Eric Edwin Yuliantara
Department Of Obstetrics And Gynaecology, Faculty Of Medicine, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta

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Hubungan Tingkat Pengetahuan Dismenorea terhadap Perilaku Penanganan Dismenorea pada Mahasiswi Fakultas Kedokteran UNS Surakarta Sugiantoro, Muhammad Iqbal; Raden, Abkar; Edwin, Erick
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Dysmenorrhea occured in 72,4% women where 15,4% of them suffered severe dysmenorrhea that may hinder the person doing activity or work. Behavioral treatment of dysmenorrhea can help the person to reduce the symptoms that may hinder or inhibit a person’s activity. Knowledge is an important determinant for the individual to behave. This study aims to know the relationship between knowledge level of dysmenorrhea to behavioral treatment of dysmenorrhea. Methods: This study was analytical observational with cross sectional approach, and used primary data. These sample were first, second, and third grade students of Medicine Faculty of Sebelas Maret University who suffered dysmenorrhea. Sixty four Samples taken by purpossive random sampling methods. All samples were given questionnaire to measure the knowledge level and behavioral treatment of dysmenorrhea. Data analysis using Chi Square test. Results: The result showed 53% sample’s kowledge level of dysmenorrhea were good and 47% were less. From behavioral treatment of dysmenorrhea sample’s ,we get 62% samples treated with his own and 38% went to doctor. From the analysis Chi Square test p= 0,001 and OR= 3,04. Conclusions: Based on result of the study can be concluded that there is a relationship between knowledge level of dysmenorrhea to behavioral treatment of dysmenorrhea. Student with good knowledge level of dysmenorrhea has 3,04 chance to go to the doctor treating dysmenorrhea. Keywords: Knowledge Level of Dysmenorrhea, Behavioral Treatment of                            Dysmenorrhea  
Hubungan Tingkat Pengetahuan Mengenai Zat Besi Dengan Tingkat Kepatuhan Mengkonsumsi Tablet Besi Pada Ibu Hamil Di Puskesmas Sibela Mojosongo Surakarta Septiani, Dwi Tiara; Edwin, Erick; Sukilarso, Bambang
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Anemia in pregnant women increases the frequency of complications of pregnancy and childbirth. Anemia due to iron deficiency is a major cause of anemia in pregnant women compared with deficiencies of other nutrients. Iron anemia prevention programs, especially for pregnant women has been done through the provision of iron for free through the health center or posyandu. However, because of the limited knowledge of most of the pregnant women then this program seem to run slow. This study aims to demonstrate a link between the level of knowledge about the level of compliance with the iron taking iron tablets. Methods: This study was an observational analytic cross-sectional approach. Subjects were pregnant women Sibela Mojosongo the Surakarta Health Center. Sample of pregnant women who took iron tablets. Samples were taken by purposive sampling. The data collection technique using a questionnaire concerning the knowledge level of iron, the level of knowledge questionnaires and scales consuming iron tablets LMMPI inventory. Data score of knowledge about iron with Compliance Consuming Iron Tablets in pregnant women were analyzed with chi square test. Results: Obtained 30 samples of pregnant women. The results of chi-square analysis showed that there is a positive relationship between the level of knowledge regarding iron with adherence consuming iron tablets at the health center Mojosongo Sibela Surakarta. that patients with a high level of knowledge has compliance 35 times higher than those knowledgeable with p = <0.001 (OR = 35; 95% Cl 2.977 411.466 sd). Conclusions: Based on this study it can be concluded that there is a correlation between the level of knowledge about the level of compliance with the iron taking iron tablets to pregnant women. The higher the mothers level of knowledge of the iron, the higher the level of compliance in consuming iron tablets Keywords: Pregnant women, knowledge of iron, compliance consuming iron tablets
Hubungan Antara Stres Psikologis Dan Olahraga Terhadap Terjadinya Dismenore Primer Pada Mahasiswi Fakultas Kedokteran Universitas Sebelas Maret Ananda, Mutiara Rizky; Y, Eric Edwin; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Prevalence of primary dysmenorrhea in the adolescent in Surakarta is 87,7% and 15% of women in Indonesia complained that their activity were interrupted due to dysmenorrhea. Psychological stress and irregular sports allegedly have connection in increase the incidence of primary dysmenorrhea. This research aims to know the relation between psychological stress and exercise against the occurrence of primary dysmenorrhea. Methods: This study is analytical observational with cross sectional approach, and using primary data. This study using medical student of 2010, 2011, 2012 at Sebelas Maret University as sample, taken by simple random sampling methods about 62 samples. Data analysis using Chi Square test and binary logistic regression. Results: Result of data analysis using Chi Square test shows p value for the relationship of psychological stress with primary dysmenorrhea is 0,013 whereas p value of relations sports with primary dysmenorrhea is 0,009. For the results of the analysis data using binary logistic regression found that psychological stress has OR = 0,352 whereas exercise has OR =  3,808. Conclusions: Based on result of the study can be concluded that there is a relationship between psychological stress and exercise against the occurrence of primary dysmenorrhea in the medical student of Sebelas Maret University Surakarta. Keywords: Psychological Stress, Exercise, Primary Dysmenorrhea. 
Hubungan Multi Paritas dengan Tingkat Kejadian Kanker Serviks di RSUD Dr Moewardi Siswanto, Totok; Yuliantara, Eric Edwin; Wijayanti, Lilik
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Cervical cancer is one of the most common cancer found in women and ranks second all cancers in women in the world. Multi parity thought to be one of the risk factors for cervical cancer. Hormonal and anatomical changes that occur in multi parity may increase the risk of cervical cancer by a variety of mechanisms. The purpose of this study was to determine the incidence rates of cervical cancer are associated with multi parity status. Methods: The type of research is an case-control. The samples in this study were patients with cervical cancer and other gynecological diseases with a total sample of 60 people. Measuring instrument used was a questionnaire, and then performed the data analysis with multiple logistic regression analysis. Result: Found a statistically significant association between the multi-parity status with the incidence of cervical cancer. People with multi-parity status have an increased risk for cervical cancer was 8.986 times greater than women with non-multi-parity status (p = 0.003, OR = 8.986). Conclusion: Based on research of  woman with multi parity status will have the risk of having cervical cancer by 8,986 times compared to women with non-multi-parity status. Key Words: multi parity, cervical cancer 
Hubungan antara Anemia dan Kejadian Inersia Uteri di RSUD Dr.Moewardi Sari, Dhyani Rahma; Edwin, Eric; Damayanti, Kusmadewi Eka
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Anemia is a condition of reduced levels of hemoglobin ( Hb ) which  leads to impaired maternal oxygen delivery to form energy in the uterine muscles to make contractions in labor. This research aims to investigate the relation between anemia and prevalence of uterine inertia. Methods: This was an analitic-observational cross sectional study using medical record data from 1 January 2012  – 30 May 2012 . A sample of 112 subjects was selected  from patiens who gave birth with anemia in Moewardi hospital. Sample was conducted in total sampling. Data were analyzed using Chi-Square test. The difference seen from the result by Risk Ratio ( RR ), while the significance of the result seen by the value of            p ( p < 0,05 ). Results: Analysis of Chi-Square test showed a statistically significant relationship between anemia and the prevalence  of  uterine inertia. The result obtained from the analysis was p = 0,001( p < 0,05 ). Conclusions: There is statistically significant relatonship between maternal anemia with prevalence of uterine inertia in Moewardi hospital during period the first of January 2012  – the thirtith of  May 2012  . Keywords: anemia, labour, uterine inertia.  
Recombinant vascular endothelial growth factor 121 decreases vascular cell adhesion molecule-1 in murine pre-eclampsia model placenta Sulistyowati, Sri; Sondakh, John Arianto; Yuliantara, Eric Edwin; Respati, Supriyadi Hari; Soetrisno, Soetrisno
Universa Medicina Vol 35, No 3 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.192-198

Abstract

BackgroundPreeclampsia is one of the major contributors to maternal and fetal morbidity and mortality. Imbalance of soluble Fms-like tyrosine kinase (sFlt-1) as anti-angiogenic factor and vascular endothelial growth factor (VEGF) as pro-angiogenic factor plays a role in the pathogenesis of preeclampsia. Endothelial dysfunction in preeclampsia causes vascular cell adhesion molecule-1 (VCAM-1) to be expressed on its surface. This study aims to evaluate the effect of recombinant VEGF-121 on VCAM-1 expression in the placenta of a murine preeclampsia model. Methods An experimental analytical study conducted from February until March 2016 in the Biomedical Laboratory, Faculty of Veterinary Medicine, Airlangga University. The study sample consisted of 30 pregnant mice, divided into three groups, i.e. 10 normal pregnant mice, 10 mice with preeclampsia model and 10 mice with preeclampsia model and recombinant VEGF-121 therapy. All animals were subjected to immunohistochemical examination of VCAM-1 expression in their placentas. The results were assessed semiquantitatively according to a modified Remmele method. Data analysis was done using one-way ANOVA and Tukey’s multiple comparisons method. ResultsMean VCAM-1 expression in normal (0.97 ± 0.54%) murine placentas, compared with placentas (2.94 ± 0.96%) of murine preeclampsia models (p=0.000), while mean VCAM-1 expression in placentas of murine preeclampsia models with VEGF intervention was 2.14 ± 0.68% (p=0.030).Conclusion Recombinant VEGF-121 can reduce VCAM-1 expression in placentas of murine preeclampsia models. The present study has shown the potential benefits of VEGF therapy, justifying serious consideration of this therapeutic approach for use in women with preeclampsia.
The Effectiveness of Letrozole-Electroacupuncture Adjuvant Therapy in Reducing Resistance and Pulsatility Indices in Women with Polycystic Ovarian Syndrome Octavia, Dhamayanti Eka; Budihastuti, Uki Retno; Melinawati, Eriana; Anggraini, Nutria Widya Purna; Yuliantara, Eric Edwin; Nurwati, Ida; Hadi, Cahyono
Journal of Maternal and Child Health Vol 5, No 4 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Polycystic Ovarian Syndrome (PC­­­­OS) is a complex endocrine disorder and the cau­­­­se of 40% of infertility cases. In recent years, let­­­ro­zole as an aromatase inhibitor has been report­ed to be effective for ovulation induction. In addi­­tion, electro acupuncture therapy can redu­ce tonic activity in the sympa­thetic vaso­constric­tor path­­way to the uterus. This stu­dy aimed to determine the effectiveness of Let­ro­zo­le-Electroacupuncture adjuvant therapy in reducing the Resistance Index and Pul­sa­ti­li­ty Indices in women with Polycystic Ovary Syn­dro­me (PCOS).Subjects and Method: This was an analytical ob­servational study with a cohort approach. The sub­jects of the study were women aged 20-45 years based on age, body mass index (BMI), and pe­riod of infertility aspects. The sample con­sisted of 30 people who were divided into 2 groups, name­­ly group 1 with letrozole therapy, while group 2 with additional electro­acu­punc­ture therapy and then carried out pre- and post-interven­tion exa­mi­nations on day 19 and 21. The depen­dent variables were the Resist­ance Index value and the Pulsaitility Index value. The inde­pendent vari­­ables were Letro­zole and Electro­acupuncture therapies. The Resistance and Pulsatility Indices we­re measured using USG transabdominal Color Dop­­pler Voluson P6. The data were analyzed using the Mann Whitney test.Results: The Pul­satility Index for group 1 on day 21 (Mean= 2.69; SD= 0.87) was higher than group 2 (Me­an= 1.97; SD= 0.57), and it was statistically sig­ni­fi­cant (p= 0.013).Conclusion: Letrozole-EA therapy reduce the Resistance and Pulsatility In­dices.Keywords: Letrozole, acupuncture, endo­metrial re­ceptivity, Polycystic Ovarian SyndromeCorrespondence: Dhamayanti Eka Octavia. Department of Obs­tetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Ma­­ret/ Dr. Moewardi Hos­pital, Sura­kar­ta 57126, Central Java. Email: dhama­yan­ti­eka.de@gmail.com. Mobile: 08125­0355886.Journal of Maternal and Child Health (2020), 05(04): 422-429https://doi.org/10.26911/thejmch.2020.05.04.09
Massive Adherent Placenta, Placenta Percreta Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Prisasanti, Dympna Prameilita
Journal of Maternal and Child Health Vol 6, No 1 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Adherent placentas including placenta accreta, increta and percreta are conditions where there is abnormal implanta­tion of all or part of the placenta on the myo­metrial wall. Massive adherent placenta has high morbidity and mortality rates in both mother and fetus. There is a positive corre­la­tion between the incidence of adherent placenta and the increase in cesarean section rates worldwide. Identification of risk factors, ante­natal diagnosis, accurate preoperative prepara­tion, multidisciplinary management, and appro­priate counseling are the main manage­ment of adherent placenta to reduce maternal morbidity.Case Presentation: A woman, G5P3A1, age 36 years pregnant 37 weeks, complained loudly regularly since 6 hours before admission to hospital. There is a history of CS as much as 3x with indications of 2x Premature rupture of the membranes and uterine rupture, as well as a history of curettage (1x). Physical examination showed that the general condition was good, and composting, vital signs were within normal limits. Abdomen palpable single fetus, intra­uterine, elongated, head presentation, left back, moderate his (+), FHR 150 x/minute. The results of prenatal sonography examination showed that neither placenta previa nor massive adherent placenta was found. The preoperative diagnosis was inparticular stage I latent phase with a history of SC 3 times.Results: An emergency Caesarean section was performed. Durante surgery showed severe adhesions of the placenta, uterine wall and bladder. The diagnosis of placenta percreta was confirmed, uterine resection was performed on the perreta section, hysterography as well as adhesiolysis and MOW sterilization. The results of the PA examination support the diagnosis of placenta percreta.Conclusion: Massive adherent placenta, pla­centa percreta was not diagnosed in this case because there were no clinical features or pre­natal sonography that supported the diagnosis of placenta percreta. A history of trauma to the uterus due to uterine rupture, history of CS and curettage were risk factors for placenta percreta in this case. The incidence rate of placenta per­creta with a history of SC 3 times without placenta previa on the previous sonographic examina­tion was 0.1%. Operative management to manage bleeding and post operative care have been carried out according to the procedure so as to avoid mortality.Keywords: massive adherent placenta, placenta percreta, case reportCorrespondence: Eric Edwin Yuliantara. Department Obstetrics and Gynecology, Faculty of Medicine Univer­sitas Sebelas Maret/ dr. Moewardi General Hospital Surakarta. Jl Kolonel Sutarto 132, Surakarta, Central Java. Email: edwinericog­@staff.uns.ac.id. Mobile: 08122618769.Journal of Maternal and Child Health (2021), 06(01): 108-121https://doi.org/10.26911/thejmch.2021.06.01.11
Partial molar pregnancy with live fetus in first trimester: what should we do next Eric Edwin; Uki Retno Budihastuti; Cut Sheira Elnita
Jurnal Kedokteran Syiah Kuala Vol 20, No 2 (2020): Volume 20 Nomor 2 Agustus 2020
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v20i2.18505

Abstract

Abstract. The incidence of a normal live fetus with a partial mole is extremely rare, and it varies between 5 per 100000 and 1 per 10000 of the pregnancies. A partial molar pregnancy is a variation of a molar pregnancy in which an embryo either develops incompletely or with multiple structural anomalies.A 27-year-old Primigravide at 13 weeks of gestation got admitted with spotting per vaginam, excessive nausea and vomiting, and her ultrasound revealed a hydropic placenta with multiple cysts with a live fetus. Regarding these findings, the patient continued her pregnancy under close observation, and advanced sonographic evaluations were done to rule out other differentials. Ultrasonography found mosaicism in the partial mole (mostly diploid, a small part is triploid). In this condition, the prognosis condition for the fetus to be born safely is still probable. Ethics committee meetings are held with the consideration of the fetus's condition, whether monitoring is carried out regularly, and terminating the pregnancy in case of fetal emergency.The optimal management of hydatidiform mole with the coexistent live fetus is currently uncertain. Antenatal consultation should include a detailed discussion of maternal and fetal risks. It is also necessary to have close follow-up and evaluation of the patient's condition during the antenatal and postnatal period. Keywords: first trimester, live fetus , management, partial molar pregnancy
Hubungan Tingkat Pengetahuan Mengenai Zat Besi Dengan Tingkat Kepatuhan Mengkonsumsi Tablet Besi Pada Ibu Hamil Di Puskesmas Sibela Mojosongo Surakarta Dwi Tiara Septiani; Erick Edwin; Bambang Sukilarso
Nexus Kedokteran Komunitas Vol 2, No 2 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.115 KB)

Abstract

Background: Anemia in pregnant women increases the frequency of complications of pregnancy and childbirth. Anemia due to iron deficiency is a major cause of anemia in pregnant women compared with deficiencies of other nutrients. Iron anemia prevention programs, especially for pregnant women has been done through the provision of iron for free through the health center or posyandu. However, because of the limited knowledge of most of the pregnant women then this program seem to run slow. This study aims to demonstrate a link between the level of knowledge about the level of compliance with the iron taking iron tablets. Methods: This study was an observational analytic cross-sectional approach. Subjects were pregnant women Sibela Mojosongo the Surakarta Health Center. Sample of pregnant women who took iron tablets. Samples were taken by purposive sampling. The data collection technique using a questionnaire concerning the knowledge level of iron, the level of knowledge questionnaires and scales consuming iron tablets LMMPI inventory. Data score of knowledge about iron with Compliance Consuming Iron Tablets in pregnant women were analyzed with chi square test. Results: Obtained 30 samples of pregnant women. The results of chi-square analysis showed that there is a positive relationship between the level of knowledge regarding iron with adherence consuming iron tablets at the health center Mojosongo Sibela Surakarta. that patients with a high level of knowledge has compliance 35 times higher than those knowledgeable with p = <0.001 (OR = 35; 95% Cl 2.977 411.466 sd). Conclusions: Based on this study it can be concluded that there is a correlation between the level of knowledge about the level of compliance with the iron taking iron tablets to pregnant women. The higher the mother's level of knowledge of the iron, the higher the level of compliance in consuming iron tablets Keywords: Pregnant women, knowledge of iron, compliance consuming iron tablets