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All Journal Jurnal Masharif al-Syariah: Jurnal Ekonomi dan Perbankan Syariah As-Syar'i : Jurnal Bimbingan & Konseling Keluarga JIMKI : Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Yustisi: Jurnal Hukum dan Hukum Islam Widya Pranata Hukum : Jurnal Kajian dan Penelitian Hukum Jurnal Ilmiah Wahana Pendidikan JUDGE: Jurnal Hukum IIJSE
Fauziah Lubis
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Religion Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences Other

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Journal : JIMKI : Jurnal Ilmiah Mahasiswa Kedokteran Indonesia

 1 
MULTIGRAVIDA DENGAN MAKROSOMIA DAN INTRA UTERINE FETAL DEATH: SUATU STUDI KASUS DI RS ABDUL MOELOEK BANDAR LAMPUNG Fauziah Lubis
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 7 No 1 (2019): JIMKI : Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 7.1 Edisi Januari - A
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v7i1.378

Abstract

Background: Macrosomia is the term for newborn with birthweight greater than 4000 grams or are in the 90th percentile for the infant’s gestational age. Macrosomia increases the risk of injury to the mother and fetus during labor. Macrosomia can be prevented or early detected by controlling risk factors. Ilustration case: In this case, macrosomia has caused complication that is intrauterine fetal death. The patient was diagnosed with a G3P1A1, 37-week pregnant in the first phase of the active phase with 3 hours of premature rupture of membranes (outside), a single fetus die, head presentation with macrosomic suspect. Management: Trial of labor performed on patient. The trial of labor failed and the patients can be diagnose with cephalopelvic disproportion, so the patient was treated with caesarean section. Physical Examination: Born baby boy in a dead condition, weight 5400 grams, body length 62 cm with grade I maceration. During surgery, a brownish and thick green amniotic color was obtained which indicates a chronic hypoxic process in the fetus that causes fetal death in this case. The risk factor found on a patient is a history of a previous large baby birth (4100 grams). Antenatal visits are rarely done so that weight during pregnancy is not monitored. Discussion: This case report shows that macrosomia can increase the risk of complications for the mother and baby, especially during labor. Complications can be reduced by preventing and early diagnosing macrosomia by controlling risk factors. Controlling of risk factors can be done with routine antenatal visits.
Co-Authors Asrul Saputra Harahap Awaluddin Habibi Siregar Debi fazila Deby Rinaldi Dhea Kinanty Efri Sarnauli Nasution Halimahtusadiah Hotnita Sari Hasibuan Khofifah Indah M. Irwansyah Saragih Mohammad Yusuf Muhammad Farid Muhammad Nawawi Nandani Zahara Mahfuzah Nurul Fahmidab Pramestia Andini Putri Rizki Juliana Septeddy Endra Wijaya Siti Zulaiha Syahrina Siregar Yudhi Permana Zulkifli Nasution