross sectional observational study at Kasih Medika Hospital. The routine visits were conducted on the 5th-10th of August 2020. This study used a questionnaire instrument with samples of pregnant and postpartum mothers. The inclusion criteria of the sample were all pregnant women and post-partum that registered in Kasih Medika Hospital, complete questionnaire data filled in. The exclusion criteria were the patient agreed to be the research sample. All of the data was analyzed descriptively by using SPSS 25 and was presented by frequency. Results: All of the patients felt anxious with different stages of anxiety. COVID-19 affects 18% of patients who reduce their routine visits to Kasih Medika, while 82% keep visiting as scheduled. The COVID-19 pandemic had an insignificant effect on breastfeeding plans. This can be seen from only 27% of all respondents who are afraid of their breastfeeding plans. However, in the primigravida population, 45.45% of respondents were worried about their breastfeeding plan. Although in multigravida and post-partum, it was found that 90.90% were not afraid of their breastfeeding plans during the COVID-19 period. Conclusion: Our research established that COVID-19 reduces pregnant women's attendance to hospital, and patient primigravida was mainly afraid to do breastfeeding plans rather than multigravida patients. In contrast, mostly multigravida

Adenomyosis- surgical treatment for women’s infertility Laparotomy with Osada technique I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Komang Anik Pirgantari; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; Ni Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini; Ketut Widyani Astuti
Indonesian Journal of Perinatology Vol. 3 No. 2 (2022): (Available online: 1 December 2022)
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v3i2.25

Introduction: Adenomyosis became challenging in the gynecological field and healthcare economic aspect. The prevalence of adenomyosis is widely ranged in different countries. Infertility is one of the frightening complications. Thus a radical adenomyosis tissue removal method using the triple-flap (the Osada technique) could be done. Using this technique the adenomyosis tissue can be removed as much as possible while maintaining normal uterine function. Thus, in this case, report, we performed a woman diagnosed with adenomyosis underwent the surgery with Osada technique. Case description: A 30-year-old woman went to the medical care of Kasih Medika. She has been married for 4,5 years and did not have any children. She had a history of abdominal pain every menstruation, and it has persisted since 2 months ago even though not on the menstrual schedule. Transvaginal sonographic examination revealed a diffusely enlarged uterus and thickening of the uterine wall. A laparotomy is performed using the Osada technique (triple flap. After that, around 1 month after surgery, the patient will undergo an ultrasound examination and the patient will undergo the GnRH agonist therapy (Tapros) 3 times. Conclusion: Adenomyosis is one of the challenging diseases. Adequate treatment must be done to minimalize the infertile probability Laparotomy with the Osada technique could be done. Infertility examination in both couples also must be done. Undergoing the GnRH agonist therapy also can give a better result for the patient.

Pregnancy with choriangioma: a placental disorder that causes fetal death I Nyoman Hariyasa Sanjaya; Cokorda Istri Mirayani Pemayun; Ni Komang Anik Pirgantari; Made Diah Vendita Sakuntari; Ni Wayan Dewi Purwanti; NI Putu Nining Gianni; Ni Luh Made Diah Mas Cahyani Putri; Ni Luh Md Dwi Laxmi Satriani; Firsta Sesarina Mintariani; Anak Agung Wahyu Putri Agustini
Indonesian Journal of Perinatology Vol. 3 No. 2 (2022): (Available online: 1 December 2022)
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/inajperinatol.v3i2.26

Introduction: Chorioangioma is the most common non-trophoblastic vascular tumor of the placenta. It was estimated that the incidence of chorioangioma was 1%. Although the incidence was not widely large, it has high mortality and morbidity. Commonly, chorioangiomas is a small asymptomatic lesion found only after birth after careful excision of the placenta. In making it easier to visualize the food vessels entering the placental mass and peritumoral diffuse vasculature we could use the color doppler. The wide range of outcomes and limited studies related to this case makes it quite difficult to handle. Thus, this study aimed to provide information on chorioangioma from diagnosis to the management. Case description: Mother A is our referral patient who was recommended to do an ultrasound, with a diagnosis of 20 weeks gestation with suspected IUFD and a cyst in the placenta measuring 6.5cm x 4.1cm x 5.4 cm, the mother has not felt fetal movement. Ultrasound examination revealed a hematoma at the time of insertion of the umbilical cord in the placenta. The location of the placenta in the corpus anterior grade 1. No heartbeat was found in the baby, and the baby's weight was 529 grams. Conclusion: The adverse outcome is known to be associated with chorioangioma. It depends on the mass size, and the existence of fetal hydrops. The worst prognosis that we found in this case was no heartbeat when the baby was born.

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