Edward syndrome merupakan kelainan\ud
kongenital yang disebabkan trisomi kromosom 18, yang dapat\ud
dideteksi secara dini sehingga dapat memberikan informasi\ud
kepada ibu dan keluarga tentang bayi sehingga dapat\ud
mempersiapkan secara mental kelahiran ba

chalid, Maisuri Tadjuddin

Hasanuddin University Repository

30 Abstract KOGI X't/
Indones J
Obstet Gynecol
biokimiawi darah tali pusat selama dilakukan delayed um-
bilical clamp dengan sampel penelitian yang lebih banyak.
Kata kunci: delayed umbilical clamp, perdaruhan post
partum, ikterik
Different manifestations of cesarean scar ec-
topic pregnancy: A case series
Murthy Mutmainah, Damar Prasmusinto, Didi Danukusumo,
Reza Tigor
Department of Obstetrics and Gynecologt
Medical Faculty of Indonesia University/
Fatmawati General HospitaU
Dr. Cipto Mangunhtsumo General Hospital
Jakarta
Objective: To describe three different cases ofCesarean
Scar Ectopic Pregnancy in our hospital.
Setting: Dr. Cipto Mangunkusumo General Hospital and
Fatmawati General Hospital.
Methods: Case series. Implantation of a pregnancy
within a Cesarean fibrous tissue scar is considered to be the
rarest form of ectopic pregnancy and a life-threatening con-
dition. We reported 3 cases, with different manifestations
and treatment options. Ultrasound remains an useful tool in
diagnosing cesarean scar ectopic scar pregnancy (CSEP),
but in special circumstances, its role are limited in diagnos-
ing CSEP. Case one: Mrs 30 yo, came with clinical sips of
septic abortion and found to have CSEP during hysterec-
tomy procedure. Similar to first case, case two was Mrs, 35
yo, presented with history of incomplete abortion one month
before and found to have collapsed sac at isthmic part of
Uterus. We performed hysterotomy and resection of tro-
phoblast tissue. Last case, we did conservative treatrnent on
CSEP with administration of methotrexate.
Conclusion: Cesarean Scar Fctopic pregnancy have
many clinical manifestations. A combination of good clini-
cal skill, judgement and sufficient diagnostic tools are
needed to ensure better diagnosis, management and treat-
ment of this condition.
Keywords: cesarean scar ectopic pregnancy, hysterec-
tomy, hysterotomy, MTX therapy
Edwurd Syndrome (Laporan kasus)
Hartono Madong, St. Maisuri T Chalid
Bagian Obstetri dan Ginekologi
Fakultas Kedokteran Universitas Hasanuddin
Makassar
Tujuan: Melaporkan dan membahas kasus Edward Syn-
drome.
Latar Belakang: Sejalan meningkatnya ilmu pengeta-
huan OBGYN divisi Fetomaternal dan peralatan yang se-
makin baik maka perlu dilakukan skrining terhadap perem-
puan hamil unfuk mendeteksi secara dini adanya kelainan
pada fetus. Edward sydrome merupakan kasus trisomi kro-
mosom 18. Insidens Edward syndrome terjadi I dari 3000
kehamilan, lebih sering terjadi pada anak perempuan diban-
dingkan anak laki-laki.
Kasus: Dilaporkan Ny. S 38 tahun masuk rumah sakit
dengan keluhan hamil dengan perut sangat besar. Pemerik-
saan obstetri didapatkan tinggi fundus utei 44 cm, kontraksi
(-), FHR 148 x/mnt. USG: gravid tunggal hidup, presentasi
kepala, plasenta di korpus posterior, AFI 38 cm, Biometri
janin-33 minggu, EFW:1526 g, lemon sign (+), rasio car-
dio/thoraco > 50yo, gambaran double bubble (+). Doppler:
RI:0,87, kesan: ke"lainan kongenital multipel, suspek IUG&
polihidramnion. Diagnosis GVIPVAO gravid aterm + poli-
hidramnion + Edward syndrome + suspek IUGR + calon
akseptor kontap dengan rencana tindakan seksio sesarea.
Pada tindakan seksio sesarea tampak uterus gravid, hasil
luaran bayi laki-laki, BB 1500 gr, PB 43 cm, AS:7/9, Bal-
lard skor 32 (BCB/KMK). Pascaoperasi kesadaran pasien
baik. Bayi pada hari ke 12 dinyatakan meninggal.
Kesimpulan: Edward syndrome merupakan kelainan
kongenital yang disebabkan trisomi kromosom 18, yang da-
pat dideteksi secara dini sehingga dapat memberikan infor-
masi kepada ibu dan keluarga tentang bayi sehingga dapat
mempersiapkan secara mental kelahiran bayi.
Kata kunci: Edward syndrome, kehamilan aterm, poli-
hidramnion. USG
Intraamniotic infection diagnostic test in PP
ROM through the measurement of vaginal
fluid C-Reactive protein using HS-CRP
CIIECK-I Qateral-flow immunoassay me-
thod) with Cobas Integra 400 Plus (Light-
scattering Immunoassay method) as a gold
standart
Muhammad Novan Affandy, Aditiawarrnan
Department of Obstetrics and Gynecologt
Airlangga University Medical Faculty
Surabaya
Objectives: To prove HS-CRP CHECK-I can be used to
measure tle levels of CRP in vaginal fluid and can be used
as a diagnostic tool for intra amniotic.-infection.
Method: Diagnostic test research, 33 sample of vaginal
fluid from PPROM patients are analyzed using HS-CRP
:- CHECK-I and Cobas Integra 400 Plus as the gold standart.
j Intra amniotic infection is determined by CRP level > 0.8
mg/L. Test results are then compared and analyzed.
Result: From the statistical analysis, HS-CRP CHECK-l
is equivalent to Cobas Integra 400 Plus in measuring vaginal
fluid CRP and diagnosing intra amniotic infection. Sensiti-
vity 50Yo, specificity 100%, positive predictive value 100%
and negative predictive value 86.2%o are obtained from HS-
CRP CHECK-I for intra amniotic infection.
Conclusion: HS-CRP CHECK-l is equivalent to Cobas
Integra 400 Plus, and can be used as a diagnostic test.
Keywords: HS-CRP CHECK-I, CRP, intra amniotic in-
fection, PPROM


Edwurd Syndrome

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Edwurd Syndrome

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