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All Journal Indonesian Journal of Perinatology

Ni Luh Putu Yulia Padmawati

Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Author-ID : 4353345

Health Professions Medicine & Pharmacology Nursing

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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

Co-Authors Anak Agung Wahyu Putri Agustini Cokorda Istri Mirayani Pemayun Cokorda Istri Mirayani Pemayun Firsta Sesarina Mintariani I Nyoman Hariyasa Sanjaya Made Diah Vendita Sakuntari Ni Komang Anik Pirgantari Ni Luh Made Diah Mas Cahyani Putri Ni Luh Md Dwi Laxmi Satriani Ni Nyoman Dewi Purwanti Ni Putu Nining Gianni Ni Wayan Dewi Purwanti

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