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HUBUNGAN ANTARA USIA IBU HAMIL DENGAN KEJADIAN ABORTUS HABITUALIS DI RSUD ULIN BANJARMASIN PERIODE TAHUN 2010-2013 Kismiliansari, Desy Elisa; Nizomy, Ihya Ridlo; Budiarti, Lia Yulia
Jurnal Berkala Kedokteran Vol 11, No 1 (2015): Februari 2015
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i1.187

Abstract

Recurrent miscarriage is an abortion that occurs two or more times in a row before 20 weeks of gestation. Mother’s age is a cause of recurrent miscarriage. The aim of this study is to determine the relation between mother’s age and the incidence of recurrent miscarriage on outpatient clinic and delivery room patients at Obstetric and Gynecologic Department of Ulin General Hospital Banjarmasin from 2010 to 2013. This study used analytic observational method with retrospective approach, the mother’s age was divided into <20 years, 20-35 years, >35 years age group, with Chi-square test at 95% confidence level used to analyze the data. The results showed that from 1.266 patients diagnosed with abortion at Ulin General Hospital Banjarmasin, a total of 37 patients were diagnosed with recurrent miscarriage. We found that the number of women who suffered recurrent miscarriage at <20 years of age was    1 (2.70%) patient, at 20-35 years of age were 21 (56.76%) patients, and at >35 years of age were 15 (40.54%) patients. Overall, a total of 16 (43,24%) patients were within the recurrent miscarriage risk factor age group while 21 (56,76%) patients were outside the risk factor age group. There was a statistically significant relation between mother’s age with  the incidence of recurrent miscarriage (χ2 = 10,6, P = 0.05).                                      Keywords: recurrent miscarriage incidence, mother’s age, Obstetric and GynecologicDepartment of Ulin General Hospital Banjarmasin
PROFIL URINALISIS PASIEN HIPERTENSI DALAM KEHAMILAN Di Bagian Obstetri dan Ginekologi RSUD Ulin Banjarmasin Periode Juni 2021-Mei 2022 Iman, Muhammad Nur; Nizomy, Ihya Ridlo; Rosida, Azma; Armanza, Ferry; Hendriyono, Franciscus Xaverius
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11460

Abstract

Hypertension disorders in pregnancy (HDP) is one of the most common complications in pregnancy forming a triad along with bleeding and infection which are the main causes of maternal and prenatal morbidity and mortality. Urinalysis examination is one of the important laboratory tests in the diagnosis of HDP, especially to identify the presence of preeclampsia which can lead to eclampsia. Through urinalysis it can be seen the presence of protein in the urine which is one of the diagnostic criteria for preeclampsia-eclampsia and assessing kidney function during pregnancy. The purpose of this study was to determine the urinalysis profile of hypertensive patients in pregnancy. This study used an observational research design with a cross-sectional approach, using secondary data from medical records. This study used the entire population according to the inclusion and exclusion criteria. The subjects of this study were 69 patients. The results showed that preeclampsia was the most common type of HDP, namely 122 people (59.2%). Based on the results of urinalysis in Preeclampsia, the results of urinalysis that showed the most positive results were proteinuria, namely Trace 4 people (9.8%), 1+ 10 people (24.4%), 2+ 10 people (24.4%), and 3+ 4 people (9.8%). Whereas in Preeclampsia Superimposed Hypertension showed the same results where proteinuria was the most positive, namely Trace 1 people (5.9%), 1+ 3 people (17.6%), and 2+ 8 people (47.1%).
Early diagnosis and appropriate management of vaginal leiomyoma in rural areas Nizomy, Ihya Ridlo; Budinurdjaja, Pribakti; Armanza, Ferry; Yuseran, Hariadi; Joyce; Lahdimawan, Inas Tsurayya Fauziah
Majalah Obstetri & Ginekologi Vol. 32 No. 1 (2024): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V32I12024.60-67

Abstract

HIGHLIGHTS Extrauterine leiomyoma, including vaginal leiomyoma, is an exceedingly rare condition with complex pathogenesis and management. Clinical evaluation and high-quality imaging are required to confirm the diagnosis of vaginal tumor. If there are insufficient facilities, referrals must be made. Operative management using vaginal approach was described for treating vaginal leiomyoma.   ABSTRACT Objective: To describe the challenges of early diagnosis and appropriate management of vaginal leiomyoma in rural areas. Case Report: A 26-year-old woman, P1A0, was referred from a rural hospital and presented a chief complaint of vaginal mass. The patient was admitted to the tertiary hospital with suspected malignant vaginal tumor and underwent a biopsy, which revealed leiomyoma on pathological examination. Despite conservative treatment, the mass continued to grow, unaffected by the menstrual cycle, causing discomfort. Following a second hospital admission, the patient underwent surgical management of extirpation and vaginal reconstruction. The microscopic finding of the tumor showed myositis cell proliferation with hyperplastic growth, monotonous nuclei, and variable cell shapes, supporting the diagnosis of vaginal leiomyoma. During postoperative monitoring, there was no vaginal bleeding. Thereafter, on the day following surgery, it was found that the right labium major was swollen. This was treated with anticoagulants, topical NSAIDs, and a sitz bath. The patient was discharged from the hospital in good condition and had an uneventful postoperative recovery. Conclusion: Although the incidence of vaginal leiomyoma is uncommon, precise early diagnosis and appropriate management might improve outcomes, particularly in rural areas.