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I Gede Manu Mahendra
"Latar belakang: Persalinan merupakan peristiwa penting dan unik dalam kehidupan wanita yang memiliki risiko negatif seperti trauma perineum selama persalinan pervaginam. Angka robekan perineum dilaporkan 35,1-78,3% pada primipara dan 34,8-39,6% pada multipara. Faktor risiko terjadinya ruptur perineum cukup beragam dimana masalah ruptur perineum belum dianalisis secara luas sehingga penelitian ini dilakukan untuk memprediksikan kejadian ruptur perineum selama anternatal pada wanita hamil cukup bulan pada persalinan pervaginam.
Metode penelitian: Tahap pertama menggunakan desain deskriptif, tahap kedua dilaksanakan dengan desain case cohort study. Penelitian dilakukan pada Penelitian Multisenter HUGI (Penelitian Multisenter HUGI (RSCM, RS YPK Mandiri), dan RSUD di DKI Jakarta pada bulan Agustus 2023-April 2024. Pengambilan sample menggunakan consecutive sampling sesuai kriteria inklusi dan eksklusi. Pengolahan data menggunakan perangkat lunak SPSS (Statistical Pogram for Social Science) dan akan dianalisis menggunakan Analisa regresi logistik dengan p value <0,25.
Hasil: Sebanyak 146 subjek direkrut dengan 118 subjek memenuhi kriteria inklusi dan eksklusi. Jumlah robekan perineum mencapai 77 (65,3%) dan sebagian besar (80%) mengalani robekan derajat 2. Dari analisis diperoleh model prediksi yang terdiri dari paritas (OR=4,64 IK 95%: 1,74-12,33), indeks massa tubuh (OR=2,45 IK 95%: 1,04-5,73), dan AP hiatal (OR=2,26 IK 95%: 0,94-5,42).
Kesimpulan: Variabel yang dapat memprediksikan kejadian robekan perineum pada wanita hamil cukup bulan yang menjalani partus pervaginam adalah paritas, indeks massa tubuh, dan AP hiatal.

Background: Childbirth is an important and unique event in women’s life which have negative risk such as perineal trauma during vaginal birth. It’s said that perineal rupture happened 35,1-78,3% in primipara and 34,9-39,6% in multipara. The risk factors of perineal rupture haven’t widely analyzed. This research was done to analyze the factors of perineal rupture during antenatal care in term pregnancy that going to perform vaginal delivery.
Methods: This research was done in two steps. First step using descriptive design and second step using case cohort study. Research was done in Multicenter HUGI (Dr. Cipto Mangunkusuomo Hospital, YPK Mandiri Hospital) and General Publich Hospital in Jakarta during Agustus 2023-April 2024. Sample was collected using consecutive sampling based on inclusion and exclusion criteria. Data processing using SPSS (Statistical Pogram for Social Science) and analyzed by logistic regression with p value <0,25.
Results: There were 146 recruited subjects of which 118 subjects were met the criteria for inclusion and exclusion. Number of perineal laceration reached 77 (65,3%) mostly perineal rupture grade 2 (80%). Prediction models were obtained consist of parity OR=4,64 IK 95%: 1,74-12,33), body mass index (OR=2,45 IK 95%: 1,04-5,73), and APD (OR=2,26 IK 95%: 0,94-5,42).
Conclussion: Parity, body mass index, and APD were variables of prediction in full term pregnant women undergoing vaginal delivery.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Nopa Arlianti
"ABSTRAK
Infekunditas sekunder merupakan kondisi seorang wanita usia subur yang masih
memiliki kemungkinan untuk memiliki anak dan berharap bisa memiliki anak,
baik yang belum pernah melahirkan ataupun sudah pernah melahirkan, belum
pernah hamil maupun yang sudah pernah hamil dan atau pernah memiliki anak
sebelum lima tahun terakhir serta tidak menggunakan alat kontrasepsi pada
periode tersebut. Faktor yang menyebabkan infekunditas sekunder sebagian besar
merupakan penyebab yang sama pada faktor yang menyebabkan infertilitas.
Dimana akibat yang ditimbulkan karena terjadinya infekunditas sekunder yaitu
gangguan psikologis, sosial dan ekonomi. Metode penelitian yang digunakan
yaitu cross sectional dengan menggunakan data WUS SDKI 2012. Jumlah sampel
yaitu sebanyak 27414 (85.03%) mengalami fekunditas dan 4826 (14.97%)
mengalami infekunditas sekunder. Analisis data menggunakan univariat, bivariat
dan regresi logistik. Berdasarkan analisis yang dilakukan, propinsi yang memiliki
angka infekunditas sekunder tertinggi yaitu Papua (31.39%), Aceh (23.23%) dan
Papua Barat (20.75%). Dengan analisis regresi logistik diperoleh bahwa
determinan infekunditas sekunder di Indonesia adalah umur, merokok, sosial
ekonomi, pekerjaan, riwayat keguguran, pendidikan, umur pertama melakukan
hubungan seksual, dan paritas

ABSTRACT
Secondary infecundity is a condition of a woman at childbearing age who still
have the possibility to have children and wish to have a child who had never given
birth or had given birth, has never been pregnant or who have ever been pregnant
or had had children before the last five years and does not use contraception in
the period. Factors that cause secondary infecundity largely accounts for the
same factors that cause infertility. The impact due to the occurrence of secondary
infekundity are psychological disorders, social and economic. The research
method used is cross sectional using data from Indonesian Demographic and
Health Survey 2012. Study population are Woman at Childbearing Age. The
number of samples as many as 27414 (85.03%) experienced fecundity and 4826
(14.97 %) experienced secondary infecundity. Data was analyzed by univariate,
bivariate and logistic regression multivariable. Result showed accordingly from
the highest prevalence are Papua (31.39 %), Aceh (23.23 %) and West Papua
(20.75 %). Logistic regression analysis showed determinant of secondary
infekundity accordingly in Indonesia are age, smoking, socio-economic,
employment, history of miscarriage, education, age at first sexual intercourse,
and parity"
2016
T46167
UI - Tesis Membership  Universitas Indonesia Library
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Desi Ari Madiyanti
"ABSTRAK
Kejadian postpartum blues pada hari pertama atau ketiga persalinan masih kurang
mendapat perhatian oleh perawat karena dianggap sebagai gangguan mental
ringan dan hilang dalam beberapa hari postpartum, dampaknya adalah kurang
optimalnya hubungan dan kelekatan antara ibu dan bayinya. Tujuan penelitian ini
untuk mengidentifikasi faktor determinan terjadinya postpartum blues pada ibu
postpartum primipara. Desain pada penelitian ini adalah cross sectional dengan
consecutive sampling dengan jumlah sampel 100 orang. Hasil penelitian
diidentifikasi bahwa faktor yang mempengaruhi kejadian postpartum blues pada
ibu primipara adalah faktor komplikasi persalinan dan pendapatan. Komplikasi
persalinan, merupakan faktor yang paling dominan mempengaruhi terjadinya
postpartum blues (p value = 0,000). Di rekomendasikan bahwa perawat harus
lebih memberikan perhatian dengan intervensi pendekatan psikososial pada ibu
postpartum primipara untuk mencegah terjadinya postpartum blues yang dapat
mempengaruhi bonding attachment dengan bayi

ABSTRACT
The incidence of postpartum blues in the first or third day of childbirth has
received less attention from nurses because is considered as a mild and that
disappears within a few days of postpartum, the impact is the inadequate bonding
and attachment between a mother and a baby. The purpose of this research is to
identify the determinant factors of the postpartum blues incident in primiparous
postpartum mothers. The research design is cross-sectional with consecutive
sampling. The samples were 100 people. The results of this study is to identify
that the factors affecting the incidente of postpartum blues in the primiparous
mothers are complications and financial. Factor of labor complications was the
most dominant factor affecting the occurrence of postpartum blues incident (p
value = 0.000). It is recommended that nurses provide more attention and
psychosocial approached interventions to primiparous postpartum mothers in
order to prevent postpartum blues that can affect bonding and attachment with the
baby."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
T38632
UI - Tesis Membership  Universitas Indonesia Library
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"Rehabilitative the mother and baby health becomes priority to health development at Indonesia. The rehabilitative implementation was concern to physical health and psychological. The psychological problem of mothers postpartum primipara there are the postpartum blues evidence very high almost 75-80%. This research purposed to know music therapy effectiveness in prevents postpartum blues on postpartum prim Para's mother. This research utilize quasi experiment's design, pretest-posttest with control group and intervention group. Intervention group listened ti instrumental music which is Mozart classical musiv type: Eine Kleine Nachtmusik with frequency 20-40 cps hertz's in 15-20 minutes duration, sounding off in 2 times a day, on 8.00WIB a.m an on 14.00 WIB along 3 days. The sample in this observational is postpartum primipara's mother which was nursed at midwifery room RSCM Jakarta Pusat, with total each controls group and intervention group are 18 person. The tests result of logistics regression and double linear regression prove there are available influence music therapy to postpartum blues' prevention. On motherwhich sounding off musical therapy decreased postpartum blues evidence score as 1.80. meanwhile mother that doesn't listened to musical therapies. The research conclusion is the implementasion of listened in musical therapy so effective in postpartum blues' prevention. This result study recommendate it is needs to sound off musical therapy to all post partum's mother as intervention relaxation therapy at health service center such as hospital, puskesmas and also the maternity clinic"
BULHSR 14:1 (2011)
Artikel Jurnal  Universitas Indonesia Library
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David Luther
"ABSTRAK
Pendahuluan: Dispareunia adalah beban utama pada wanita usia reproduktif. Kondisi ini memiliki dampak langsung pada kehidupan pernikahan, sosial dan professional dari wanita usia reproduktif. Faktor yang dapat berkontribusi dalam terjadinya dyspareunia adalah rupture perineum.Metode:Desain studi potong lintang digunakan dengan memberikan kuesioner Female Sexual Function Index FSFI terhadap wanita postpartum yang terdiagnosis dengan ruptur perineum akibat persalinan per vaginam. Penelitian ini dilakukan di Rumah Sakit Cipto Mangunkusumo dan Rumah Sakit Umum Tangerang pada bulan Oktober sampai Desember 2017. Pasien yang memiliki inflamasi panggul kronis dan riwayat dispareunia sebelumnya dieksklusi.Hasil: Sebanyak 93 subjek terlibat dalam studi ini.; 59 subjek memiliki ruptur perineum ringan derajat I dan II sedangkan 34 subjek lainnya memilki ruptur perineum derajat berat derajat III dan IV . Ditemukan bahwa ruptur perineum berkaitan dengan tejradinya dyspareunia setelah 3-6 bulan setelah terjadi rupture perineum. Kesimpulan: Ruptur perineum derajat III dan IV meningkatkan risiiko terjadinya dyspareunia 3-6 bulan postpartum sampai 5 kali lipat. Studi prospektif selanjutnya dengan jumlah sampel yang lebih besar yang menginvestigasi risiko dispareunia pada perempuan dengan rupture perineum sebaiknya dilakukan.

ABSTRACT
Introduction: Dyspareunia is major burden in reproductive-aged women. In fact, it has a direct impact on their marital, social and professional life. One factor that may contribute to the risk of developing dyspareunia is perineal tear. To this date, studies regarding the association between perineal trauma and dyspareunia 3 to 6 months after perianal rupture are scarce. This study aims to investigate the association between both variables.Methods: A cross-sectional study design was used by giving Female Sexual Function Index FSFI questionnaires to postpartum women diagnosed with perineal tear due to vaginal birth. The study was conducted at Cipto Mangukusumo Hospital and Tangerang General Hospital between October and December 2017. Those who had chronic hip inflammation and previous history of dyspareunia were excluded.Results: A total of 93 subjects were involved in this study; 59 had mild first- and second- degree while 34 had third- and fourth- degree perineal tears. We found that perineal tear was associated with the occurrence of dyspareunia after 3 to 6 months after perineal rupture.Conclusions: Grade III to IV perineal tear increased the risk of dyspareunia 3 to 6 months postpartum up to 5-fold. Further prospective studies with larger samples assessing the risk of dyspareunia in those with perineal tear should be conducted.
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2018
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Purba, Fernando
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2016
S63539
UI - Skripsi Membership  Universitas Indonesia Library
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Rajagukguk, Ningsih Tresia
"Ibu mengalami perubahan suasana hati selama periode postpartum. Perubahan suasana hati seperti sering menangis, sedih, marah, lelah dan sulit tidur disebut postpartum blues. Postpartum blues dapat terjadi pada ibu persalinan pervaginam dan sectio caecaria (SC). Penelitian ini menggunakan desain penelitian deskriptif yang bertujuan untuk mengidentifikasi karakteristik dan kejadian postpartum blues pada ibu persalinan pervaginam dan SC. Sampel pada penelitian ini berjumlah 91 orang. Teknik sampel yang digunakan yaitu consecutive sampling. Hasil menunjukkan kejadian postpartum blues pada persalinan SC sebesar 88,1% dan pervaginam sebesar 71,9%. Oleh karena itu, petugas kesehatan sebaiknya lebih memperhatikan kondisi ibu postpartum khususnya pada ibu persalinan SC.

Women experience mood swings during the postpartum period. Mood swings such as frequent crying, sadness, anger, fatigue and difficulty sleeping are called postpartum blues. Postpartum blues can occur in vaginal delivery and caecarean section (SC). This research used descriptive design to identify characteristics and the incidence of postpartum blues at vaginal delivery and caecarean section. The participants of this research were 91 postpartum. Sampling technique used in this research was consecutive sampling. The result of this research showed the percentage postpartum blues at caesarean section 88,1% and vaginal delivery 71,9%. Therefore, medical team needs to observe the condition of postpartum, in particular postpartum at caesarean section.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
S46089
UI - Skripsi Membership  Universitas Indonesia Library
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Erdiyan Astato
"Latar Belakang : Wabah pneumonia akibat Corona Disesase 2019 (COVID-19) masih menjadi perhatian nasional maupun global. Wanita hamil termasuk dalam kelompok risiko tinggi/rentan terhadap infeksi COVID-19. Adanya badai sitokin akibat infeksi COVID-19 menyebabkan gejala klinis yang semakin berat. Zinc sebagai salah satu mikronutrien penting yang berpengaruh dalam regulasi produksi sitokin oleh sistem imun tubuh. Kondisi defisiensi zinc pada wanita hamil yang terinfeksi COVID-19 dapat menyebabkan disregulasi dari sistem imun dan menghasilkan badai sitokin yang mengakibatkan sindrom ancaman gagal napas akut dan kematian. Tujuan : Meneliti hubungan kadar zinc serum maternal terhadap kadar sitokin pro- inflamasi interleukin-6 (IL-6) dan interferon gamma (IFN-) pada wanita hamil yang terkonfirmasi COVID-19 dengan gejala ringan-sedang dan berat. Metode : Penelitian observasional dengan desain studi cross-sectional. Subyek penelitian adalah wanita hamil yang terkonfirmasi COVID-19 dengan gejala ringan-sedang dan berat. Faktor yang diteliti meliputi kadar zinc, IL-6 dan IFN- serum maternal dan hubungannya kadar zinc serum terhadap kadar IL-6 dan IFN- serum maternal.
Hasil : Jumlah total subyek sebanyak 48 orang dibagi menjadi 28 subyek untuk kelompok wanita hamil yang terkonfrimasi COVID-19 gejala ringan-sedang dan 20 subyek dengan gejala berat. Rata-rata usia responden 30,61 tahun untuk kelompok gejala ringan-sedang dan 32,9 tahun untuk kelompok gejala berat. Rata-rata usia kehamilan pada kelompok gejala ringan-sedang lebih tua dibanding kelompok gejala berat (38,1 minggu vs 34,5 minggu).Lama perawatan kelompok dengan gejala berat lebih lama dibanding kelompok gejala ringan-sedang. 60% subyek dari kelompok gejala berat berakhir dengan kematian maternal. Semua subyek dalam penelitian ini mengalami defisiensi zinc. Tidak terdapat perbedaan bermakna kadar zinc serum maternal pada kedua kelompok yaitu 54,0 (34-78) μg/dl untuk kelompok gejala ringan-sedang dan 52,0 (38-97) μg/dl untuk kelompok gejala berat. Terdapat perbedaan bermakna antara kelompok gejala ringan-sedang dengan kelompok gejala berat terhadap kadar IL-6 serum (5,8 (1,5-69,6) pg/ml vs 18,6 (3,8-85,3) pg/ml) dan kadar IFN- serum (0,9 (0,1-16,8) pg/ml vs 9,0 (0,9-21,1) pg/ml). Tidak ada korelasi antara kadar zinc serum maternal dengan kadar IL-6 dan IFN- serum maternal. Kesimpulan : Kadar zinc serum maternal tidak berbeda bermakna diantara kedua kelompok penelitan. Kadar IL-6 dan IFN- serum kelompok gejala berat lebih tinggi dibanding kelompok gejala ringan-sedang. Tidak ada korelasi antara kadar zinc serum dengan kadar IL-6 dan IFN- serum maternal.

Bacground : The outbreak of Corona Disesase 2019 (COVID-19) is still a national and global concern. Pregnant women are included in the highrisk/susceptibility group for COVID-19 infection. The presence of a cytokine storm due to COVID-19 infection causes increasingly severe clinical symptoms. Zinc is one of the important micronutrients that influence the regulation of cytokine production by the immune system. Zinc deficiency in pregnant women with confirmed COVID-19 can cause dysregulation of the immune system and produce a cytokine storm that results in acute respiratory distress syndrome and maternal death. Objective: To evaluate the relationship between maternal serum zinc levels and the pro- inflammatory cytokines interleukin-6 (IL-6) and interferon-gamma (IFN-) in pregnant women with confirmed COVID-19 with mild-moderate and severe symptoms. Methods: A cross-sectional was adopted in this study. The subjects of the study were pregnant women with confirmed COVID-19 with mild-moderate and severe symptoms. We measure the maternal serum zinc levels, serum IL-6 and IFN- levels, then we evaluate the relation between the maternal serum zinc levels and the maternal serum IL- 6 and IFN- levels.
Results: The total number of subjects was 48 patiens, divided into 28 subjects for the pregnant women with confirmed COVID-19 with mild-moderate symptoms and 20 subjects with severe symptoms. The average age of the respondents was 30.61 years for the mild-moderate group and 32.9 years for the severe group. The mean gestational age in the mild-moderate group was older than in the severe one (38.1 weeks vs. 34.5 weeks). The length of stay of subjects with severe symptom was longer than the mild-moderate group. 60% cases from the severe group ended in maternal death. All the participants in this study suffered zinc deficiency. There was no significant difference in maternal serum zinc levels between the two study groups (54.0 (34-78) g/dl in mild-moderate group vs 52.0 (38-97) g/dl in severe group). There was a significant difference between mild- moderate vs severe groups in which the serum IL-6 levels were (5.8 (1.5-69.6) pg/ml vs 18.6 (3.8-85.3) pg/ ml) and the serum IFN- levels were (0.9 (0.1-16.8) pg/ml vs. 9.0 (0.9- 21.1) pg/ml). There is no correlation between maternal serum zinc level and maternal serum IL-6 and IFN- levels. Conclusion: The maternal serum zinc levels were not significantly different between the two study groups. The maternal serum IL-6 and IFN- levels in the severe group were higher than in the mild-moderate group. There is no correlation between maternal serum zinc level and maternal serum IL-6 and IFN- levels.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Fitri Pebrianti
"Tesis ini membahas kecemasan ibu hamil dengan riwayat keguguran di Puskesmas Kecamatan Kebon Jeruk. Ibu hamil dengan riwayat keguguran sebelumnya memiliki tingkat kecemasan dalam kehamilan lebih tinggi daripada ibu hamil tanpa riwayat keguguran. Tujuan penelitian yaitu mengetahui faktor-faktor yang berhubungan dengan kecemasan ibu hamil dengan riwayat keguguran. Desain penelitian menggunakan pendekatan kuantitatif dengan metode cross-sectional. Pengumpulan data dilakukan pada bulan Juni-Agustus 2020. Tempat penelitian di wilayah kerja Puskesmas Kecamatan Kebon Jeruk Kota Jakarta Barat. Analisis bivariat menggunakan uji Kai Kuadrat sedangkan analisis multivariat menggunakan regresi logistik. Hasil penelitian didapatkan ibu hamil dengan riwayat keguguran yang mengalami kecemasan sebesar 65,4%. Analisis multivariat menunjukkan variabel yang berhubungan bermakna terhadap kecemasan ibu hamil dengan riwayat keguguran adalah variabel interval kehamilan, dukungan sosial, dan usia kehamilan (p-value <0,05). Hasil analisis didapatkan OR tertinggi pada variabel interval kehamilan yaitu 5,9 (95% CI 2,119-16,447), artinya ibu yang memiliki interval kehamilan pendek (<6 bulan) berisiko mengalami kecemasan hampir 6 kali lebih tinggi dibandingkan ibu yang memiliki interval kehamilan panjang (≥6 bulan). Variabel paling dominan yang berhubungan pada kecemasan ibu hamil dengan riwayat keguguran adalah interval kehamilan.

This thesis discusses the anxiety of pregnant women with a history of miscarriage at the Puskesmas Kebon Jeruk District. Pregnant women with a history of previous miscarriage have higher levels of anxiety during pregnancy than women without a history of miscarriage. The research objective was to determine the factors associated with anxiety of pregnant women with a history of miscarriage. The research design used a quantitative approach with a cross-sectional method. Data collection was carried out in June-August 2020. The research site was in the work area of Puskesmas Kecamatan Kebon Jeruk, West Jakarta City. The bivariate analysis used a Chi-Squared test while multivariate analysis used logistic regression.The results showed that 65.4% of pregnant women with a history of miscarriage experienced anxiety. Multivariate analysis showed that the variables significantly related to the anxiety of pregnant women with a history of miscarriage were pregnancy interval, social support, and gestational age (p-value <0.05). The results of the analysis obtained the highest OR on the pregnancy interval variable, namely 5.9 (95% CI 2.119-16.447), meaning that mothers who have a short pregnancy interval (<6 months) were at risk of experiencing anxiety almost 6 times higher than mothers who have long pregnancy intervals ( ≥6 months). The most dominant variable related to the anxiety of pregnant women with a history of miscarriage was the pregnancy interval."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2020
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UI - Tesis Membership  Universitas Indonesia Library
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Atika Akbari
"Latarbelakang:Sebagian besar wanita hamil mengalami kolonisasi Streptococcus haemolyticus grup B (SGB) di saluran urogenital yang mempengaruhi kesehatan ibu hamil dan bayi. Deteksi SGBintrapartum perlu pemeriksaan yang cepat dan sensitif. Pemeriksaan mikrobiologi untuk mendeteksi SGB menggunakan metode kultur dan real time polymerase chain reaction(RT-PCR) telah digunakan untuk mendukung diagnosis, namun penggunaannya untuk skrining pada ibu hamil belum pernah diuji keakuratannya di Indonesia. Penelitian ini bertujuan untuk mencari metode terbaik untuk mendeteksi kolonisasi SGB pada ibu hamil sekaligus menilai akurasi uji RT-PCR.
Metode: Penelitian dengan metode potong lintang padawanita hamil kurang dari 37 minggu dengan ketuban pecah diRumah Sakit Umum Pusat Nasional Cipto Mangunkusumo(RSCM), Rumah Sakit Umum Daerah Pasar Rebo, dan Rumah Sakit Budi Kemuliaan. serta bayi baru lahir dengan tersangka sepsis neonatorum awitan dini yang lahir dari ibu tersebut di RSCM. Swab rektovaginal pada ibu dan darah pada bayi untuk pemeriksaan tes RT-PCRdan kultur pada 3 media: agar darah (AD), agar darah Columbia (ADC), dan CHROMagar (CA).
Hasil: Ada 50 ibu dan 25 bayi direkrut dalam penelitian ini.Prevalensi SGB pada ibu hamil 24%, 2 bayi meninggal. Dibandingkan dengan kultur dengan media ADC, tes RT-PCR mempunyai sensitivitas 83,33%, spesifisitas 86,84 %, NPP 66,67 %, NPN 94,29 %, dan akurasi 86,00 %.Media CAmenunjukkan hasil yang lebih tinggi dalam hal sensitivitas 100%, spesifisitas 100%, NPP 100%, NPN 100%, dan akurasi 100 %, dengan hasil lebih singkat, lebih praktis, dan lebih murah.
Simpulan: Pemeriksaan RT-PCR menjadi pilihan dalam skrining SGB intrapartum, dengan alternatif media CA.

Background: Most pregnant women were colonized of group B Streptococcus haemolyticus (GBS) in urogenital tract which affects the health of pregnant women and babies. Detection of intrapartum GBS requires rapid and sensitive examination. Microbiological examination to detect GBS using culture and real time polymerase chain reaction (RT-PCR) has been used to support the diagnosis, but its use for screening in pregnant women has never been tested for accuracy in Indonesia. This study aims to find the best method for detecting GBS colonization in pregnant women as well as assessing the accuracy of the RT-PCR test.
Methods: This was a cross-sectional study in pregnant women less than 37 weeks with ruptured membranes at the Cipto Mangunkusumo National Central General Hospital (RSCM), Pasar Rebo Regional General Hospital, and Budi Kemuliaan Hospital, And newborns with suspected early-onset neonatal sepsis born to these mothers at RSCM. Rectovaginal swab in mother and blood in infant for RT-PCR assay and culture on 3 media: blood agar (BA), Columbia blood agar (CBA), and CHROMagar (CA).
Results: There were 50 mothers and 25 infants recruited in this study. The prevalence of GBS in pregnant women was 24%, 2 neonates died. Compared with culture with CBA media, the RT-PCR test had a sensitivity of 83,33%, specificity 86,84%, PPN 66,67%, NPN 94,29%, and accuracy 86,00%. CA media showed higher results in terms of 100% sensitivity, 100% specificity, 100% NPP, 100% NPN, and 100% accuracy, with shorter results, more practical, and cheaper.
Conclusions: RT-PCR examination is an option in intrapartum GBS screening, with CA media as an alternative.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2021
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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